In 2024, urology continues to evolve with remarkable innovations. The Da Vinci SP surgical robot simplifies procedures by reducing surgical trauma and accelerating patient recovery. Regarding oncological conditions, new therapies have significantly improved the management of urological cancers, leading to increased survival rates. Additionally, for non-cancerous conditions, innovations like the Optilume balloon for urethral stricture treatment offer a minimally invasive and effective solution with few complications. These advances reflect the successful adoption of innovative technologies and targeted treatments to optimize urological care.