Home New Patients Patient Information Principal Staff Conditions Treated Testimonials News FAQs Contact Us Links

Male Infertility and Andrology

The Urologists at Birmingham and Solihull Bladder Clinic deals with various aspects of Male Sexual Health including erection problems and impotence (erectile dysfunction), Male infertility, premature ejaculation as well as testicular pain and lumps. The Clinic offers microsurgery for varicoceles, vasectomy and reversal of vasectomy as well as adult circumcision.

Mr Almallah is the lead male infertility specialist at University Hospital Birmingham NHS Foundation Trust (Queen Elizabeth Hospital) with specialist experience in azoospermia; vasography and microsurgical sperm retrieval. He performs reversal of vasectomy using microsurgical techniques (high magnifying surgical microscope).

Mr Almallah accepts referrals from the majority of the West Midlands’ leading Fertility Clinics- including the Birmingham Fertility and Gynaecology Centre, BMI the Priory Fertility Centre, Birmingham Women’s NHS Hospital Assisted Conception Unit and Midlands Fertility Services (MFS), Aldridge.

Azoospermia (i.e. - no sperm) is the medical condition which affects about one in a hundred men where there are no measurable levels of sperm in the semen. This condition is associated with very low levels of fertility.
The conditions result in no sperm being in the ejaculate:
• No sperm is being produced by the testis.
• Occlusion, whilst sperm is produced, there is a blockage stopping the sperm going to out.
• Retrograde ejaculation- where sperm passes into the bladder at ejaculation rather than out.

Other causes include hormonal imbalances, chromosome abnormalities and a special type of carrier status for Cystic Fibrosis.

Most men due to undergo semen analysis fear the diagnosis of azoospermia. However, such diagnosis does not mean that the man produces no sperm, or can never be made to produce any sperm therefore will never have his own biological child. Even then if there are no sperm in the ejaculate, sperm can often be harvested and used to achieve fertilization.
Depending on the cause, treatment is either by treating the cause such as removing an obstruction or hormone treatment, or by retrieving sperm for use in IVF techniques. Obtaining sperm from the testis is done by procedure under local or general anaesthetic. The sperm is then used during fertility treatment, called ICSI (intracytoplasmic sperm injection). During the ICSI procedure a single sperm is injected into the egg to fertilise it and create an embryo.

There are various tests available to diagnose azoospermia. For more information, please contact the Birmingham and Solihull Bladder Clinic secretary on 0870 850 3865, or complete the email enquiry form.

Vasectomy Reversal

Mr Almallah also specialises in vasectomy reversal which in the majority of cases is the most effective first option for a couple wishing to conceive after the man has undergone a vasectomy. It is the least invasive and most cost effective method of conception. If the procedure is successful, the man’s sperm may be of adequate quantity to allow for natural conception.

For more information about various fertility treatments please visit:

Birmingham Fertility and Gynaecology Centre

Midland Fertility Service
facebook profile