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Corresponding author: Yoshiro SakamotoDepartment of Urology, Juntendo University Nerima Hospital3-1-10 Takanodai, Nerima-ku, Tokyo 177-8521, JapanTEL: +81-3-5923-3111　FAX: +81-3-5923-3231　E-mail: miandyo@juntendo.ac.jp355th Triannual Meeting of the Juntendo Medical Society “Farewell Lectures of Retiring Professors” 〔Held on Mar. 30, 2022〕〔Received　Jul. 4, 2022〕〔Accepted　Aug. 2, 2022〕J-STAGE Advance published date: Oct. 4, 2022Copyright © 2022 The Juntendo Medical Society. This is an open access article distributed under the terms of Creative Commons Attribution License (CC BY), which permits unrestricted use, distribution, and reproduction in any medium, provided the original source is properly credited. doi: 10.14789/jmj.JMJ22-0027-R　I enrolled in the Juntendo University Urological Course in 1982 and worked at Juntendo for 40 years until I retired in 2022. The transition of Urology had been slow until recent years. In the last 20-30 years, Urological practice has made significant progress. I will look back on the 40 years of Juntendo University and describe it in this article. In particular, the transition and breakthrough in the diagnosis and treatment of prostate cancer were remarkable. This point will be described mainly based on the experience at Juntendo Nerima Hospital.454Juntendo Medical Journal2022. 68(5), 454-458Special ReviewsThe Transition of Urological Practice for Forty Years in Juntendo UniversityIn Japan, in the early Meiji era, German medicine was required to have the norms of modern medi-cine, and Urology was introduced along with Dermatology in the early 30th year of the Meiji era. Therefore, Urology in Japan has a strong connec-tion with Dermatology until after World War II, and the course has continued as a Dermatology and Urology class at each medical education insti-tution. On the other hand, in the United States, the Urology was the department of surgery, division of Urology. At the dawn of Juntendo University, the Department of Urology discharged very talented and well-known urologists.Juntendo Urology Faculty Part-11901 (Meiji 34) Faculty of Juntendo: Susumu Sato (Surgery), Tatsujiro Sato (Surgery), Saburo Akutsu (Urology)Prof. Saburo Akutsu (Figure 1) studied Urology at the University of Vienna and was one of the pioneers of Japanese Urology.1908 (Meiji 41) Prof. Isamu Sakaguchi (Figure 2) Key words: prostate cancer, transperineal prostate biopsy, robot-assisted radical prostatectomyDepartment of Urology, Juntendo University Nerima Hospital, Tokyo, Japanopened Dermatology.1915 (Taisho 4) Dr. Sakaguchi became a professor of Dermatology and Urology, and later became a full-time in Urology. He made an effort in the domestic production of cystoscopes. In recogni-tion of his achievements, the Sakaguchi Award was established at the Japanese Urological Association.Figure 1　Prof. Saburo AkutsuYoshiro SAKAMOTO