Eddie ChanHong Kong, ChinaModeratorHow to Escape Surgical ComplicationsSurgical complications can significantly impact patient outcomes and healthcare resources. This talk will focus on practical strategies to minimize complications in urologic surgery, tailored specifically for urology fellows. Real-life case examples will illustrate how thoughtful preparation and proactive communication can prevent or mitigate complications. Additionally, we will discuss structured approaches to managing complications when they arise, including communication with the patient and team, documentation, and timely intervention. Through real-life case examples, this session aims to enhance surgical judgment, promote patient safety, and build confidence in complication management.
Mikio SugimotoJapanSpeakerActive Surveillance for Early Prostate CancerActive surveillance for early prostate cancer
The global incidence of prostate cancer is steadily increasing. While the prevalence has historically been lower in Asia compared to Western countries, recent trends suggest a significant rise in prostate cancer cases across the region. This increase is likely attributed to the Westernization of dietary habits and the aging population. The widespread use of prostate-specific antigen (PSA) screening has led to an increase in the detection of early-stage prostate cancer, which is a positive development. However, this has also resulted in the identification of a substantial number of low-grade, indolent cancers that are unlikely to impact life expectancy, raising concerns about overdiagnosis and overtreatment.
Active surveillance has emerged as a practical and effective strategy to address overtreatment in the PSA era. Although the adoption of active surveillance has increased dramatically in Western countries, its implementation in Asia remains limited. In Japan, a large-scale prospective observational study, PRIAS-JAPAN, has been underway since 2010, with over 1,400 patients enrolled to date. In this report, we briefly present the findings of PRIAS-JAPAN and explore strategies to promote the broader and more effective use of active surveillance in clinical practice.