Impact of spinal cord injury

Viacheslav Iremashvili, Nancy Brackett, Charles M Lynne

Research output: Chapter in Book/Report/Conference proceedingChapter

3 Scopus citations


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
Number of pages12
ISBN (Print)9781461433354, 9781461433347
StatePublished - Jan 1 2012


  • 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)


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