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本文作者综述了数脊髓损伤(SCI)的男性不育的治疗。大多数脊髓损伤(SCI)的男性是不育的,勃起功能障碍、射精功能障碍、不射精以及精液异常是导致这一问题的原因。对于这些原因导致不育可以采用相应手段进行治疗,治疗勃起功能障碍包括应用5型磷酸二酯酶抑制剂、阴茎海绵体注射前列地尔、阴茎假体植入和负压吸引。对于不射精而有生育要求的患者而言,获取精液是必须的。对于这类患者而言,阴茎震动刺激可以作为一线首选治疗。震动刺激失败者可以考虑电刺激治疗取精。如果这些方法失败,强力前
The authors reviewed the treatment of male infertility with spinal cord injury (SCI). Most men with spinal cord injury (SCI) are infertile, and erectile dysfunction, ejaculatory dysfunction, non-ejaculation, and semen abnormalities are the causes of this problem. For these reasons lead to infertility can be treated by the appropriate means for the treatment of erectile dysfunction, including the use of type 5 phosphodiesterase inhibitors, penis injection of penis, penile prosthesis implantation and negative pressure. For those who do not have ejaculation and fertility requirements, access to semen is necessary. For these patients, penile vibration stimulation can be used as first-line treatment. Vibration stimulation failure can consider electrical stimulation to take sperm. If these methods fail before strong