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

Spinal cord-injured men with ejaculation disorders can have children thanks to assisted reproduction techniques. Spermatozoa from these patients are u sually obtained through vibratory stimulation, electroejaculation or by pun cturing the seminal duct or the testicle. We present the first published ca se, as far as we are aware, of spermatozoa obtained through prostatic massa ge of a paraplegic patient. Penile vibratory stimulation was unsuccessful i n this patient. In-vitro fertilization (IVF) with intracytoplasmic sperm in jection (ICSI) with spermatozoa obtained through electroejaculation was per formed 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 12.32x10(6) spermatozoa (6.24x10(6) with tails), 8% of which had motilit y (graded + and + +); and 16% of which had normal morphology, The spermatoz oa 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 r isk-free method to obtain spermatozoa from paraplegic patients.