[Genital sexual and procreation disorders in patients with spinal cord injuries]

The first part of this report discusses techniques contributing to improved sexual relations in couples where either partner is paraplegic. The advantages and disadvantages of these techniques are described, in particular for intracavernous injections of vasoactive products. The second part considers procreative assistance for couples where the male is paraplegic, using mechanical, chemical and more recently surgical techniques. Surgery involves puncture of the ductus deferens. Significant experimental progress in medically assisted precreation is contributing to improved results. The importance of the psychological and emotional context must not be forgotten, as well as prevention of complications such as urological infections.