International Brazilian Journal of Urology Is the Official Information Journal of the American Confederation of Urology - CAU

We are pleased to announce that International Brazilian Journal of Urology became the official communication organ of the American Confederation of Urology.The editorial board and the Brazilian Urology Society are very happy because the beginning of this partnership what will contribute to reinforce the impact of the International Brazilian Journal of Urology on the American continent.We are experiencing very difficult times because of the Covid-19 pandemic and at the time of writing this editorial a second wave of the disease is starting in Europe.However, research cannot stop.The March-April 2021 number of Int Braz J Urol, the ninth under my supervision, presents original contributions with a lot of interesting papers in different fields: Prostate Cancer, Urethral Stricture, Male Incontinence, Vesicoureteral Reflux, Renal Cell Carcinoma, Bladder Cancer, BPH, SARS-CoV-2 and Urology, Radiation Induced Cystitis, Vaginoplasty, Varicocele, Basic Research applied to Female Urinary Incontinence, Flexible Ureteroscopy, Penile Fracture and Straghorn Renal Calculi.The papers came from many different countries such as Brazil, USA, Turkey, China, Iran, Portugal, Serbia, Montenegro and Spain, and as usual the editor´s comment highlights some of them.In the present issue we present four important papers in reconstructive urology and 2 very important papers about SARS-CoV-2 pandemic in Urology.Dr. Benson and colleagues from USA performed in page 237 (1) a nice sistematic review about the long term outcomes of one-stage augmentation anterior urethroplasty and concluded that the long-term success rates of augmentation urethroplasty are appear to be worse than previously appreciated and patients should be counseled accordingly.Dr. Barros and collegues (2) from Rio de Janeiro -Brazil performed in page 389 a important paper about a rare condition: The penile fracture.In this paper the authors described penile fracture (PF) findings with non-sexual etiology in a referral emergency hospital, with emphasis on demographic data, clinical and intraoperative findings and long-term outcomes and concluded that PF is a rare urologic emergency, especially with the non-sexual etiology.However, PF should always be considered when the clinical presentation is suggestive, regardless of the etiology.Penile manipulation and roll over in bed were the most common non-sexual causes.These cases are related to low-energy traumas, usually leading to unilateral rupture of corpus cavernosum.Urethral involvement is uncommon but may be present.Early treatment has good long-term clinical outcome, especially when performed in specialized centers with extensive experience in FP.

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