Incidence of autonomic dysreflexia and silent autonomic dysreflexia in men with spinal cord injury undergoing sperm retrieval: implications for clinical practice.
OBJECTIVE
To determine the incidence of symptomatic autonomic dysreflexia (AD) and asymptomatic autonomic dysreflexia (silent AD) in men with spinal cord injury (SCI) undergoing sperm retrieval procedures.


METHODS
Descriptive study.


METHODS
Thirteen men underwent cardiovascular monitoring during vibrostimulation (or self-stimulation) to the point of ejaculation. Cardiovascular results were compared with objective and subjective signs of AD to determine the incidence of symptomatic and silent AD. Past history and knowledge of AD were correlated to participants' experience of AD in the clinical setting.


METHODS
Change in diastolic and systolic blood pressure is the primary outcome data that will be compared to AD history and data from each participant's questionnaire.


RESULTS
Twelve of the 13 men experienced a rise in blood pressure consistent with AD (defined as an increase in blood pressure > 20 mmHg). Men with incomplete tetraplegia were able to identify symptoms associated with AD, and those with complete tetraplegia did not experience symptoms. Eleven of the 13 men knew that sexual activity could cause AD; however, only 2 of the 13 men acknowledged a history of AD with sexual activity and/or ejaculation.


CONCLUSIONS
Symptomatic and silent AD occur frequently during sperm retrieval in men with SCI above T6. Knowledge and past history of AD are not accurate indicators of who will experience AD with sexual activity and/or ejaculation.
Ekland
Marci B
MB
International Collaboration On Repair Discoveries, GF Strong Rehab Centre, Sexual Health Rehabilitation Service, Vancouver, British Columbia, Canada. Marci.ekland@vch.ca
Krassioukov
Andrei V
AV
McBride
Kate E
KE
Elliott
Stacy L
SL
D000328:Adult; D020211:Autonomic Dysreflexia / Q000209:etiology*; D001794:Blood Pressure / Q000502:physiology; D004542:Ejaculation / Q000502:physiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010812:Physical Stimulation / Q000379:methods; D013094:Spermatozoa; D013119:Spinal Cord Injuries / Q000150:complications*