Birthdays are funny things. Whilst they are an occasion for celebration, they also represent the passing of time-often far more quicldy than we expect -and offer us an opportunity to look back and consider how things have changed. It is hard to believe that Nature Reviews Urology has celebrated ten of them, and we now present to you our special 10th Anniversary issue. The past decade has been one of enormous change in clinical medicine. Paradigm shifts in understanding the pathogenesis, diagnosis and treatment of diseases have meant that many of our patients face far brighter futures than were possible in 2004. Urology is no exception, and, in fact, urologists often lead the way in pioneering new technology and embracing new ideas. The rise of robotic surgery and the enthusiasm with which urologists engage with social media are but two small examples.
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