Impact of spinal cord injury

Viacheslav Iremashvili, Nancy Brackett, Charles M Lynne

Research output: Chapter in Book/Report/Conference proceedingChapter

2 Citations (Scopus)

Abstract

Although medical advances have greatly improved the prognosis for people who sustain spinal cord injury, it remains a major social and health-care problem. There are estimated 10,000–12,000 spinal cord injuries every year in the USA alone. More than a quarter of a million Americans are currently living with spinal cord injury, with many millions more worldwide. The cost of managing the care of patients with spinal cord injury is approximately $4 billion per year. The majority of spinal cord injury victims are young adults. Of them, more than 80% are men. As a result, young males constitute the largest part of this patient population. Reproductive function is essential for men with spinal cord injury, but unfortunately, less than 10% of them can father children without medical assistance. Infertility in male patients with spinal cord injury results from a combination of erectile dysfunction, ejaculatory dysfunction, and poor semen quality. As a result of advancements in assisted ejaculation techniques including electroejaculation and high-amplitude penile vibratory stimulation, semen can be safely obtained from nearly all men with spinal cord injury without resorting to surgical procedures; however, semen quality is poor in the majority of cases.

Original languageEnglish (US)
Title of host publicationMale Infertility: Contemporary Clinical Approaches, Andrology, ART and Antioxidants
PublisherSpringer New York
Pages337-348
Number of pages12
ISBN (Print)9781461433354, 9781461433347
DOIs
StatePublished - Jan 1 2012

Fingerprint

Spinal Cord Injuries
Semen Analysis
Medical Assistance
Ejaculation
Male Infertility
Erectile Dysfunction
Semen
Fathers
Young Adult
Patient Care
Delivery of Health Care
Costs and Cost Analysis
Population

Keywords

  • Assisted ejaculation techniques
  • Elevated reactive oxygen activity
  • Male infertility
  • Penile vibratory stimulation
  • Scrotal hyperthermia
  • Semen abnormalities
  • Spinal cord injury

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Iremashvili, V., Brackett, N., & Lynne, C. M. (2012). Impact of spinal cord injury. In Male Infertility: Contemporary Clinical Approaches, Andrology, ART and Antioxidants (pp. 337-348). Springer New York. https://doi.org/10.1007/978-1-4614-3335-4_32

Impact of spinal cord injury. / Iremashvili, Viacheslav; Brackett, Nancy; Lynne, Charles M.

Male Infertility: Contemporary Clinical Approaches, Andrology, ART and Antioxidants. Springer New York, 2012. p. 337-348.

Research output: Chapter in Book/Report/Conference proceedingChapter

Iremashvili, V, Brackett, N & Lynne, CM 2012, Impact of spinal cord injury. in Male Infertility: Contemporary Clinical Approaches, Andrology, ART and Antioxidants. Springer New York, pp. 337-348. https://doi.org/10.1007/978-1-4614-3335-4_32
Iremashvili V, Brackett N, Lynne CM. Impact of spinal cord injury. In Male Infertility: Contemporary Clinical Approaches, Andrology, ART and Antioxidants. Springer New York. 2012. p. 337-348 https://doi.org/10.1007/978-1-4614-3335-4_32
Iremashvili, Viacheslav ; Brackett, Nancy ; Lynne, Charles M. / Impact of spinal cord injury. Male Infertility: Contemporary Clinical Approaches, Andrology, ART and Antioxidants. Springer New York, 2012. pp. 337-348
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