Barros A, Sousa M, Andrade M J, Oliveira C, Silva J, Beires J
Department of Medical Genetics, Faculty of Medicine, University of Porto, Portugal.
Arch Androl. 1998 Jul-Aug;41(1):5-9. doi: 10.3109/01485019808988538.
We describe the case of a man who, after a gun-shot wound, has become paraplegic. As a consequence of his spinal cord injury he developed infertility due to incomplete erection and anejaculation. After several unsuccessful penile vibratory stimulation attempts, it was possible to achieve ejaculation by means of transrectal electrostimulation. However, the total sperm motility count, the percentage of normal sperm morphology, and the vitality and hypo-osmotic swelling test scores were rather low, and in particular viability was strikingly decreased during sperm preparation. These parameters further decreased following electroejaculate, forcing us to use intracytoplasmic sperm injection instead of conventional in vitro fertilization for the treatment cycle. A normal pregnancy was achieved which resulted in birth of a healthy girl on 1st January 1997.
我们描述了一名男子在遭受枪伤后截瘫的病例。由于脊髓损伤，他出现了勃起不全和射精障碍，进而导致不育。在多次阴茎振动刺激尝试失败后，通过经直肠电刺激实现了射精。然而，精子总活力计数、正常精子形态百分比、活力以及低渗肿胀试验评分都相当低，尤其是在精子制备过程中，活力显著下降。电射精后这些参数进一步降低，迫使我们在治疗周期中使用卵胞浆内单精子注射而非传统的体外受精。最终实现了正常妊娠，并于1997年1月1日诞下一名健康女婴。
