Introduction: Citing high costs, limited diagnostic benefit, and ionizing radiationeassociated risk from CT urogram, in 2020 the AUA revised its guidelines from recommending CT urogram for all patients with microscopic hematuria to a deintensified risk-stratified approach, including the deimplementation of low-value CT urogram (ie, not recommending CT urogram for patients with lowto intermediate-risk microscopic hematuria). Adherence to revised guidelines and reasons for continued low-value CT urogram are unknown.

Introduction Robot‐assisted radical prostatectomy often causes damage to the neurovascular bundle which results in erectile dysfunction and urinary incontinence. Recovery may take months; however, dehydrated umbilical cord allografts appear to offer an advantage in terms of a faster return to continence and potency. Case presentation A 67‐year‐old male, who presented with intermediate‐risk prostate cancer, underwent a bilateral nerve‐sparing radical prostatectomy and placement of dehydrated human umbilical cord graft. Four weeks post‐prostatectomy, the patient reported minimal stress urinary incontinence and erections with 75% rigidity. Three months post‐prostatectomy, the patient noted improved continence and erections with 100% rigidity. Conclusion To our knowledge, this is the second experience reported in the literature evaluating the use of umbilical cord allograft during robot‐assisted radical prostatectomy, with promising results, and it is the first reported case to analyze potency as an outcome.

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