The purpose of this collective review is to discuss the technique and effectiveness of rectal probe electroejaculation in conjunction with various assistive reproductive modalities. The electroejaculation probe is positioned inside the anal ring with the electrodes placed against the prostate gland and seminal vesicles, after which electrostimulation is begun. Rectal probe electroejaculation must be always employed in a hospital setting to detect and prevent autonomic dysreflexia. This technology is considered the best approach in patients with spinal cord injury levels below T10 or in other patients in which penile vibratory stimulation fails.