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Application of 2 vibrators salvages ejaculatory failures to 1 vibrator during penile vibratory stimulation in men with spinal cord injuries.
J Urol. 2007 Feb; 177(2):660-3.JU

Abstract

PURPOSE

Penile vibratory stimulation is the treatment of first choice for anejaculation in men with spinal cord injury. Nonresponders to penile vibratory stimulation are usually referred for electroejaculation or surgical sperm retrieval. Compared to penile vibratory stimulation these methods are invasive and usually yield lower total motile sperm, potentially limiting options for assisted reproductive technologies. To avoid these less than ideal options a simple method to salvage penile vibratory stimulation failures would be of benefit to spinal cord injured patients. We investigated the recovery rate when 2 vibrators were used to salvage ejaculatory failures to 1 vibrator in men with spinal cord injury.

MATERIALS AND METHODS

A retrospective chart review was performed in 297 spinal cord injured men who underwent a total of 965 trials of penile vibratory stimulation at our center between 1991 and 2006. Only trials with high amplitude vibrators were examined. All men underwent 2 or more penile vibratory stimulation trials using 1 vibrator applied to the dorsum or frenulum of the glans penis. Men failing to ejaculate with 1 vibrator received 1 or more trials in which the glans penis was then sandwiched between 2 vibrators.

RESULTS

Of all men 49% and 57% of those whose level of injury was T10 or above responded to penile vibratory stimulation with 1 vibrator. Of failures with 1 vibrator 22% responded to penile vibratory stimulation with 2 vibrators.

CONCLUSIONS

Application of 2 vibrators salvaged ejaculatory failures to 1 vibrator during penile vibratory stimulation procedures in men with spinal cord injury. This simple penile vibratory stimulation sandwich method is recommended before referring patients for electroejaculation or surgical sperm retrieval.

Authors+Show Affiliations

Miami Project to Cure Paralysis, University of Miami Miller School of Medicine, Miami, Florida, USA.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

17222653

Citation

Brackett, Nancy L., et al. "Application of 2 Vibrators Salvages Ejaculatory Failures to 1 Vibrator During Penile Vibratory Stimulation in Men With Spinal Cord Injuries." The Journal of Urology, vol. 177, no. 2, 2007, pp. 660-3.
Brackett NL, Kafetsoulis A, Ibrahim E, et al. Application of 2 vibrators salvages ejaculatory failures to 1 vibrator during penile vibratory stimulation in men with spinal cord injuries. J Urol. 2007;177(2):660-3.
Brackett, N. L., Kafetsoulis, A., Ibrahim, E., Aballa, T. C., & Lynne, C. M. (2007). Application of 2 vibrators salvages ejaculatory failures to 1 vibrator during penile vibratory stimulation in men with spinal cord injuries. The Journal of Urology, 177(2), 660-3.
Brackett NL, et al. Application of 2 Vibrators Salvages Ejaculatory Failures to 1 Vibrator During Penile Vibratory Stimulation in Men With Spinal Cord Injuries. J Urol. 2007;177(2):660-3. PubMed PMID: 17222653.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Application of 2 vibrators salvages ejaculatory failures to 1 vibrator during penile vibratory stimulation in men with spinal cord injuries. AU - Brackett,Nancy L, AU - Kafetsoulis,Apostolos, AU - Ibrahim,Emad, AU - Aballa,Teodoro C, AU - Lynne,Charles M, PY - 2006/03/15/received PY - 2007/1/16/pubmed PY - 2007/2/28/medline PY - 2007/1/16/entrez SP - 660 EP - 3 JF - The Journal of urology JO - J Urol VL - 177 IS - 2 N2 - PURPOSE: Penile vibratory stimulation is the treatment of first choice for anejaculation in men with spinal cord injury. Nonresponders to penile vibratory stimulation are usually referred for electroejaculation or surgical sperm retrieval. Compared to penile vibratory stimulation these methods are invasive and usually yield lower total motile sperm, potentially limiting options for assisted reproductive technologies. To avoid these less than ideal options a simple method to salvage penile vibratory stimulation failures would be of benefit to spinal cord injured patients. We investigated the recovery rate when 2 vibrators were used to salvage ejaculatory failures to 1 vibrator in men with spinal cord injury. MATERIALS AND METHODS: A retrospective chart review was performed in 297 spinal cord injured men who underwent a total of 965 trials of penile vibratory stimulation at our center between 1991 and 2006. Only trials with high amplitude vibrators were examined. All men underwent 2 or more penile vibratory stimulation trials using 1 vibrator applied to the dorsum or frenulum of the glans penis. Men failing to ejaculate with 1 vibrator received 1 or more trials in which the glans penis was then sandwiched between 2 vibrators. RESULTS: Of all men 49% and 57% of those whose level of injury was T10 or above responded to penile vibratory stimulation with 1 vibrator. Of failures with 1 vibrator 22% responded to penile vibratory stimulation with 2 vibrators. CONCLUSIONS: Application of 2 vibrators salvaged ejaculatory failures to 1 vibrator during penile vibratory stimulation procedures in men with spinal cord injury. This simple penile vibratory stimulation sandwich method is recommended before referring patients for electroejaculation or surgical sperm retrieval. SN - 0022-5347 UR - https://www.unboundmedicine.com/medline/citation/17222653/Application_of_2_vibrators_salvages_ejaculatory_failures_to_1_vibrator_during_penile_vibratory_stimulation_in_men_with_spinal_cord_injuries_ L2 - https://www.jurology.com/doi/10.1016/j.juro.2006.09.044?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -