Andrology Services at HEFT

Andrology Handbook

The Andrology Laboratory at University Hospitals Birmingham (UHB) is a UKAS Accredited Service (ISO15189:2012), currently operating from a single site located on the 1st Floor of the Sheldon Unit at Good Hope Hospital.

The laboratory's priority is to provide a comprehensive semen analysis service for Consultants, Urologists and General Practitioners from the Birmingham and Solihull area. This includes semen analysis for fertility investigations (Diagnostic Semen Analysis) and post-operative analysis of semen following a vasectomy operation (Post Vasectomy Semen Analysis) and retrograde analysis of urine.

The laboratory operates on a clinic based service and will have 2300 - 2500 available appointments per annum to cover the annual workload of routine diagnostic semen analysis and post-vasectomy samples. Routinely patients will be given an appointment to attend the Andrology Department for on-site sample production in a designated private clinic room, however in exceptional circumstances samples may be produced off site if then able to be delivered to the laboratory within an appropriate time interval.

 

The UHB Andrology Laboratory has fully trained scientists who are highly proficient in performing quality diagnostic semen analysis in line with World Health Organisation (2010), The Association of Biomedical Andrologist (ABA) guidelines and the 2016 Laboratory Guidelines for post vasectomy semen analysis. The laboratory regularly performs internal quality control, participates in the UK National External Quality Assurance scheme for Andrology (UKNEQAS) and liaises with other accredited laboratories for comparison of tests not covered within the UKNEQAS scope..

The laboratory referrals can be made via:

  • Paper copy referral forms sent to Lyndon Place via post/e-mail.
  • Electronic Referral Service (ERS)

 A copy of the referral form can be obtained by;

Contacting the laboratory directly on 0121 424 9717

Or by downloading from here Andrology Referral Form

Or by GP’s accessing the word version at: http://www.heartofengland.nhs.uk/gps/

 

Off-site production can be arranged through telephoning the laboratory on 0121 424 9717 or by e-mailing This email address is being protected from spambots. You need JavaScript enabled to view it. (if you e-mail you are accepting that the connection is not secure and potentially not confidential – laboratory staff will minimise data transmission but cannot guarantee security).  Please note that retrograde urine production cannot be performed off-site.  This must be on-site at Good Hope Hospital.

Turnaround Time: 7-10 days (electronic reporting may be more rapid). Paper copies currently sent. This is due to validation of reports by a second scientist.

Anti-sperm antibodies (ASAB) not tested at this laboratory. Agglutination is described if noted.

Please see user handbook for additional information including contact details.

Accreditation information can be found at:

https://search.ukas.com/#/tabbed/search?q=andrology

Key details of the service:

Operates Monday to Friday 08:00am to 16:00pm

  • Operates Monday to Friday 08:00am to 16:00pm
  • Undertakes diagnostic semen analysis and post vasectomy analysis
  • Appointment based with on-site room for sample production
  • 7-10 day turnaround time (electronic and paper copy reporting)
  • Target set at 90% <7 week wait for diagnostic semen analysis results to be received by referrers

Andrology Changes to Service or Notifications

Changes to Post-vasectomy semen analysis from 1st September 2019

Queen Elizabeth Hospital will no longer analyse semen samples for vasectomy success confirmation from the 1st September 2019.  A referral form must be completed and sent to the appointment centre for the patient to be given an appointment to attend at Good Hope Hospital.  All samples received into Pathology at Queen Elizabeth following this date will be rejected.  Please contact the laboratory if you require any further information. 

Changes to the Reporting of Oligozoospermia

Andrology will change the way in which oligozoospermia is reported from 1st April 2019.  Oligozoospermia was previously only reported when the total number of spermatozoa per ejaculate was <39 million.  The new reporting procedures will include oligozoospermia for any results where there is <15 million per ml (the concentration) and/or total numbers of spermatozoa in the ejaculate <39 million.  This will help referrers understand what may be used for subsequent management whilst also giving them important information regarding the functioning of the male reproductive tract.

The use of alpha-chymotrypsin, a broad-spectrum proteolytic enzyme for diagnostic semen analysis samples has been ceased for motility assessments unless under rare circumstances.

Retrograde analysis is available at Good Hope Hospital but will not form part of the accreditation schedule at present.

If you require any further information, please contact Mr Stuart Long on 0121 424 9717 or Email This email address is being protected from spambots. You need JavaScript enabled to view it.

andrology

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HTA licence number is 12366

Protection of Personal Information – Laboratory Medicine comply with the Trust Data Protection Policy and have procedures in place to allow the Directorate and it’s employees to comply with the Data Protection Act 1998 and associated best practice and guidance.

The Trust Laboratories at Heartlands Hospital, Good Hope Hospital and Solihull Hospital were awarded UKAS (United Kingdom Accreditation Service) accreditation to the internationally recognised ISO 15189 standard in May 2015. For a list of accredited tests and other information please visit the test database http://www.heftpathology.com/frontpage/test-database.html.
Tests not appearing on this scope are either under consideration or in the process of accreditation and so currently remain outside of our scope of accreditation. However, these tests have been validated to the same high standard as accredited tests and are performed by the same trained and competent staff.

For further information contact Louise Fallon, Quality Manager, 0121 424 1235

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