Blessé médullaire: prise en charge en andrologie

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• 作者：J. -M. Soler (1)
  R. Mieusset (2)
  
• 关键词：Blessé médullaire ; érection ; éjaculation ; Substances vasoactives ; Vibromassage ; électroéjaculation ; Procréation ; Spermatozo?des ; Liquide séminal ; Spinal cord ; injured man ; Erection ; Ejaculation ; Vasoactive drugs ; Vibratory penile stimulation ; Electroejaculation ; Reproduction ; Sperm ; Semen
• 刊名：Basic and Clinical Andrology
• 出版年：2009
• 出版时间：June 2009
• 年：2009
• 卷：19
• 期：2
• 页码：90-98
• 全文大小：141KB
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• 作者单位：J. -M. Soler (1)
  R. Mieusset (2)
  
  1. Laboratoire urodynamique et sexologique, centre Boufard-Vercelli, cap Peyrefite, F-66290, Cerbère, France
  2. Centre de stérilité masculine, CHU, h?pital Paule-de-Viguier, TSA 70034, 330, avenue de la Grande-Bretagne, F-31059, Toulouse cedex 09, France
  

文摘

Sexual reactions are under neurological control. Spinal cord trauma alters neurological structure and induces sexual dysfunction. Pharmacological drugs used currently allow erectile function to be recovered in spinal cord-injured men, an essential step towards the resumption of a sex life. Triggering of ejaculation is often difficult. Perineal stimulation techniques, used either in isolation or in association with pharmacological treatment, promote ejaculation and allow sperm collection and freezing. The possibility of achieving ejaculation during sexual intercourse in spinal cord-injured men remains rare and there is as yet no real therapy available. Despite poor semen quality, spinal cord-injured men maintain reproductive possibilities in 40 to 60% of couples. The use of assisted reproductive technologies is often required. Management of sexual dysfunction in spinal cord-injured men must be integrated into a rehabilitation and re-insertion programme.