Test Code LAB3160 Semen Analysis, Post Operative Vasectomy Specimen
Additional Codes
Test Name in EPIC | EPIC Test Code | Mnemonic |
---|---|---|
SEMEN, POV | LAB3160 | SEMEN, POV |
Methodology
Microscopic Examination of Seminal Fluid
This assay is used to verify that sperm have been successfully excluded from the ejaculate after vasectomy.
Specimen Requirements
Semen specimen collection kit
Semen Specimen Collection Kit Pick Up Process
Semen Specimen Sample Drop Off Process
Semen specimen in Ham’s F-10 preservative must arrive at the testing laboratory on the day of collection. Semen specimen must arrive at testing lab within 24 hours, or specimen will be rejected.
Specimen Type: Semen
Container/Tube: Post Operative Vasectomy (POV) Collection Kit
Specimen Volume:
*Preferred: 40 mL of Ham’s Media with semen added into Sterile Container.
Alternate: > 0.5 mL of Fresh Semen in Sterile Container.
Collection Instructions:
1. Provide patient with a Post Vasectomy (POV) Collection Kit and Semen Collection after Vasectomy Brochure. Explain the collection process with the patient. Confirm with patient which facility they will be dropping off the specimen. If dropping off at the same facility, provide the acceptable drop off date and times. If dropping off at another facility, provide the patient with the contact information of the drop-off lab to confirm an appropriate drop-off time.
2. Patient should have 2 to 3 days of sexual abstinence at the time of semen collection for accurate results.
3. For collection at home, patient will bring 40 mL of Ham’s F-10 with 0.3% BSA preservative to ambient temperature. Add Ham’s F-10 to the entire semen specimen. Once added, sperm will remain viable for 24 hours at ambient temperature.
4. For fresh sample in sterile container: Receiving Lab: Add Ham’s media (brought room temperature) to the specimen within 2 hours of collection time.
Additional Information:
1. If Ham’s F-10 is not brought to ambient temperature, semen motility will be compromised by cold shock.
2. Patient must keep specimen at room temperature and protected from cold until it is returned to the laboratory.
3. If the specimen is collected and dropped off at a Regional or Neighborhood site, send specimen via courier to performing Laboratory so it arrives and can be tested within 24 hour of collection.
Specimen Transport Temperature
Semen in Ham/s Media: Ambient 24 hours, Fresh Semen (no media) Ambient 1 hour
Refrigerate NO/Frozen NO
*(Call performing lab before rejecting any semen specimens)*
Day(s) Test Set Up
Monday through Friday
Performing Laboratory
SMDC Clinical Lab
Fargo Hospital Lab
Test Classification and CPT Coding
89321
Reference Range
According to the American Urological Association (AUA)
Azoöspermia and <0.1x10^6 non-motile sperm per mL (or <100,000 non-motile sperm per mL) are reliable indicators of vasectomy success.