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Spermatogénèse et Paraplégie

Male fertility and paraplegia

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Resume

Dans cet article, vont être passées en revue les possibilités de procréation du paraplégique.

Un premier chapitre traitera du fonctionnement testiculaire avec l’étude des dosages hormonaux et de l’histologie testiculaire (étude portant sur 100 patients). Au vue de la biopsie testiculaire, il y a une lésion exocrine, d’origine neurologique, parfois irréversible. Par contre, les lésions du testicule endocrine ont été réversibles sous stimulation ou spontanément.

Un deuxième chapitre traitera des différentes techniques pour obtenir une éjaculation et l’analyse du spermogramme. Les techniques utilisées étant: le vibro-massage, l’électro-éjaculation, l’éjaculation par stimulation pharmacologique. L’étude porte sur 124 tests éjaculatoires, pour lesquels ont été obtenues 64 éjaculations antégrades (52%) et 4 éjaculations rétrogrades (3%). Le spermogramme obtenu a montré une numération des spermatozoïdes supérieure à 20 millions par ml dans 35 cas (soit 51,5%) et inférieure à 5 millions dans 11 cas (soit 16%).

Abstract

In this article, the paraplegics’ possibilities for procreation will be examined.

A first chapter will deal with the testicle functioning along with the study of hormonal measuring and testicle histology (study involving 100 patients). As a result, it appears that, after a testicle biopsy, there is a testicle lesion of neurological origin that is sometimes irreversible.

On the contrary, the endocrinal testicle lesions have proved reversible under stimulation or spontaneously.

A second chapter will deal with the different techniques to obtain an ejaculation and the semen analysis.

The techniques that were used being: massage by vibrator, electroejaculation, ejaculation through pharmacological stimulation. The study focuses on 124 ejaculatory tests among which 64 forward ejaculations (52%) and 4 bachward ejaculations (3%) were obtained. The resulting semen analysis revealed a spermatozoon count greater than 20 millions per millilitre (that is 51,5%) and smaller than 5 millions in 11 cases (16%).

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Correspondence to Albert Leriche.

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Leriche, A., Monnet, M., Pogu, B. et al. Spermatogénèse et Paraplégie. Androl. 4, 133–141 (1994) doi:10.1007/BF03034278

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Mots Clés

  • Paraplégie
  • procréation
  • éjaculation

Key-words

  • Paraplegia
  • male fertility
  • ejaculatory