Management of Erectile Dysfunction and Infertility in the Male Spinal Cord Injury Patient

  • Michael Fenstermaker
  • James M. Dupree
  • Miriam Hadj-Moussa
  • Dana A. Ohl
Andrology and Infertility (L Lipshultz, Section Editor)
Part of the following topical collections:
  1. Topical Collection on Andrology and Infertility


Purpose of Review

Men with spinal cord injury (SCI) commonly suffer from erectile dysfunction and ejaculatory dysfunction. The literature regarding the causes and treatment of these two important problems was reviewed.

Recent Findings

Many of the erectile dysfunction treatments applied to able bodied individuals are also useful in the SCI population, although there are differences in the goals and results of treatment. Ejaculatory dysfunction can be treated with either penile vibratory stimulation or electroejaculation with high success rates. Pregnancies are possible, but poor quality sperm quality in male SCI patients leads to pregnancy rates lower than is observed in the able-bodied population.


Although effective treatments are available for erectile and ejaculatory dysfunction in men with SCIs, many challenges remain in optimizing the treatment of these individuals.


Spinal cord injury Erectile dysfunction Andrology and infertility 


Compliance with Ethical Standards

Conflict of Interest

Michael Fenstermaker, Miriam Hadj-Moussa, and Dana A. Ohl each declare no potential conflicts of interest. James M. Dupree reports grant funding from Blue Cross Blue Shield of Michigan and personal, common stock in Lipocine.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.


Papers of particular interest, published recently, have been highlighted as: • Of importance

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  • Michael Fenstermaker
    • 1
  • James M. Dupree
    • 1
  • Miriam Hadj-Moussa
    • 1
  • Dana A. Ohl
    • 1
  1. 1.Department of UrologyUniversity of MichiganAnn ArborUSA

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