As a specialty, genitourinary reconstructive surgery continues to advance in complexity and technological promise. Not only is the importance of these changes germane in North America for the functional restoration of patients served, but there also may be a greater significance for genitourinary reconstructive surgery outcomes in limited resource countries (Haider et al. [1], Joshi et al. [2]). I am humbled to edit this very special edition of the World Journal of Urology. This edition houses multiple articles authored by acclaimed experts from around the world, and covers many concepts and commentary with regard to lower genitourinary reconstruction.

This edition focuses on pelvic reconstruction (Joshi et al. [2]), primarily on reconstruction of the urethra (Virasoro et al. [3], Kulkarni et al. [4]). The topics chosen and the corresponding articles highlight some of the more difficult urethral reconstruction cases, including pelvic fracture urethral injuries (Joshi et al. [2]), urethral stricture associated with radiation (Keith et al. [5]), as well as treatment of lichen sclerosis (Chung et al. [6]). In addition, other topics are included (Cheng et al. [7]) and in combination (Gomez et al. [8]), I hope this edition will be applicable to all urologists to benefit your practice and your patients.