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2018 ; 7
(Suppl 1
): S17-S22
Nephropedia Template TP
gab.com Text
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English Wikipedia
Electroejaculation combined with assisted reproductive technology in psychogenic
anejaculation patients refractory to penile vibratory stimulation
#MMPMID29644166
Meng X
; Fan L
; Wang T
; Wang S
; Wang Z
; Liu J
Transl Androl Urol
2018[Mar]; 7
(Suppl 1
): S17-S22
PMID29644166
show ga
BACKGROUND: Psychogenic anejaculation (PAE) is a rare disease in clinic seriously
affecting quality of life, especially fertility of patients. However, there is
not an effective treatment for these patients. The aim of the study was to
evaluate the results of treatment with electroejaculation (EEJ), intrauterine
insemination (IUI), and intracytoplasmic sperm injection (ICSI) in patients with
PAE who were refractory to penile vibratory stimulation (PVS). METHODS: Twenty
PVS-refractory patients with PAE were included in the retrospective study. Semen
was retrieved through EEJ procedures. According to the semen quality and patient
preference, IUI or ICSI was selected. RESULTS: A total of 23 procedures of EEJ
were performed in 20 patients. Sperm was successfully retrieved in all of the
cases. Yielded semen was used in a total of 16 ICSI procedures in 6 couples. The
fertilization rate was 54.0%. The ICSI cycles resulted in three pregnancies; of
these one resulted in a live birth. Fourteen couples were treated with 26 IUI
cycles, which resulted in live births in five pregnancies. CONCLUSIONS: EEJ
offers an encouraging pregnancy opportunity for men with PAE who were refractory
to PVS. The combined use of EEJ and assisted reproductive techniques is excellent
management for PAE infertility. In our study, EEJ resulted in pregnancies and the
birth of six healthy children.