Anejaculation: An Electrifying Approach

Dana A. Ohl; Susanne A. Quallich; Jens Sønksen; Nancy L. Brackett; Charles M. Lynne

doi:10.1055/s-0029-1202307

Seminars in Reproductive Medicine, Table of Contents

Semin Reprod Med 2009; 27(2): 179-185
DOI: 10.1055/s-0029-1202307

Anejaculation: An Electrifying Approach

Dana A. Ohl¹ , Susanne A. Quallich¹ , Jens Sønksen² , Nancy L. Brackett³ , Charles M. Lynne³

¹Head of Division of Andrology and Microsurgery, University of Michigan, Ann Arbor, Michigan
²Head of Section of Male Infertility and Microsurgery, Herlev Hospital, University of Copenhagen, Copenhagen, Denmark
³University of Miami School of Medicine, Miami, Florida

Abstract

ABSTRACT

Anejaculation within the context of a male infertility evaluation can be a distressing condition for patients. A variety of causes for anejaculation have been identified, and although the condition cannot be reversed, in many cases a minimally invasive treatment is feasible, allowing the patient to pursue his desire for children. In most cases, men suffering from anejaculation due to spinal cord injury (SCI) are excellent candidates for ejaculation induction procedures and low-level assisted reproductive techniques. In many SCI men, penile vibratory ejaculation can be performed by the patient himself and home insemination performed as a very low cost alternative. Surgical sperm retrieval and intracytoplasmic sperm injection should be first-line therapy only in non-SCI anejaculatory men.

KEYWORDS

Anejaculation - ejaculatory dysfunction - penile vibratory stimulation - electroejaculation - male infertility

Full Text

References

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Dana A OhlM.D.

Department of Urology, University of Michigan

1500 E. Medical Center Dr., Box 0330, Ann Arbor, MI 48108

Email: daohl@umich.edu