Department of Urology

Programs

The Mount Sinai Program for Male Reproductive Rehabilitation

Infertility is a common problem for neurologically impaired men whose ejaculatory dysfucntion and poor sperm quality are significant obstacles to their desire to father children. Fortunately, significant advances in the field of male reproductive rehabilitation. These advances include electroejaculation, a procedure resulting in stimulated sperm recovery, and assisted reproductive techniques, whereby pregnancies can be achieved using suboptimal semen. These developments have dramatically improved the fertility outcome for men suffering with neurogenic infertility and have provided many couples with an opportunity to establish their own families.

Program Participants
The program is open to men with:

• spinal cord injury
• multiple sclerosis
• diabetes
• spina bifida
• testicular cancer/retroperitoneal lymph node dissections(R.P.L.N.D.)
• other neurological impairments

About the Program
The Mount Sinai Program for Male Reproductive Rehabilitation is dedicated to enhancing the fertility of neurologically impaired men. We offer:

• Fertility counseling
• Reproductive medicine and surgery
• Electroejaculation
• Assisted reproductive technologies (ART)

Participation in the program is conducted at The Mount Sinai Medical Center on an outpatient basis.

Initially, an educational overview of the procedure and a comprehensive assessment that includes a medical and physical exam, psychosocial evaluation and laboratory tests are performed. On subsequent visits, we can also perform vibratory stimulation and/or electroejaculation to assess fertility potential.

The female partner is evaluated by the Mount Sinai Assisted Reproductive Technologies (ART) Program. Couples are counseled and prepared for artificial insemination, in vitro fertilization or micromanipulation, depending on the quality of sperm obtained and results of the tests performed.

Program Staff
The Mount Sinai Program for Male Reproductive Rehabilitation is a unique effort coordinated by specialists in spinal cord injury, male infertility and reproductive medicine.

The Mount Sinai Medical Center
The Mount Sinai Medical Center is a world leader in the medical and surgical treatment of infertility. The Mount Sinai Program for Male Reproductive Rehabilitation offers the most current methods available for the treatment of infertility: male reproductive tract microsurgery, assisted reproductive technologies, and micromanipulation, including intracytoplasmic sperm injection (I.C.S.I) where fertilization is achieved by the injection of an isolated sperm into the female egg.

The National Institute on Disability and Rehabilitation Research (N.I.D.R.R.) has designated The Mount Sinai Medical Center as a Model Spinal Cord Injury System of Care. This federal program, the only one in New York state, is committed to offering the finest programs which meet the wide range of needs of individual with spinal cord injuries. The Male Reproductive Rehabilitation Program at Mount Sinai also benefits from the support of the Eastern Paralyzed Veterans Association (E.P.V.A.), an organization dedicated to enhancing the medical care offered to spinal cored injured veterans.

Financial Arrangements
All Program services are provided on a fee-for-service basis. The Mount Sinai Medical Center will file insurance claims as a service to program participants.

For further information or to schedule an appointment, contact:

Natan Bar-Chama, M.D.
The Mount Sinai Sexual Health Program
5 East 98th Street, Box 1272
New York, NY 10029
Tel: (212) 241-4812