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Human Reproduction, Vol. 14, No. 6, 1546-1548, June 1999
© 1999 European Society of Human Reproduction and Embryology

Triplet pregnancy achieved through intracytoplasmic sperm injection with spermatozoa obtained by prostatic massage of a paraplegic patient: Case report

Simón Marina1,3, Fernando Marina1, Ruth Alcolea1, Javier Nadal1, M. Carme Pons1, Mark Grossmann1, Rosabel Expósito1 and Joan Vidal2

1 Instituto de Reproducción CEFER (Centro Médico Teknon), Marquesa de Vilallonga, 08017 Barcelona and 2 Instituto Guttmann, Barcelona, Spain

Spinal cord-injured men with ejaculation disorders can have children thanks to assisted reproduction techniques. Spermatozoa from these patients are usually obtained through vibratory stimulation, electroejaculation or by puncturing the seminal duct or the testicle. We present the first published case, as far as we are aware, of spermatozoa obtained through prostatic massage of a paraplegic patient. Penile vibratory stimulation was unsuccessful in this patient. In-vitro fertilization (IVF) with intracytoplasmic sperm injection (ICSI) with spermatozoa obtained through electroejaculation was performed at another centre but pregnancy was not achieved. Through prostatic massage, we obtained a total semen volume of 6 ml containing a total count of 12.32x106 spermatozoa (6.24x106 with tails), 8% of which had motility (graded + and ++); and 16% of which had normal morphology. The spermatozoa obtained were then used to perform IVF with ICSI and a triplet pregnancy was achieved. Prostatic massage appears to be an easy, non-traumatic and risk-free method to obtain spermatozoa from paraplegic patients.

Key words: ICSI/paraplegic/pregnancy/prostatic massage/spinal cord-injured

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K. Kyono, N. Fukunaga, K. Haigo, S. Chiba, and Y. Araki
Pregnancy achieved following ICSI from a man with Klinefelter's syndrome and spinal cord injury: Case report
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