Laboratory assessment of oxidative stress in semen
Conclusion Traditional OS laboratory assessments have their limitations. Amongst the prevalent laboratory techniques, ORP is novel and better option as it can be easily used in a clinical setting to provide a comprehensive review of OS. However, more studies are needed to evaluate its reproducibility across various laboratory centres. (Source: Arab Journal of Urology)
Source: Arab Journal of Urology - December 23, 2017 Category: Urology & Nephrology Source Type: research

Influence of postnatal hydroureter in determining the need for voiding cystourethrogram in children with high-grade hydronephrosis
Conclusion Low-grade uncomplicated VUR was diagnosed in 3.5% of renal units without HU. Our results support limiting the use of VCUG to renal units with PH if associated with HU. (Source: Arab Journal of Urology)
Source: Arab Journal of Urology - December 14, 2017 Category: Urology & Nephrology Source Type: research

Review of the role of robotic surgery in male infertility
Conclusions Robotic assistance for microsurgical procedures in male infertility appears to be safe and feasible. It has several advantages including elimination of tremor, multi-view magnification, additional instrument arms, and enhanced dexterity with articulating instrument arms. It also has a short learning curve with a small skin incision. However, larger, prospective studies are needed to establish the clinical benefits over standard microsurgery. (Source: Arab Journal of Urology)
Source: Arab Journal of Urology - December 14, 2017 Category: Urology & Nephrology Source Type: research

Complications in robotic urological surgeries and how to avoid them: A systematic review
Conclusions Adequate patient selection, surgical positioning, mentorship training, and avoiding long-lasting procedures are essential to prevent RAL-related complications. The robotic surgical team must be careful and work together to avoid possible complications. This review offers several steps in surgical planning to reach this goal. (Source: Arab Journal of Urology)
Source: Arab Journal of Urology - December 14, 2017 Category: Urology & Nephrology Source Type: research

Varicocele management for infertility and pain: A systematic review
Publication date: Available online 14 December 2017 Source:Arab Journal of Urology Author(s): Scott D. Lundy, Edmund S. Sabanegh Despite being first described two thousand years ago, the varicocele remains a controversial multifaceted disease process with numerous biological consequences including infertility, hypogonadism, and chronic orchidalgia. The underlying mechanisms remain poorly understood and likely include hypoxia, oxidative stress, hyperthermia, anatomical aberrations, and genetics as primary components. Despite a high prevalence amongst asymptomatic fertile men, varicoceles paradoxically also represent the...
Source: Arab Journal of Urology - December 14, 2017 Category: Urology & Nephrology Source Type: research

Role of reactive oxygen species in male infertility: An updated review of literature
Conclusion Although elevated levels of ROS are implicated as a cause of infertility, there is no consensus on selecting patients to test for ROS, which test to perform, or if treatment for ROS can have a positive impact on infertility rates and pregnancy. (Source: Arab Journal of Urology)
Source: Arab Journal of Urology - December 9, 2017 Category: Urology & Nephrology Source Type: research

Role of sperm DNA fragmentation in male factor infertility: A systematic review
Conclusion The significant role of SDF in male factor infertility is supported by current evidence. The beneficial role of SDF testing in selection of varicocelectomy candidates, evaluation of patients with unexplained infertility and recurrent pregnancy loss, selection of the most appropriate assisted reproductive technique with highest success rate for infertile couples, and assessment of infertile men with modifiable lifestyle factors or gonadotoxin exposure has been recently proposed. (Source: Arab Journal of Urology)
Source: Arab Journal of Urology - December 6, 2017 Category: Urology & Nephrology Source Type: research

Radical cystectomy in the elderly – Is this a safe treatment option?
Conclusion RC in patients aged ≥75years has similar perioperative morbidity when compared with younger patients and can be offered in selected elderly patients. Thus, age should not be an absolute contraindication for RC. (Source: Arab Journal of Urology)
Source: Arab Journal of Urology - November 30, 2017 Category: Urology & Nephrology Source Type: research

Prediction of male infertility by the World Health Organization laboratory manual for assessment of semen analysis: A systematic review
Conclusions Impaired semen parameters alone cannot be used to predict fertility as these men still have a chance of being fertile, except when a man has azoospermia, necrospermia or globozoospermia. (Source: Arab Journal of Urology)
Source: Arab Journal of Urology - November 21, 2017 Category: Urology & Nephrology Source Type: research

Trends of intervention for paediatric stone disease over the last two decades (2000 –2015): A systematic review of literature
Conclusions Our systematic review shows that intervention for KSD in the paediatric age group has risen over the last 8 years. Whilst URS, SWL, open surgery and laparoscopic surgery have all doubled, PCNL has risen fivefold reflecting an increase in the new minimally invasive PCNL techniques. (Source: Arab Journal of Urology)
Source: Arab Journal of Urology - November 21, 2017 Category: Urology & Nephrology Source Type: research

A new tool for self-evaluation of adherence to antimuscarinic drugs treatment in patients with urinary incontinence
Conclusion The MASRI questionnaire is highly constructive, competitive, has discriminant validity, and is suitable for self-assessment of treatment adherence in patients with UI taking antimuscarinics. Using the MASRI is less costly and faster compared with other assessment tools. (Source: Arab Journal of Urology)
Source: Arab Journal of Urology - November 20, 2017 Category: Urology & Nephrology Source Type: research

Comparison of interrupted- and continuous-suture urethroplasty in tubularised incised-plate hypospadias repair: A prospective study
Conclusions The type of suture technique had no significant effect on complication rates after Snodgrass hypospadias repair and thus the choice of technique depends on surgeon preference. (Source: Arab Journal of Urology)
Source: Arab Journal of Urology - November 20, 2017 Category: Urology & Nephrology Source Type: research

Hyperprolactinaemia in male infertility: Clinical case scenarios
Conclusion Hyperprolactinaemia, both directly and indirectly, has a negative effect on sperm production, and its detection and management in men seeking fertility is mandatory. (Source: Arab Journal of Urology)
Source: Arab Journal of Urology - November 20, 2017 Category: Urology & Nephrology Source Type: research

Ultra-mini-percutaneous nephrolithotomy (PCNL) versus standard PCNL: A randomised clinical trial
Conclusion A minimally invasive UM-PCNL using a 9.8-F ureteroscope can play an important role in the treatment of symptomatic renal and upper ureteric stones of <20 mm in diameter with lesser blood loss, duration of hospitalisation, need of transfusion, and postoperative pain compared with S-PCNL. (Source: Arab Journal of Urology)
Source: Arab Journal of Urology - November 12, 2017 Category: Urology & Nephrology Source Type: research

How robotic surgery is changing our understanding of anatomy
Publication date: Available online 6 November 2017 Source:Arab Journal of Urology Author(s): Fabrizio Dal Moro The most recent revolution in our understanding and knowledge of the human body is the introduction of new technologies allowing direct magnified vision of internal organs, as in laparoscopy and robotics. The possibility of viewing an anatomical detail, until now not directly visible during open surgical operations and only partially during dissections of cadavers, has created a ‘new surgical anatomy’. Consequent refinements of operative techniques, combined with better views of the surgical field, have giv...
Source: Arab Journal of Urology - November 7, 2017 Category: Urology & Nephrology Source Type: research