Urology ACGME case minimums
Residents in Urology have a published ACGME minimum in 34 of 35 case categories, and the largest single minimum is 250. Each row below cites the ACGME requirement it was read from; the minimums are effective January 2024.
By Chris, CA-1, anesthesiology
Urology minimums by category
| Category | Any of Surgeon, Assistant, or Teaching Assistant |
|---|---|
| General Urology | 250 |
| Scrotal/inguinal surgery | 60 |
| Transurethral resection | 100 |
| Transrectal ultrasound (TRUS)/prostate biopsy | 25 |
| Fusion* | — |
| Urodynamic studies (UDS) | 10 |
| Endourology/Stone Disease | 150 |
| Percutaneous renal procedure | 10 |
| Ureteroscopy | 90 |
| Reconstructive Surgery** | 170 |
| Continence procedures | 30 |
| Continence-Bladder | 10 |
| Continence-Urethra | 15 |
| Continence-Urethra-Sling | 5 |
| Continence-Urethra-Sphincter | 3 |
| Genital reconstruction | 45 |
| Genital reconstruction-Penis | 25 |
| Genital reconstruction-Vagina | 10 |
| Ureteral reconstruction | 15 |
| Urethral reconstruction | 15 |
| Hypospadias | 5 |
| Urinary diversion | 10 |
| Oncology | 130 |
| Pelvic | 50 |
| Pelvic-bladder | 10 |
| Pelvic-prostate | 30 |
| Retroperitoneal | 50 |
| Retroperitoneal-kidney | 40 |
| Pediatric-Minor | 30 |
| Endoscopy | 5 |
| Hydrocele/hernia | 10 |
| Orchiopexy | 10 |
| Pediatric-Major | 15 |
| Ureter | 5 |
| Robotic | 80 |
Urology · ACGME specialty 480 · minimums effective January 2024.
Capnolog counts these live for anesthesiology and neurological surgery; other specialties are reference only.
What counts toward a minimum?
- Residents log each case against its CPT procedure codes, and the ACGME sorts those codes into the categories below.
- Every number is a count in one column, “Any of Surgeon, Assistant, or Teaching Assistant”.
- 28 rows are drawn from a larger row: those cases count toward that row too, never on top of it.
- 1 row carries no published number and shows an em-dash, which is not a minimum of zero.
- The Review Committee for Urology sets these requirements.
Where do these numbers come from?
- Case Log categories and minimum numbers, January 2024
- Program Requirements, July 1, 2026
Capnolog is independent of the ACGME. Where a number here and the ACGME's own document disagree, the document is right.