The aim of this study was to develop a technique which would prevent r
etrograde ejaculation in chronic spinal cord injured (SCI) patients un
dergoing vibration and electroejaculation procedures. A balloon cathet
er was used to tamponade the bladder neck in 12 patients who underwent
100 assisted ejaculation procedures. Antegrade ejaculations were coll
ected on all occasions with no incidences of urine contamination and n
o sperm were seen in post ejaculatory urine. Silicone catheters had mi
nimal effects on sperm motility and viability. All lubricant gels were
found to adversely affect sperm quality and were not used.