The urology workforce is aging, with a median provider age of 54 years and approximately one-third over the age of 65. With growing workforce shortages and increasing age-related urologic disease, the need for urologists will continue to increase. Although initiatives such has residency expansion, increased use of advanced practice providers, and alternative certification pathways are being implemented, continued contributions and engagement from senior urologists is becoming increasingly important. These "Seniorologists" can offer refined clinical judgement, mentorship, communication skills, professionalism, and fundamentals of medicine such as the physical exam. Although changes in cognitive and physical performance may limit some "Seniorologists", these changes vary widely and each individual should be considered on an individual basis. Self-monitoring, ongoing education, objective evaluation, and appropriate scope of clinical responsibilities can be implemented for quality and patient safety. Capable "Seniorologists" should be supported by institutions while allowing for flexibility in workload and practice scope. As clinical responsibilities are reduced, "Seniorologists" can contribute to the field of urology through teaching, mentoring, and leadership. This type of support benefits the trainees and colleagues, the patients, and the field of urology as a whole. In an era of growing workforce shortages despite growing demands, experienced "Seniorologists" remain an invaluable asset whose continued engagement will help shape the future of urology and change patient care.

To perform a detailed review of the current literature on management of the müllerian system with an understanding of urologic considerations in patients with persistent cloaca.

Radical Prostatectomy is one of the standard treatments for localized clinically significant prostate cancer (PCa). However, despite advances in surgical technique such as the robotic radical prostatectomy (RARP), stress urinary incontinence (SUI) remains a common side effect. Patient counseling should include a discussion of preoperative predictors of incontinence including obesity, larger prostate size and shorter membranous urethral length. To improve surgical outcomes, several management strategies have been developed. These include surgical techniques such as the Rocco Stitch, the Hood-technique, and Retzius-sparing RARP. Novel treatments, devices and multimodal approaches are emerging including prehabilitation, remote and digital pelvic floor muscle training, novel neuromodulation, automated artificial urinary sphincters, and surgical augmentation of the vesicourethral anastomosis. These new strategies offer the potential for improved continence without compromising oncologic outcomes. Overall, incontinence prevention and treatment after RARP is becoming increasingly individualized with many options available for clinicians to offer to patients. Continued innovation and discovery in functional recovery after RP are imperative.

To summarize existing literature on the outcomes of Hyperbaric Oxygen (HBO2) therapy for RC and focus on recent updates since the original 2018 scoping review.

To examine the evidence on contemporary lasers and provide a practical framework for platform selection, parameter optimization, and thermal safety based on the principles of smart lithotripsy.

This manuscript provides a narrative review of techniques of neurovascular reconstruction during robotic-assisted laparoscopic radical prostatectomy (RALP).

This review focuses on intravesical recurrence (IVR) of upper tract urothelial carcinoma (UTUC).

Large-scale databases have become an essential resource in urologic oncology, enabling the generation of real-world evidence across broad and diverse patient populations. This narrative review aims to summarize the contribution of population-based cancer registries, hospital-based clinical registries, and administrative healthcare databases to the understanding and management of prostate, bladder, renal, and other genitourinary malignancies.

Prostatic artery embolization (PAE) has emerged as a minimally invasive treatment for a spectrum of prostatic conditions. Supported by a growing body of randomized and observational evidence, PAE now occupies an established role in the management of lower urinary tract symptoms (LUTS) secondary to benign prostatic hyperplasia (BPH) and is increasingly applied for refractory prostatic bleeding and hematospermia. A structured review of PubMed, Google Scholar, and MEDLINE was performed with priority given to studies published from 2020 onward, including randomized controlled trials, prospective multicenter studies, large observational cohorts, and current guideline statements. Outcomes of interest included technical success, symptom improvement, urodynamic parameters, postvoid residual volume, hematuria resolution, retreatment rates, and adverse events.

PSMA PET has reshaped prostate cancer staging by detecting low-volume nodal metastases occult on conventional imaging. This review summarizes current evidence on miN1M0 disease and discusses features that may guide surgical decision-making.

Obstructive sleep apnea syndrome (OSAS) is increasingly recognized as a multisystem disorder with important effects on the lower urinary tract, including overactive bladder (OAB). Although the association between OSAS and OAB has been widely investigated, most available evidence originates from male populations, whereas women remain underrepresented despite distinct hormonal, anatomical, and pelvic floor characteristics. Unlike previous reviews that primarily focused on OSAS and nocturia or predominantly male populations, this review specifically highlights female-related pathophysiological mechanisms, emerging clinical evidence, and their potential implications for the evaluation of women with OAB.

Benign prostatic hyperplasia (BPH) is a highly prevalent urological condition in aging men, contributing to lower urinary tract symptoms (LUTS) and reducing the quality of life. The increasing burden of BPH underscores the need for preventive strategies targeting modifiable risk factors. This review examines the evidence on the association between physical activity (PA), exercise, and BPH risk, aiming to determine whether these two forms of activity exert different effects on BPH pathogenesis.

The advent of the Intuitive da Vinci single-port (SP) robotic system represents a pivotal evolution in minimally invasive urologic surgery, offering enhanced dexterity, improved surgical ergonomics, and reduced patient morbidity. This review is designed to provide a comprehensive evaluation of current literature regarding the feasibility, efficacy, cost considerations, and clinical applications of the SP platform across various benign urologic surgeries including pyeloplasty, ureteral reconstruction, donor nephrectomy, renal auto-transplantation, partial cystectomy, and simple prostatectomy. The review also analyzes current limitations of the robotic platform including a narrower range of available instruments, diminished instrument grip strength, and a steeper learning curve.

To review recent evidence on effective mentorship practices in urology fellowship training, with emphasis on mentorship qualities, structured programs, and equity considerations.

This review critically evaluates recent literature from the past five years concerning the management of lower urinary tract symptoms (LUTS) in patients with multiple sclerosis (MS), highlighting advances in understanding disease mechanisms, diagnostic strategies, and therapeutic options.