Case Report: Spinal cord injury: Fertility or lack of fertility



The effects of spinal cord injury on sexual responses depend on the severity of the damage and the damage site. Spinal cord injury affects affected people during their fertility years and disrupts their reproductive ability.
Case presentation:
The present study reports a 30-year-old man who had been referred to the operating room for testing of testicular tissue (TESE, a test for detecting fertility in testicular tissue). The patient, despite spinal cord injuries at the T11 level, continued normal spermatogenesis and fertility for more than 10 years.
Sexual dysfunctions and the inability of people with spinal cord problems cause serious psychological harm to family members. It is possible that the condition of the suitability of the testate size by testing the testicular tissue and intrauterine fertilization can greatly improve these mental health problems.


1-Casha S, Christie S. A systematic review of intensive cardiopulmonary cardiopulmonary management after spinal cord injury. J Neurotrauma 2011;28: 1479–95. 2- Devivo MJ. Epidemiology of traumatic spinal cord injury: trends and future implications. Spinal Cord 2012; 50:365. 3-Rahimi-Movaghar V, Saadat S, Rasouli MR, Ganji S, Ghahramani M, Zarei MR et al. Prevalence of spinal cord injury in Tehran, Iran. J Spinal Cord Med 2009; 32: 428–431. 4-Chen SU Shieh jy Wang YH Lu T Ho HN Yang YS. Successful pregnancy achived by itracytoplasmic spem injection using cryopreserved electroejaculate sperm in couple both with spinal cord injury: acase report. Arch Phys Med Rehabil.2005 Sep 86(9):1884-6 5-Yamamoto M Yamada K Hirata N Hirayama A Kashiwai H Momose H Suemon T Shiomi T Hirao Y Okajima E. Electroejaculate and assisted reproductive techniques in the patient with spinal cord injury. Nippon Hinyokika Gakkai Zasshi.1997 Mar 88(3):420-6.(Article in Japanese) 6-Heidelbaugh JJ. Management of Erectile Dysfunction. AM Fam Physician 2010;81(3):305-12. 7- Bacon CG, Mittleman MA, Kawachi I, Giovannucci E, Glasser DB, Rimm EB. Sexual function in men older than 50 years of age: results from the health professionals follow-up study. Ann Intern Med 2003;139(3):161-8. 8- Courtois FJ, Goulet MC, Charvier KF, et al. Posttraumatic erectile potential of spinal cord injured men: how physiologic recordings supplement subjective reports. Arch Phys Med Rehabil 1999;80:1268-72. 9- Silber S.J., Nagy Z.P., Lui J., et al. Conventional in vitro fertilization versus intracytoplasmic sperm injection for patients requiring microsurgical sperm aspiration. Hum Reprod. 1994; 9: 1705-9.. 10-Verheyen G, Vernaeve V, Van Landuyt L, Tournaye H, Devroey P, Van Steirteghem A. Should diagnostic testicular sperm retrieval followed by cryopreservation for later ICSI be the procedure of choice for all patients with non-obstructive azoospermia? Hum Reprod 2004;19:2822–2830. 11- Ramasamy R , Ricci JA , Leung RA , Schlegel PN . Successful repeat micro dissection testicular sperm extraction in men with non obstructive azoospermia . J Urol 2011 ; 1 85 : 1027 –31 12- Ramasamy R , Lin K , Gosden LV , Rosenwaks Z , Palermo GD , SchlegelPN . High serum FSH levels in men with nonobstructive azoospermia does not affect success of microdissection testicular sperm extraction . Fertil Steril 2009 ; 92 : 590 – 3