Originally used exclusively in spinal cord injured men (SCI), electroejaculation is now utilized in those individuals unable to ejaculate because of testicular cancer surgery, diabetes, multiple sclerosis or other neurologic impairments (non-spinal cord injured men: NSCI). Clinical trails involving artificial insemination of partners of these men desiring pregnancy are currently underway.
For SCI patients no anesthesia is required. For NSCI patients a general anesthesia is used. The procedure consists of insertion of a probe into the rectum of the patient. A current is then applied and an erection, potentially followed by ejaculation, is produced. A general anesthetic which lasts approximately 15-20 minutes is administered in order to avoid discomfort during the brief procedure.
The preoperative evaluation consists of a history and physical exam, and blood tests.
The following are some important facts about Electroejaculation:
- A commitment of at least 4 trials (one day a month for 4 months) is usually necessary.
- The spouse or significant other should begin daily temperature charts prior to the procedure.
- The male patient must be checked for retrograde ejaculation (sperm that goes back into the bladder at the time of orgasm) and have been given a one-month trial of Ephedrine, Sudafed, and/or Impiprimine, if not hypertensive or allergic, prior to initial visit here. If either of these manipulations results in an ejaculate, electroejaculation may not be necessary.
- Fertility history of patients, including previous pregnancies, ejaculations, ability to achieve erections, is necessary. We also require copies of records detailing previous operations and chemotherapy when applicable.
- Electroejaculation is a new procedure. Unfortunately, the desired results are not always obtained. Not all ejaculates are sufficient for insemination (sperm quality is impaired). In addition, not all patients produce an ejaculate.
- We will submit the charges to your insurance carrier(s) for this procedure. Any fees not covered are the responsibility of the patient. All female evaluations including ultrasound, exams by gynecologists, etc., must be covered by the patient or private insurance.
- A Reproductive Endocrinologist (female fertility specialist) will evaluate all female partners. They will also assess temperature charts, perform ultrasounds and prescribe medications (as needed).
If you would like more information please contact:
Bruce R.Gilbert, M.D., Ph.D. at 516-487-2700 or info@BruceGilbertMD.com