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Most of us fear the prospect of tackling electrical or plumbing problems in our home, and my experience is we feel the same way when dealing with urologic or neurologic problems in the office (Video 1). Plumbing (urologic) and electrical (neurologic) problems are usually unrelated in your home, but oftentimes they are related in a patient, and assessing the septic (colorectal) system is clinically pertinent. The purpose of this journal special issue is to lessen the fear of the primary care Physician Assistant (PA) to tackle routine urologic problems that most commonly can be managed medically. For the specialist, it is a welcome event to see a referred patient who has been adequately evaluated and appropriate medications tried at sufficient doses and duration to assess for a response. The purpose of a urologic surgery consult is to determine if the patient needs an operation. It is impossible to do that efficiently if a patient hasn't failed medical management nor has been sufficiently evaluated. I personally hand-picked each author and topic from the perspective of the types of urologic problems I've encountered in a tertiary academic health center over the past twenty years. The authors assembled have many years of urologic specialty experience at tertiary referral centers, and they in turn work with seasoned fellowship-trained urologists. Their perspective and advice are grounded in evidence-based practice and clinical guidelines established by scientific evidence and key opinion. The reader will improve their ability to manage the most common adult conditions referred to urologic surgery: male infertility, prostate cancer screening, advanced prostate cancer, hematuria, kidney stones, frequent urinary tract infections, female urinary incontinence, male lower urinary tract symptoms, erectile dysfunction, hypogonadism, and neurogenic bladder. It is impossible to cover them all, but this is a good primer. I want to thank all of the contributors for their efforts in sharing their expertise on paper in a way to lessen the anxiety of the primary care PA being able to tackle the

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