[Ejaculation capacity in spinal cord injured patients carrying an endo-urethral stent for incontinentation: Descriptive study].
OBJECTIVE
To assess the impact of endo-urethral stent (EUP) of incontinentation in spinal cord injured (SCI) men on ejaculation capacity.
Presence of ejaculation after EUP.
Modification on ejaculation type, stimulation mode, possibility of sperm conservation in the same population.


METHODS
A descriptive monocentric study including SCI subjects which underwent placement or change of temporary (Mémokath™ or Allium™) or definitive (Mémotherm™) EUP between January 2004 and January 2014 with at least one ejaculatory test. Are identified for each patient: the presence of ejaculation, type of ejaculation, stimulation mode used, number of frozen specimen and results from semen analysis.


RESULTS
Over 11 men with tetraplegia, complete for motricity, there were 8 (72%) for whom ejaculation was possible after laying EUP. Of these, 6 (55%) had an antegrade or antero-retrograde ejaculation. It was not possible to make a freezing straw in four of them due to infection of semen (2) or terato-oligo-astenospermia (1) or absence of reproductive project (1).


CONCLUSIONS
In this small sample, it was found that over 70% ejaculation have been preserved after laying EUP and more than 50% with antegrade or antero-retrograde ejaculation. A larger study would identify how EUP may alter the ejaculatory capacity or quality of the ejaculate.


METHODS
4.
Centre hospitalier Lyon Sud, Pierre Bénite, 39, rue de l'Université, 69007 Lyon, France. Electronic address: blandine.tamarelle@gmail.com.
B
B
Tamarelle
Hôpital Henry-Gabrielle, 69230 Saint-Genis-Laval, France.
K
K
Charvier
Hôpital Henry-Gabrielle, 69230 Saint-Genis-Laval, France.
C
C
Del Aguila
Institut de réadaptation Gingras-Lindsay de Montréal, Canada.
F
F
Courtois
Hôpital Henry-Gabrielle, 69230 Saint-Genis-Laval, France.
G
G
Rode
Centre hospitalier Lyon Sud, Pierre Bénite, 39, rue de l'Université, 69007 Lyon, France.
A
A
Ruffion
D000328:Adult; D004542:Ejaculation; D006801:Humans; D008297:Male; D008875:Middle Aged; D013119:Spinal Cord Injuries / Q000503:physiopathology*; D015607:Stents; D014521:Urethra; D055815:Young Adult
Dysfonction sexuelle; Ejaculation; Prothèse urétrale; Sexual dysfunction; Tetraplegia; Tétraplégie; Urethral stent; Éjaculation