This year, the XLII Congress of the American Confederation of Urology (CAU), XLIV National Congress of the Chilean Society of Urology, and XXVIII Congress of the Iberoamerican Society of Pediatric Urology (SIUP), “CAU Santiago 2023,” was held in Santiago, Chile. This world-class congress took place October 4 to 7, 2023, at the Metropolitan Santiago Convention & Event Center in Santiago, attracting 1630 participants: 150 CAU speakers, 56 SIUP speakers, 1127 CAU-SIUP member physicians, 49 nonmember physicians, 195 residents, 29 nurses, and 24 students.

The main topics discussed at the congress were prostate cancer, robotic surgery, renal cancer, bladder and upper urothelial cancer, lithiasis and endourology, benign prostatic hyperplasia, testicular cancer, andrology, sexual medicine, transplantation, female, reconstructive urology, and pelvic floor. During the 4 days of the congress, 7 plenary sessions, 17 society symposia, 8 forums and workshops, 20 international courses, and 5 industry symposia were held.

In addition, 355 original CAU scientific papers were presented (183 oral, 102 digital posters, and 70 videos). Besides, there were 122 SIUP papers (84 oral, 21 posters, and 17 videos), for a total of 477 scientific papers.

Academic excellence was on display through symposia of the Argentine Society of Urology, Brazilian Society of Urology, Portuguese Society of Urology, Urological Association of Central America & Caribbean, Chilean Society of Urology, Dominican Society of Urology, Spanish Society of Urology, Mexican Society of Urology, Panamanian Society of Urology, Paraguayan Society of Urology, Peruvian Society of Urology, Cuban Society of Urology, Venezuelan Society of Urology, Bolivian Society of Urology, and Uruguayan Society of Urology. The Tenth Educational Program for Residents—CAU also took place, which gathered residents from different places and packed an auditorium of more than 400 people.

Thirty countries from different continents participated: North America (6%), Central America (13%), South America (74%), and Europe (10%). Among these, the most represented countries were Chile with 516 participants, followed by Peru (159), Poland (96), Argentina (93), Bolivia (86), and the Dominican Republic (85).

The congress also included multiple courses and workshops, among which the following stood out: (1) Ureteroscopy, Tips and Tricks (Director: Pablo Contreras, Argentina), (2) Laser Enucleation for Benign Prostatic Hyperplasia (Director: Nicanor Rodríguez, Perú), (3) Why Is Kidney Transplantation a Permanent Challenge? Reality in Chile and Survey in CAU Context (Director: Fernando Santomil, Argentina), (4) Update on the Management of Nonmetastatic Renal Cell Carcinoma (Director: Francisco Rodríguez-Covarrubias, México), (5) From the (Seemingly) Simple to the Complex (Director: Luis Ebel, Chile), (6) Advanced Prostate Cancer (Director: Edgar Ivan Bravo Castro, Mexico), (7) Controversies in Urodynamics (Director: Juan Pablo Valdevenito, Chile), (8) Percutaneous Kidney Surgery, Tips and Tricks (Director: Pablo Contreras, Argentina), (9) Retzius Sparing Radical Prostatectomy: Step by Step Technique and Excellence in Functional Results (Director: Marcos Tobías Machado, Brazil), (10) Minimally Invasive Urological Reconstructive Surgery (Directors: Ronald Cadillo-Chávez, Puerto Rico, and Marcelo Kerkebe, Chile), (11) How Do I Optimize the Outcomes of My Cystectomy? Prevention and Management of Complications (Director: Mario Fernández Arancibia, Chile), (12) Laparoscopy Course (Directors: Marcelo Denilson Baptistussi, Brazil, Clovis Fraga, Brazil, Elias Boden, Panama, Alexis Alva, Peru), (13) Hands-on Course on Urodynamics (Director: José Carlos Truzzi, Brazil), (14) Fournier’s Gangrene: Tips to Wake Up From the Nightmare (Director: Leandro Capiel, Argentina), (15) The Challenge of Robotic Surgery in Latin America in 2023 (Director: Hamilton Zampolli, Brazil), and (16) Course on Prostatic Biopsy (Directors: Tomás Olmedo, Chile, Francisco López, Chile/UK), among others.

CAU is the very image of diversity and inclusion arising from our roots and origins. This congress allowed cultural and academic interaction. The 4th CAU Women Urologist Forum was held, as well as educational forums on research, history, and medical ethics. Our CAU-affiliated societies had an excellent opportunity to show the best of urology in their region, in the form of symposiums.

This was the biggest event of Iberoamerican urology, which provided an opportunity to learn, grow, and expand social networking. We hope to see you all again and many more next year in Punta Cana—not to be missed! We all are CAU!