electro-ejectulation

    
      Re: electro-ejectulation
    


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Posted by HFHS M.D.-MS on March 30, 1998 at 17:31:38:

In Reply to: electro-ejectulation posted by Wilson on March 20, 1998 at 05:19:39:

: Dear all,
  I am a T4 paraplegic, 35 years old, and I am looking for research
  information regarding the ability of male paraplegics to reproduce.
  If anyone has electro-ejectulation information,
  or knows where I can find it, if anyone can help,
  I would appreciate it, please e-mail me.
  Thanks for your help.
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A regular novelty vibrator may work just as well but it is recommended that your blood pressure be monitored extremely closely.  This should not be attempted at home unless it has been determined that you can reliably control your blood pressure.  If you experience autonomic dysreflexia, recommended treatment is to stop vibratory stimulation immediately .  Pretreatment with Nifedipine, 10 mg,  a blood pressure medicine, can afford this problem of hypertension.  At the time rhythmic periurethral contraction occurs, vibratory stimulation should be stopped which decreases the risk of AD.  Multiple ejaculations can be achieved in one setting.   If no ejaculation occurs over a three minute time of frenular stimulation a hiatus of 1-2 minutes is required.  If no ejaculation occurs with six cycles  of stimulation, the patient is considered to have vibratory stimulation failure and electroejaculation maybe offered.  SCI men may also ejaculate backward into the bladder (retrograde ejaculation).  A clue to this happening, is cloudy urine after vibratory or electroejaculation.  
Electroejaculation is performed at few centers in the US.  Please see the web pages referred to by Doug Banks. Electroejaculation stimulates AD more so  than vibratory penile stimulation.  A higher dose of  Nifedipine may be needed.   This is painful in patients with sensory sparing spinal cord lesions and in these individuals, general anesthesia is required. Semen quality is usually lower if  obtained by electroejaculation as compared to vibratory stimulation. .  You may want to look up more articles by Dr. Dana Ohl (University of Michigan) or Dr. Anthony Thomas (Cleveland Clinic) for more information and availability of this technique.
The quality of semen from SCI men is usually less fertile when compared to semen analysis from normal men, and in-vitro fertilization may be needed.  
Dr Fleming is our infertility expert at Henry Ford Hospital and works though the West Bloomfield/ Somerset campuses.  If interested, please call  1 800 653 6568. We can also arrange local accommodations through this number if this is your need. Please bring any physicians