Cito G, Picone R, Fucci R, et al. - The retrospective monocenter case-control study was performed to analyze semen characteristics and reproductive outcomes after assisted ejaculation methods with fresh in vitro fertilization/intracytoplasmic sperm injection cycles in patients suffering from spinal cord injury (SCI), compared to controls, affected by idiopathic male infertility (non-SCI group). Researchers included SCI patients first who had undergone penile vibratory stimulation. Men “non-responders” to penile vibratory stimulation who had undergone electroejaculation. Third, they proposed testicular sperm aspiration. A total of 193 couples were included in the analysis: 53 couples in SCI group and 140 couples in non-SCI group. Evidence showed that in SCI, the assisted ejaculation procedures proved to be efficacious and safe to collect viable sperm for assisted reproductive technologies. The study noted similar pregnancy and live birth rates to non-SCI patients. Therefore, compared with men without SCI, SCI men have the same opportunity to father biological children.