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Sperm Collection by Electroejaculation (EEJ)

This information will help you prepare for your sperm collection by electroejaculation (EEJ) at Memorial Sloan Kettering Cancer Center (MSK). 

EEJ is a procedure to collect sperm for analysis, freezing, and storage. It is for men who are not able to collect sperm by masturbating to ejaculation. During the procedure, a mild electric current is used to cause an ejaculation while you are asleep.

Before Your Procedure

Ask about your medications

You may need to stop taking some of your medications before your procedure. Talk with your doctor about which medications are safe for you.

Tell us if you're sick

If you develop any illness (fever, cold, sore throat, or flu) before your procedure, please call the doctor who scheduled it for you. After 5:00 pm, during the weekend, and on holidays, call (212) 639-2000 and ask for the doctor on call for your doctor.

Note the time of your appointment

A clerk from the Admitting Office will call you after 2:00 pm the day before your procedure. He or she will tell you what time you should arrive at the hospital for your procedure. If you are scheduled for your procedure on a Monday, you will be called on the Friday before. If you do not receive a call by 7:00 pm, please call (212) 639-5014.

If you need to cancel your procedure for any reason, please call the doctor who scheduled it for you.

Do not eat or drink anything after midnight the night before your procedure. This includes water, gum, and hard candy.

The Day of Your Procedure

Things to remember

  • Do not eat or drink anything the morning of your procedure. This includes water, gum, and hard candy.
  • Take your medications the morning of your procedure as instructed by your doctor. Take them with a few sips of water.
  • Do not put on any lotions, creams, powders, deodorant, makeup, or perfumes.
  • Remove any jewelry, including body piercings.
  • Leave all valuables, such as credit cards and jewelry, at home.
  • If you wear contact lenses, if possible, wear your glasses instead. If you don’t have glasses please bring a case for your contacts.
  • _________________________________________
  • _________________________________________
  • _________________________________________

What to bring with you

  • A list of the medications you take at home, including patches and creams
  • Medications for breathing problems (such as inhalers) and/or medications for chest pain
  • A case for your glasses or contacts
  • Your Health Care Proxy form, if you have completed one
  • ________________________________________
  • ________________________________________
  • ________________________________________ 

Where to park

Parking at MSKCC is available in the garage on East 66th Street between York and First Avenues. To reach the garage, turn onto East 66th Street from York Avenue. The garage is located about a quarter of a block in from York Avenue, on the right-hand (north) side of the street. There is a tunnel that connects the garage to the hospital. There are also other garages nearby: four on East 69th Street between First and Second Avenues, one on East 67th Street between York and First Avenues, and three on East 65th Street between First and Second Avenues. If you have questions about prices, call (212) 639-2338. Please note that parking costs are not included in your room charge.

Where to go

Please arrive at the main building of MSKCC at 1275 York Avenue between East 67th and East 68th Streets. Take the M elevator to the 2nd floor. Enter through the glass doors and check in at the desk.

What to expect

Once you arrive at the hospital, doctors, nurses, and other staff members will ask you to state and spell your name and date of birth many times. This is for your safety. Patients with the same or similar names may be having procedures on the same day.

During Your Procedure

You will be given general anesthesia to put you to sleep during the procedure. A catheter tube will be placed in your bladder to drain out your urine. A solution will then be put into your bladder to lower the acid level. This protects any sperm that may pass into your bladder when you ejaculate.

Your doctor will place a probe into your rectum. A mild electrical current will be delivered through the probe. This is repeated every few seconds and slowly increased until you ejaculate.

All of your semen will be collected. This includes the semen from your penis and any that may have passed into your bladder. The semen will be analyzed under a microscope. If no sperm are found, another procedure called testicular sperm extraction (TESE) may be performed. This involves collecting the sperm directly from the testes. This will only be done if you consented for this beforehand.

Once the semen has been collected, the probe and catheter will be removed. The semen will be placed into vials and delivered to the Sperm Bank of New York, where it will be analyzed. The semen will be transferred to their affiliated sperm bank in New Jersey for freezing and storage. The address of the sperm bank where your semen will be stored is:

The Sperm and Embryo Bank of New Jersey
187 Mill Lane
Mountainside, NJ 07092
(908) 654-8836
 

After Your Procedure

In the recovery room

You will be taken the Post Anesthesia Care Unit (PACU) after your procedure. You will be there until you wake up, and then you will be discharged home. 

At home

  • You will have burning with urination for 3 days after your procedure.
  • There is a risk of developing a urinary tract infection (UTI) after this procedure. To prevent this:
    • You will be given a prescription for antibiotics. Take them for 3 days after your procedure. Take all the medication that is prescribed.
    • Drink extra liquids for 3 days after your procedure. Drink enough so that your urine is almost clear.

Call Your Doctor or Nurse if You Have:

  • Burning with urination that lasts longer than 3 days
  • Blood in your urine
  • A temperature of 101°F (38.3°C) or higher
  • Chills