AboutStephen W. Leslie, MD Expertise Questions concerning erectile dysfunction, kidney stones and prostate disorders including prostate cancer. I have a special interest in kidney stone disease prevention.
Experience Full time practicing urologist with 20 years experience. Assistant Clinical Professor of Urology at the Medical College of Ohio. Editor in Chief of eMedicine Urology internet textbook. Author of only book written for patients by a urologist on the subject of kidney stones "The Kidney Stones Handbook". Inventor of the "Parachute" and "Escape" kidney stone baskets and the "Calculus" stone prevention analysis computer program.
Organizations American Urological Association, Ohio State Medical Association, Sexual Medicine Society
Publications Men's Health, Journal of Urology, Urology, Healthwatch Magazine, Emergency Medicine Monthly, eMedicine, "The Kidney Stones Handbook", and numerous articles in various newspapers. He is also the editor of the Urology Board Review by McGraw-Hill used by urologists to study for their Board Certification Examinations.
Education/Credentials Graduate of New York Medical College with residencies completed at Metropolitan Hospital New York, Albany Medical Center and University of Wisconsin-Madison
Awards and Honors Thirlby Award of the American Urological Association.
Expert: Stephen W. Leslie, MD Date: 7/23/2008 Subject: Semen analysis in SCI (paraplegia)
Question 1st Semen analysis
Volume 3.5ml
Viscosity Normal
Liquefaction time 25 min
Total sperm count/ml 500.000
Sperm Count/Ejaculate 1.750.000
Motility 1st hour 0%
Motility 2nd hour 0%
Motility 3rd hour 0%
Type of motility: Rapid Progressive 0%
Type of motility: Slow Progressive 0%
Type of motility: Non-Progressive 0%
Immotile 100%
Abnormal forms 55% amorphous pinpoint head and enlarged midpiece
Spermatogenic cells 400.000
All other Tests Within the normal range
Semen Fructose Not done (but they recommended it)
2nd semen analysis
Volume 2.0 ml
Viscosity Viscid
Liquefaction time Prolonged
Total sperm count/ml 110.000
Sperm Count/Ejaculate 220.000
Motility 1st hour 5%
Motility 2nd hour 3%
Motility 3rd hour 1%
Type of motility: Rapid Progressive 0%
Type of motility: Slow Progressive 0%
Type of motility: Non-Progressive 5%
Immotile 95%
Abnormal forms 30% amorphous pinpoint head and enlarged midpiece
Spermatogenic cells 10.000
All other Tests Within the normal range
Semen Fructose Not done (but they recommended it)
Can these data provide a paraplegic a chance to father a child with assisted reproductive technologies (ART)?
Answer Nono:
Without assisted reproductive techniques, you chances of fathering a child with low counts and extremely low motility is almost zero. Consider carefully if you really want to go through the expense of such treatments. Talk to a medical expert in male infertility. These experts can usually be found in larger university medical centers.
