IntroductionBurnout, which is characterized by emotional exhaustion, depersonalization, and reduced personal accomplishment due to prolonged workplace stress, is a major concern for healthcare professionals, including urology residents [1]. The literature has increasingly focused on the prevalence, risk factors, and consequences of burnout within the urology field in recent years. Urology residents are highly susceptible to burnout. A study published in the Journal of Urology found that 54% of urology residents experienced burnout, with emotional exhaustion being the most reported symptom. High workload, poor work-life balance, and limited socialsupport were identified as key risk factors for burnout among urology residents. The impact of burnout on urology residents can be profound, potentially leading to reduced job satisfaction, decreased empathy for patients, and even early retirement from the field [1,2].In this narrative review, we use both thematic and critical review methods to gain deeper insight into the complex issue of burnout among urology residents. Our thematic review explores key themes such as the impact of excessive workload on physical and mental health and the inadequate support for overworked urology residents, while our critical review examines contributing factors such as the culture of the medical field and poor leadership practices. Our critical review examines contributing factors such as the culture of the medical field and poor leadership practices. In this culture, long work hours and a high workload are seen as necessary sacrifices to become successful physicians. As a result, overworked urology residents may feel that burnout is a personal failure or that acknowledging it is a sign of weakness. Additionally, poor leadership practices, disregarding the residents’ wellbeing, are associated with inadequate staffing and unrealistic expectations.By identifying contributing factors and proposing workable solutions, we aim to improve the quality of care while mitigating negative outcomes for urology residents suffering from burnout.KEY REFERENCESKiehl MT, Oermann EK. Burnout in urology residency: a hidden crisis. Curr Urol Rep. 2020;21(7):29.Avery DM, Ruffolo LI, Kozlowski JA, Goldfarb DA. Burnout among urology residents: a systematic review and meta-analysis. Curr Urol Rep. 2019;20(11):77.Bordin CA, Carlotto AP. The experience of work-related burnout hiding: A grounded theory study. Burn Res. 2019; 12:45-51.Demerouti E, Bakker AB, Peeters MCW, Breevaart K. New directions in burnout research. Eur J Work Organ Psychol. 2021;30(5):686-691.Edú-Valsania S, Laguía A, Moriano JA. Burnout: A Review of Theory and Measurement. Int J Environ Res Public Health. 2022 Feb;19(3):1780.Busireddy KR, Miller JA, Ellison K, Ren V, Qayyum R, Panda M. Impact of leadership behavior on physician well-being, burnout, professional fulfilment and intent to leave: a multicentre cross-sectional survey study. BMJ Open. 2019;9(9): e030209. doi:10.1136/bmjopen-2019-030209.Meister A, Cheng BH, Dael N, Krings F. How to Recover from Work Stress, According to Science. Harvard Business Review. 2022.Heng YT, Schabram K. Your Burnout Is Unique. Your Recovery Will Be, Too. Harvard Business Review. 2021.

Penile self-mutilation is an infrequent form of self-harming behavior seen primarily in patients with schizophrenia spectrum disorders and rarely reported in those with major depressive disorders. We herewith present a major depression related case of penile self-mutilation successfully managed by macroscopic penile re-implantation performed 8 hours after the incident.

Iliac artery injuries from gunshot wounds are very rare and lethal injuries associated with high mortality rate. Concurrent ballistic external iliac artery and bladder injuries resulting in an acute ilio-vesical shunt or fistula and discovered at the time of presentation are extremely rare.