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BOOK REVIEWS

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tlas of Human Spermorphology Evaluation

dited by Thinus F. Kruger and Daniel R. Frankenaylor & Francis, London, United Kingdom, 2004, 83 pages,99.95, ISBN 1-84214-277-1

According to the editors, this book is an attempt to de-cribe normal and abnormal sperm forms that would beste used in association with a separately purchased CD-OM entitled Strict 123. The book has a total of 83 pages,ith six chapters and five appendices. In addition to the

ditors, there are five other contributing authors. The firstve chapters discuss strict criteria, as well as the prognosticole of sperm morphology for in vivo fertilization, intra-terine insemination (IUI), in vitro fertilization (IVF), and

ntracytoplasmic sperm injection (ICSI). Other topics,uch as the hemizona assay and acrosome index, are alsoiscussed. Quality assurance for sperm morphology assess-ent is presented in its own chapter. It is in the last chapter

hat the atlas material is presented, with multiple colorhotographs of various morphologic forms. The appendi-es summarize the strict criteria, as well as give spermtaining protocols. Despite having a limited number of au-hors and a relatively narrow scope, this book is unevenlydited and often difficult to follow. The topics discussedithin the individual chapters are often different from

hose listed in the chapter titles.Chapter 1 begins with a summary of strict criteria fol-

owed by a review of the initial studies correlating strictorphology results with IVF rates. The authors then

resent data from published literature reviews summariz-ng attempts to correlate morphology scores with IVF, IUI,nd in vivo fertilization. The figures in this chapter haveot been properly described by the figure legends. For ex-mple, the legend for the first figure describes confidencentervals that are not present in the figure. In addition, theiscussion of the presented data is somewhat biased inavor of the predictive value of strict morphology. This typef inconsistency sometimes leads to a disconnect betweenhat is written in the text and what is presented in thegures and tables. The second chapter describes the role ofperm morphology in ICSI. This chapter was disjointed,ith much data presented, but not well summarized. The

hird chapter describes the relationship between zona pel-ucida binding and sperm morphology. It also includes aection on the relationship between the hemizona indexnd IVF outcomes. The authors present the predictive abil-ty of this assay without defining the basic definitions—uch as what a positive test is. In addition, the data in thegure do not agree with the interpretation of the data. Theemaining parts of the chapter discuss acrosome induction,n algorithm for testing, and indications for ICSI. The man-er in which these were presented made for an unevenlyatched together chapter. The fourth chapter describes these of the acrosome index. The chapter begins with a de-cription of the acrosome. Various acrosomal defects areentioned, but no photographs are provided in this chap-

er. Some, but not all, of these abnormalities are in the final t

2005 ELSEVIER INC.LL RIGHTS RESERVED U

hapter, which includes the photographs. A discussion islso provided about the correlation between the acrosomendex and IVF results. As in the prior chapters, the statis-ics are poorly presented and some of the abbreviations areot defined, hampering the reader’s interpretation of theata. One chapter is devoted to quality assurance; however,his is also inconsistent in its presentation. Laboratory per-onnel will have a difficult time setting up a quality assur-nce program based solely on this chapter. The final chap-er includes the “meat” of the book: descriptions, drawings,nd photographs of normal and various abnormal sperm. Its broken down into head, mid-piece, and tail defects. Thehotographs are of good quality, as are the drawings. There

s also a section on slide preparation, which is discussed inhe prior chapter as well. The two sections do not entirelygree, and some of the terms are reversed (length andidth measurements), leading to some confusion.This book has been written by some of the world’s ex-

erts on sperm morphology. Although this book will beseful to andrology personnel, with better editing andore attention to consistency and detail, it could have beenore valuable than it is.

Mark SigmanDepartment of UrologyRhode Island Hospital

Providence, Rhode Island

doi:10.1016/j.urology.2005.03.004

anagement ofrological Emergencies

dited by Faiz Mumtaz, Christopher R. J. Woodhouse,ack W. McAninch, and Dennis L. Cochlinaylor & Francis, London, United Kingdom, 2004, 248ages, $99.95, ISBN 1-84184-177-3

This is a user-friendly and easy-to-read reference guidef urologic emergencies. The book is of value to urologistsn training, as well as primary care practitioners and emer-ency room personnel. The authors present both commonnd rare clinical scenarios in a coherent, cohesive mannerhat is intended, as Dr. Mumtaz suggests in his forward, tobe used as a quick reference guide on the wards and emer-ency rooms.” It will be a welcomed reference in any emer-ency department or hospital that not only sees a higholume of penetrating and blunt trauma, but also servesatients with sickle cell disease, urolithiasis, and urologicalignancy. Several prominent urologic consultants from

oth the United Kingdom and the United States collabo-ated to produce this textbook, including Dr. McAninch,ho is considered one of the most recognized experts inenitourinary trauma.The text is divided among diverse subspecialties within

rology that possess their own unique emergent clinicalituations. For example, comprehensive chapters devoted

o stone disease, trauma, urinary retention, infection, renal

ROLOGY 66: 467–468, 2005 • 0090-4295/05/$30.00 467