Penile Vibratory Stimulation (PVS) is considered first line treatment of anejaculation in men. Common causes may be spinal cord injuries, diabetes mellitus, or medication-induced ejaculatory dysfunction. PVS involves placing a vibrating stimulator on the dorsum or frenulum of the glans penis. The mechanical vibration stimulates the ejaculatory reflex to induce ejaculation. This method is more effective in men with an intact ejaculatory reflex and injury at T10 or above compared with men who a level at T11 or below.