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[Ejaculation problems in traumatic paraplegia ].

P A Chapelle, P Colbeau-Justin, J Durand

    La Semaine Des Hopitaux : Organe Fonde Par L'Association D'Enseignement Medical Des Hopitaux De Paris
    |July 8, 1982
    PubMed
    Summary
    This summary is machine-generated.

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    The ejaculation reflex in spinal cord injury patients is a lumbar reflex. Psychological impulses for seminal emission may travel via the thoracolumbar orthosympathetic system.

    Area of Science:

    • Neurophysiology
    • Urology
    • Spinal Cord Injury Research

    Background:

    • Understanding the neurophysiological mechanisms of ejaculation in individuals with spinal cord injuries is crucial for reproductive health.
    • Previous research has explored various pathways, but a comprehensive model for spinal man remains debated.

    Purpose of the Study:

    • To describe the spinal neurophysiology of ejaculation in spinal cord injury patients.
    • To propose hypotheses regarding the neural control and pathways involved in seminal emission.

    Main Methods:

    • Analysis of 149 clinical cases of spinal cord injury patients.
    • Descriptive neurophysiological assessment.

    Main Results:

    • Identified ejaculation as a lumbar reflex in spinal cord injury patients.

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  • Hypothesized a dependence on conductive factors from upper neurological structures.
  • Suggested the orthosympathetic system as a potential pathway for psychological impulses.

    • Conclusions:

    • The seminal emission reflex is primarily a lumbar reflex.
    • Upper neurological structures and the orthosympathetic system play a role in mediating ejaculation in spinal cord injury patients.