Cleveland Clinic is one of the first institutions in the United States to offer a clinical fellowship in Male Infertility. We have been training clinical and research fellows in this program for more than 20 years. More than 60 percent of our graduates have gone on to academic positions.


This one-year program (minimum) focuses on the development of clinical excellence in all aspects of clinical male fertility and men’s health as well as basic science techniques in andrology. The clinical fellow will spend the majority of his/her time in the clinic and in the operating room, evaluating and managing patients with infertility problems. There is an opportunity for a second-year or research fellowship for interested candidates.


At the start of the fellowship, the fellow completes a comprehensive microsurgery course given by the Department of Plastic Surgery. In addition, he/she has rotations on the reproductive endocrinology and sexual medicine services at Cleveland Clinic. The fellow has opportunities to conduct clinical and basic science research and it is expected that research should result in at least two major publications.


The fellow also attends the annual meetings of the American Urological Association and the American Society of Reproductive Medicine.


The fellow completing the program should have the expertise needed to investigate and treat all aspects of male infertility and men’s health; a current understanding of the state of the art; and should be able to critically appraise research and literature related to this urologic surgery subspecialty.


In addition to infertility management, the fellowship will include weekly experiences in a variety of men’s health evaluations and procedures to include medical and surgical management of erectile dysfunction, Peyronie’s disease, prostatitis syndromes, hypogonadism, and orchialgia. These will include training in microsurgical spermatic cord denervation, penile reconstruction for Peyronie’s disease, complex penile prosthesis implantation, penile Doppler ultrasound, pelvic floor trigger point injection and low intensity shockwave therapy (for both erectile dysfunction and pelvic pain).

Cleveland Clinic’s Andrology Center

Our new, state-of-the-art Andrology Center offers evaluation, preservation and other services for male fertility. The facility boasts the largest lab of its kind in the Midwest and one of the largest in the country, serving more than 2,400 patients each year.


The center’s full spectrum of fertility tests and services includes semen analysis, sperm processing for intrauterine insemination and immunologic testing. Advanced semen-testing options offered include measurement of reactive oxygen species, antioxidant levels and sperm DNA damage. We also offer cryopreservation of male gametes (prior to cancer treatment), testicular tissue and epididymal aspirates.

Regularly performed procedures

Microsurgical reconstructions

  • Vasovasostomy
  • Vasoepididymostomy
  • Crossover and inguinal reconstructions
  • Microsurgical spermatic cord denervation

Surgical sperm harvest techniques

  • Micro-TESE
  • Microsurgical sperm extraction
  • Percutaneous epididymal sperm extraction

Microsurgical subinguinal varicocelectomy

Transurethral resection of ejaculatory ducts

Fellowship faculty

How to Apply

Interested applicants should contact Nikki Williams. Application must include a curriculum vitae along with three letters of reference (preferably one from the residency program director). The application can be sent by email or mailed to:

Nikki Williams
Re: Male Infertility/Microsurgery/Andrology Fellowship
Cleveland Clinic
Glickman Urological & Kidney Institute
9500 Euclid Avenue, Q10-1
Cleveland, OH 44195 USA

For any further questions or details, please email the Urology Fellowship Coordinator at [email protected]