Indian Journal of Urology Users online:313  
IJU
Home Current Issue Ahead of print Editorial Board Archives Symposia Guidelines Subscriptions Login 
Print this page  Email this page Small font sizeDefault font sizeIncrease font size


 
  Table of Contents 
EDITORIAL
Year : 2017  |  Volume : 33  |  Issue : 3  |  Page : 181-182
 

What's inside


Editor, Indian Journal of Urology, All India Institute of Medical Sciences, New Delhi, India

Date of Web Publication30-Jun-2017

Correspondence Address:
Rajeev Kumar
Editor, Indian Journal of Urology, All India Institute of Medical Sciences, New Delhi
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/iju.IJU_192_17

Rights and Permissions

 

How to cite this article:
Kumar R. What's inside. Indian J Urol 2017;33:181-2

How to cite this URL:
Kumar R. What's inside. Indian J Urol [serial online] 2017 [cited 2017 Nov 24];33:181-2. Available from: http://www.indianjurol.com/text.asp?2017/33/3/181/209252





   Male Infertility and Its Therapy Top


Treating idiopathic abnormalities in the semen of men with infertility is a difficult problem. A number of empirical therapies are used with varying outcomes. Two reviews in this issue discuss these therapies and the evidence for their use. Majzoub and Agarwal [1] reviewed antioxidants for idiopathic infertility and suggested that while data on pregnancy and live-birth rates are limited, oral antioxidants may have a beneficial role, at least for an initial trial. Tadros and Sabanegh [2] reviewed gonadotropins, androgens, aromatase inhibitors, and selective estrogen receptor modulators and concluded that while data are insufficient for conclusive statements, testosterone should never be used while the other agents should be used selectively. A third article looks at the utility of routine semen cultures in male infertility evaluation.[3] The authors suggested that screening with semen cultures should not be done and testing should be done only if there are clinical features and signs of infection.


   Complications of Laparoscopic Nephrectomy Top


This prospective study reports the complications of laparoscopic nephrectomy in a mixed population of patients. Agrawal et al. reported a high (46%) incidence but suggested that this is not a cause for alarm as the majority of these are minor and the high rate is a result of the low threshold for reporting an event as a complication.[4]


   Outcomes of Pediatric Renal Transplants Top


Another article on surgical outcomes looks at live-related renal transplants in children below 18 years of age.[5] In 32 subjects reviewed, the authors found a 97% 1-year graft survival. It is interesting that over 85% donors were female.


   Three-dimensional Laparoscopy Top


Three-dimensional (3-D) laparoscopy is a relatively new technology that aims to bridge the gap between conventional laparoscopy and robot-assisted surgery by providing the benefit of depth perception. This randomized study included 108 patients in each of the two arms: two-dimensional and 3-D laparoscopy.[6] The authors evaluated a number of surgical parameters and outcomes and concluded that depth perception allows improvement in operative time and lowers the surgeon's stress.


   Robot-assisted Partial Nephrectomy Top


The introduction of renal nephrometry scores for tumors has allowed classification of operative difficulty and predicting outcomes for partial nephrectomies. This report of 18 patients in a cohort of 79 had “high” nephrometry scores.[7] However, the outcomes of surgery were no different from relatively easier tumors, further supporting the limited role of scoring system in decision-making processes.


   Androgen Deficiency and Its Treatment Top


Age-related hypogonadism is being increasingly diagnosed and treated with testosterone supplementation. However, improvement in testosterone alone may not alleviate symptoms of hypogonadism. In this prospective study, Dadhich et al. compared testosterone and clomiphene in improving testosterone levels and symptoms in hypogonadal men and concluded that while both improved levels and alleviated symptoms, testosterone had better outcomes than clomiphene.[8]


   Contrast-induced Nephropathy Top


The use of iodinated contrast material is ubiquitous in urological practice. However, it is always associated with a fear of adverse effects including renal impairment. This prospective study compared the incidence of contrast nephropathy in 339 patients, 168 urologic studies and 171 cardiology procedures.[9] The incidence of nephropathy in urology studies was 8.3%. Although this is lower than the 30% in cardiology, this is related to the age, comorbidities of the patients, and the amount of contrast used. However, 8% itself should be a cause for caution in ordering investigations.


   Working Without Tools Top


“Necessity is the mother of invention” is an adage that is frequently proven in the resource-limited environment encountered in the Indian health-care systems. Oswal et al. described their technique of using a guidewire loop to remove stents cystoscopically when stent-removal forceps are not available.[10]

Financial support and sponsorship: Nil.

Conflicts of interest: There are no conflicts of interest.



 
   References Top

1.
Majzoub A, Agarwal A. Antioxidant therapy in idiopathic oligoasthenoteratozoospermia. Indian J Urol 2017;33:207-14.  Back to cited text no. 1
  [Full text]  
2.
Tadros NN, Sabanegh ES. Empiric medical therapy with hormonal agents for idiopathic male infertility. Indian J Urol 2017;33:194-8.  Back to cited text no. 2
  [Full text]  
3.
Solomon M, Henkel R. Semen culture and the assessment of genitourinary tract infections. Indian J Urol 2017;33:188-93.  Back to cited text no. 3
  [Full text]  
4.
Agrawal T, Kumar R, Singh P, Saini A, Seth A, Dogra P. Have we overcome the complications of laparoscopic nephrectomy? A prospective, cohort study using the modified Clavien–Dindo scale. Indian J Urol 2017;33:216-20.  Back to cited text no. 4
  [Full text]  
5.
Bijalwan P, Sanjeevan KV, Mathew A, Nair TB. Outcome and complications of living donor pediatric renal transplantation: Experience from a tertiary care center. Indian J Urol 2017:33;221-5.  Back to cited text no. 5
    
6.
Patankar SB, Padasalagi GR. Three-dimensional versus two-dimensional laparoscopy in urology: A randomized study. Indian J Urol 2017;33:226-9.  Back to cited text no. 6
  [Full text]  
7.
Bora GS, Mavuduru RS, Sharma AP, Devana SK, Kakkar N, Lal A, et al. Initial experience of robotic nephron sparing surgery in cases of high renal nephrometry scores. Indian J Urol 2017;33:230-5.  Back to cited text no. 7
  [Full text]  
8.
Dadhich P, Ramasamy R, Scovell J, Wilken N, Lipshultz L. Testosterone versus clomiphene citrate in managing symptoms of hypogonadism in men. Indian J Urol 2017;33:236-40.  Back to cited text no. 8
  [Full text]  
9.
Babu M, Bansal D, Mehta SB, Pillai B, Krishnamoorthy H, Attacharil T. Contrast-induced nephropathy in urological imaging: A comparison with cardiology interventions. Indian J Urol 2017;33:241-5.  Back to cited text no. 9
  [Full text]  
10.
Oswal AT, Maheshwari PN, Amlani D. Cystoscopic stent removal using a guidewire loop. Indian J Urol 2017;33:253-4.  Back to cited text no. 10
  [Full text]  




 

Top
Print this article  Email this article
 

    

 
   Search
 
  
    Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
    Article in PDF (285 KB)
    Citation Manager
    Access Statistics
    Reader Comments
    Email Alert *
    Add to My List *
* Registration required (free)  


    Male Infertility...
    Complications of...
    Outcomes of Pedi...
    Three-dimensiona...
    Robot-assisted P...
    Androgen Deficie...
    Contrast-induced...
    Working Without ...
    References

 Article Access Statistics
    Viewed629    
    Printed12    
    Emailed0    
    PDF Downloaded38    
    Comments [Add]    

Recommend this journal

HEALTHWARE INDIA