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Éjaculation provoquée par le vibromassage ou l’électrostimulation endorectale chez le blessé médullaire: injection intracytoplasmique de spermatozoïdes obtenus par stimulation endorectale chez neuf couples

Ejaculation induced by penile vibratory stimulation or rectal probe electrostimulation in the treatment of anejaculatory spinal cord injured men: the use of intracytoplasmic sperm injection with electroejaculates in 9 couples

Andrologie volume 11, pages 253–257 (2001)Cite this article

Résumé

Moins de 15% des hommes avec une lésion complète de la moelle obtiennent une éjaculation lors de rapports sexuels ou de la masturbation. Le vibromassage du pénis permet d’obtenir une éjaculation pour au moins 70% d’entre eux. L’éjaculat recueilli au domicile par le couple est utilisé pour, des auto-inséminations au moment le plus opportun du cycle. Les patients en échec du vibromassage obtiennent une éjaculation par stimulation endorectale dans la majorité des cas. Le stimulateur actuellement disponible est celui mis au point par SEAGER. Seule l’absence de spermatozoïde viable dans l’éjaculat conduit au prélèvement microchirurgical. L’échec des auto-inséminations, l’altération importante de la qualité du sperme chez ces blessés amènent fréquemment à la médicalisation de la procréation. Les neuf couples, à qui nous avons proposé une I.C.S.I. avec des spermatozoïdes obtenus par électrostimulation endorectale, ont mené à terme quatre grossesses.

Abstract

800 to 1,000 cases of traumatic spinal cord injury (S.C.I.) are observed in France each year. At present time, there are more than 35,000 survivors of S.C.I. in France. Studies show that 80% of injuries occur in men and 82% occur in individuals between the ages of 16 and 45 years. It is well known that more than 80% of men with S.C.I. suffer from ejaculation dysfunction. Since most of these couples are young, many desire a family and seek help to remedy their infertility. Two methods are mainly used to retrieve sperm from S.C.I. men: penile vibratory stimulation and rectal electrostimulation.

Penile vibratory stimulation to induce ejaculation is recommended as first-line treatment, and S.C.I. men should only be referred for electroejaculation after failure of this technique.

More than 70% of patients respond to penile vibratory stimulation with anterograde ejaculation. Patients who fail to ejaculate by penile vibratory stimulation are treated by electroejaculation.

Their ejaculates often have normal sperm counts, but with a higher proportion of immotile sperm than in men without S.C.I. The authors report the pregnancy outcome of a series of 9 couples undergoing combined electroejaculation and in vitro fertilization with intracytoplasmic sperm injection: 25% pregnancies per cycle and 33% pregnancies per couple.

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Authors and Affiliations

  1. Clinique du Tertre Rouge, Le Mans

    D. Domessent & P. Sigogneau

  2. Centre de l’Arche, 72650, Saint Saturnin, Le Mans

    G. Egon, A. Scobai, A. L. Ferrapie & S. Gay

Authors
  1. G. Egon
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  2. A. Scobai
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  3. A. L. Ferrapie
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  4. D. Domessent
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  5. P. Sigogneau
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  6. S. Gay
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Corresponding author

Correspondence to G. Egon.

Additional information

Communication à la Session SALF-AFU des 6o Journées de la Fédération Française d’Étude de la Reproduction Lyon, 5–7 septembre, 2001

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Egon, G., Scobai, A., Ferrapie, A.L. et al. Éjaculation provoquée par le vibromassage ou l’électrostimulation endorectale chez le blessé médullaire: injection intracytoplasmique de spermatozoïdes obtenus par stimulation endorectale chez neuf couples. Androl. 11, 253–257 (2001). https://doi.org/10.1007/BF03034640

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  • DOI: https://doi.org/10.1007/BF03034640

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Basic and Clinical Andrology

ISSN: 2051-4190