Serious Diseases and Sexual Life

Ejaculation in men with spinal cord injuries

8.12.2009 | By: Tadej Pačnik

Most men with spinal cord injuries give up sex and children because they are unable to ejaculate. There are several methods for achieving ejaculation of semen and thus making it possible to father children.

 


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Barely 55% of men with spinal cord injuries achieve ejaculation by masturbating or stimulating the penis. In medicine, two very invasive methods and a more pleasant method have been developed, serving as assistance. The first was developed by Guttmann in 1946. By injecting the enzyme cholinesterase in the central nervous system, he induced several consecutive ejaculations of semen. As the method is rather dangerous, it is not used any more. In one of the patients it caused death, while other symptoms are potentially dangerous elevations of blood pressure, sweating, nausea, vomiting, abdominal cramps and diarrhoea. That is why this method has been replaced by electroejaculation and penile vibratory stimulation.



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Electroejaculation has been developed by Seager, from the USA. This is electric stimulation of the final part of the intestine. An electrode is inserted in the rectum. There are 15 to 35 electric stimuli required for ejaculation of semen. This procedure is usually done under general anaesthesia because it can cause great discomfort, pain and uncontrollable reflex reactions. The method is very effective, also in patients with complete damaged to the spinal cord. However, the method is still rather unpleasant and has to be performed in the hospital setting, with a proper anaesthetic, and no magic is present in fertilising and conceiving a child. Fortunately, there is a method which can be used at home, in the intimate atmosphere with your.


 

The method was first described by Comarr, but it was widespread by Brindley. Penile vibratory stimulation is the term used for simple stimulation of the penis with a vibrator. Stimulation does not need to be performs by a physician. The patient has to be in the supine or sitting position, while the vibrator stimulates the body of the penis, the frenulum of the penis (penile nerve), and the muscle between the anus and testicles. If stimulation if effective, several jets can be achieved similar to a normal ejaculation. They are accompanied by erection, the contractions of abdominal muscles and leg spasms. However, this method can also cause autonomic dysreflexia – a sharp rise in blood pressure, headache, ringing in the head, gooseflesh, flushing. Muscle contractions can also be very unpleasant. For an effective vibroejaculation, the parts between T11 and S4 of the spinal cord have to be intact.