SCI Complications Flashcards
What are techniques to get a SCI patient to have an erection?
Vibration (vibrec), medication (viagra, cialis), physical stimulation (cock ring, vacuum device), gel/intracavernous injections (trimex (prostaglandin, phentolamine, papaverin); phenylephrine brings it down)
How is vibration stimulus helpful?
Getting an erection and ejaculation
what are indications for intrapenile prosthesis?
Aging patient with ED or to keep a condom catheter on a patient
What are physiologic causes of loss of ejaculation?
Retrograde ejaculation, loss of sensation,
How can retrograde ejaculation be prevented?
Pseudofed
How do you get ejaculate out in SCI?
Wash bladder out with saline, use vibration, then take ejaculate out of the bladder, wash the sperm, and inject into the uterus
How can chronic bladder infections affect fertility?
Decreases sperm count, effects motility
Benefits of sperm storage early
Psychologically helps, samples before fertility effected
What is electroejaculation?
Stimulate the pelvic nerve in Urology office, have retrograde ejaculation, and collect sperm
What is sperm extraction?
Aspiration from epidimis, vas deferens or testicle
Why is sperm extraction not the best option?
Counts are lower so must do IVF and higher cost
How much sperm is necessary for IVF?
20 million motile sperm
