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Andrology Services at University Hospitals Birmingham

The andrology service is running as usual during this COVID pandemic.  Continue referring via ERS.  The waiting period is less than 6 weeks (updated 13.01.2022).

The User Handbook can be accessed here:  Andrology User 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), 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 has a maximum capacity of 2500 appointments available per annum.  This covers the annual workload of routine diagnostic semen analysis, post-vasectomy samples and retrograde ejaculation analysis. 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) 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.

A laboratory referral can be made via:

  • Paper copy referral forms sent to Appointment Centre via post/e-mail.
  • Electronic Referral Service (e-RS)

 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 by the patient by 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 undertaken 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:


Post-vasectomy Semen Analysis (PVSA)

The laboratory undertakes examination procedures in line with the following guidelines:  2016 PVSA Guidelines.  This will give clinicians information regarding clearance criteria. 

Results are avialble to Hospital clinicians via the two portals:

  • Concerto/ICE - HGS

GP's can access patient results through their own electronic result systems, although paper copy reports are sent out following result authorisation.

Key details of the service:

  • Operates Monday to Friday 08:00am to 16:00pm
  • Undertakes diagnostic semen analysis, post vasectomy analysis and retrograde examination (urine)
  • Appointment based with on-site room for sample production
  • 7-10 day turnaround time (electronic and paper copy reporting)
  • Patients are booked within 7 weeks from referral, unless clinically indicated or by patient choice

Andrology Changes to Service or Notifications

World Health Organisation (WHO) Examination and Processing of Human Semen 2021 Guidelines

The WHO released the sixth edition of semen analysis guidelines in July 2021.  The Laboratory are currently working towards implementing these changes.  This includes a new set of lower reference limits and enhancements to user advice and guidance.  The guidelines will need to be implemented by July 2022.  There will be CCG notification when this goes live, but until then please accept our current methods and reporting procedures.  If you require any further information or are interested in participating in the decision making process, please contact Stuart Long (This email address is being protected from spambots. You need JavaScript enabled to view it.).  

Updated 13.01.2022.

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 Examination Procedure

Retrograde analysis is available at Good Hope Hospital.  This will assess numbers of sperm and motility (if present).  Morphology is not assessed as part of this examination.  The test was assessed by UKAS for accreditation to ISO15189:2012 on 21/01/2020 and is now included as an accredited test. 

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.

The laboratories at Heartlands Hospital, Good Hope Hospital and Solihull Hospital form part of the services provided by University Hospitals Birmingham and are UKAS (United Kingdom Accreditation Service) accredited to the ISO 15189:2012 standard. For a list of accredited tests and other information please visit the UKAS website using the following link: https://www.ukas.com/find-an-organisation/

  • Heartlands, Good Hope and Solihull Hospital pathology laboratories are a UKAS accredited medical laboratory No.8217
  • United Kingdom Health Security Agency laboratory is a UKAS accredited medical laboratory No.8213

Tests not appearing on the UKAS Schedule of Accreditation 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 test information, please visit the test database: http://www.heftpathology.com/frontpage/test-database.html.

Protection of personal information - Laboratory Medicine comply with the Trust Data Protection policy and have procedures in place to allow the Directorate and its employees to comply with the Data Protection act  1998 and associated best practice and guidance.

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