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- W3093127041 abstract "Most men with spinal cord injury are anejaculatory and will require medical assistance to obtain their sperm in order to achieve biologic fatherhood. Penile vibratory stimulation is generally recognized as the first line of treatment for semen retrieval in anejaculatory men with spinal cord injury. The purpose of this study was to evaluate the performance of a newly-engineered device available in October 2019 (Ferticare 2.0) for penile vibratory stimulation in men with spinal cord injury. Cohort study. The Ferticare 2.0 device was applied to 15 men with spinal cord injury in a three-step protocol. Step 1: one device (2.5mm amplitude, 100 Hz) was applied to the glans penis for 2 minutes. Step 2: If no ejaculation occurred, the amplitude was increased to 4.0mm (100 Hz) and the device similarly applied. Step 3: If no ejaculation occurred, two devices, each 2.5mm and 100 Hz were applied to the dorsum and frenulum of the glans penis. Subjects at risk for autonomic dysreflexia were pretreated with sublingual nifedipine (20mg), 15 minutes prior to simulation. Blood pressure and other symptoms of autonomic dysreflexia were monitored. Following stimulation, subjects answered a questionnaire about their experience with the device. The measured distance from zero of a vertical mark on a 10 cm line indicated a rating between 0 and 10. Questionnaires were not requested from subjects who did not respond to PVS. Thirteen of 15 subjects had antegrade ejaculation with the device. Blood pressure and other symptoms of autonomic dysreflexia were well-managed. No adverse events occurred. The two subjects that were failures to PVS with other devices were also failures to PVS with the Ferticare 2.0. Two of the 15 subjects had retrograde ejaculation (subjects 6 and 8). The remaining 13 subjects had no retrograde ejaculation, including the two PVS failures. All subjects commented they would recommend the device to other men with spinal cord injury. A newly engineered device, the Ferticare 2.0, is safe and effective for inducing ejaculation in men with spinal cord injury." @default.
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- W3093127041 date "2020-09-01" @default.
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- W3093127041 title "EVALUATION OF A NEWLY ENGINEERED DEVICE FOR PENILE VIBRATORY STIMULATION IN MEN WITH SPINAL CORD INJURY" @default.
- W3093127041 doi "https://doi.org/10.1016/j.fertnstert.2020.08.1145" @default.
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