To download program at a glance of UAA Congress 2025 :
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08:30
17:00
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TWTC - 1F Exhibition Hall
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08:30
10:00
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TICC - 3F Plenary Hall
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TICC - 3F Banquet Hall
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08:30
17:00
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TICC - 4F 401
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10:00
10:30
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TWTC - 1F Exhibition Hall
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10:30
12:00
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TICC - 3F Plenary Hall
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TICC - 1F 102
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New Advance (C) & BPH & Endourology
TWTC - 1F Exhibition Hall
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10:30
12:00
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Endourology (B)
Yi-Sheng TaiTaiwan
Moderator
Which Laser for RIRS: Thulium Fiber Laser Thulium Fiber Laser (TFL)is a type of fiber laser, distinct from Thulium laser used for prostate surgey. It’ a cutting-edge laser and rapidly gaining traction in urology The machine is compact, portable, quiet with air-cooling, and lower power consumption.It employs a thulium-doped silica fiber powered by diode lasers, emitting light at 1940 nm, matching water absorption peaks. This results in a high absorption coefficient and shallow penetration (~0.1 mm), enabling precise energy delivery and minimizing tissue damage.Compared to Holmium lasers, TFL operates at lower energies (down to 25mJ) and higher frequencies (up to 2000Hz) for delicate tissue ablation and fine stone dusting.
The most notable change is pulse modulationHo:YAG lasers has Spike-shaped pulses and indicate greater energy concentration, resulting in higher localized heating, uneven fragmentation, and increased retropulsion.TFL produces pulses with uniform energy distribution and lower peak power, resulting in consistent ablation with less retropulsion and fewer thermal spikes.Higher water absorption rapidly forms a vapor channel, enhancing ablation efficiency.
But, TFL is not as ideal in surgical scenarios. At settings of low pulse energy (0.2 J) and high frequency (100 Hz), it tends to cause troublesome char formation and spark generation, particularly when treating calcium phosphate stones. These phenomena, explosive combustion and carbonization can reduce ablation efficiency and increase the risk of thermal damage and fiber degradation. Optimizing TFL settings is very important for outcome and safety and ongoing evaluation. AI in Medical Imaging – Converting 2D Black & White to 3D and Applications in Mixed Reality (MR) used in RIRS Artificial Intelligence (AI) and Extended Reality (XR) are at the forefront of innovation in modern medicine. In endoscopic surgery, these technologies are increasingly being integrated to enhance procedural precision and intraoperative guidance.
One experimental application involves using AI to convert 2D CT scans into 3D visualizations, offering surgeons a more intuitive understanding of anatomical structures. Devices like the Apple Vision Pro may be used to create fully immersive virtual environments, although it is not currently approved as a medical device.
In clinical practice, Mixed Reality (MR)—which blends real and virtual environments with real-time interaction—has shown promise. MR has been used during Retrograde Intrarenal Surgery (RIRS) to reduce the risk of missed stones, and in Endoscopic Combined Intrarenal Surgery (ECIRS) to overlay anatomical data, improving puncture accuracy during Percutaneous Nephrolithotomy (PCN).
As an emerging field, further advancements will depend on enhanced imaging resolution, improved intrarenal navigation and integration of AI-driven real-time stone detection.
Yi-Yang LiuTaiwan
Moderator
Complex Renal Stone: PCNL or RIRS or Combination?Mini-percutaneous nephrolithotomy (mini-PCNL) provides stone-free rate (SFR) 85 to 95 % in children with complex burdens, and recent systematic reviews report overall complications < 7 % and transfusion requirements ≈3 % when tracts ≤18 Fr are used. Its drawbacks are the need for percutaneous access, risk of bleeding, and potential parenchymal scarring, especially when multiple tracts are required.
Retrograde intrarenal surgery (RIRS) avoids renal puncture and shows the lowest incidence of high-grade complications (<1 %); contemporary series in preschool children describe initial SFRs of 60–78 %, with secondary procedures needed in up to one-third of cases because of narrow, tortuous ureters. Pre-stenting, staged dilation and longer operative time can offset its minimally-invasive appeal for stones ≥2 cm.
Endoscopic combined intrarenal surgery (ECIRS) merges an antegrade mini-PCNL channel with simultaneous flexible ureteroscopy. The first multicenter pediatric series and a 2024 comparative study confirm SFRs of 75–92 %, shorter hospital stay and lower fluoroscopy or transfusion risk than standalone PCNL despite treating more complex stones. Its limitations are the need for two skilled teams, specialized equipment and the Galdakao-modified supine Valdivia position, which lengthen setup and raise costs.
In summary, mini-PCNL remains the most efficient monotherapy for large or staghorn calculi; RIRS is ideal when bleeding risk or unfavorable percutaneous windows predominate; ECIRS offers the best compromise between clearance and morbidity where resources and expertise allow. Individualized, anatomy-based algorithms and further pediatric RCTs are still required.
ECIRSIn this session, we will demonstrate the technique about Totally-X-ray free ultrasound guided endoscopic combind intrarenal surgery in Galdakao modified supine Valdivia position.A Critical Appraisal on Percutaneous NephrolithotripsyPercutaneous nephrolithotripsy (PCNL) has evolved from a uniform prone, fluoroscopy-guided, large-tract technique into a precision endourological platform that emphasizes patient-tailored positioning, radiation-free puncture, miniaturized tracts, energy-efficient lasers and nascent robotic–AI augmentation. Contemporary evidence affirms that stone-free rates now approach a plateau, making safety metrics—bleeding control, infection prevention and intrarenal pressure modulation—the key differentiators among modern approaches. Miniaturized optics, suction-regulated sheaths and thulium-fiber or dual-wavelength laser consoles have collectively reduced hemoglobin loss and postoperative sepsis while preserving clearance efficacy. Future success will hinge on harmonizing technological innovation with rigorous evidence so that every incremental advance translates into measurable gains for both efficacy and safety in stone surgery.Echo guide Puncture in Supine PCNL: Tips and Tricks for an Efficient and Safe ProcedureMastery of ultrasound-guided supine PCNL begins with precise anatomical orientation. Color-Doppler mapping pinpoints the target calyx, which is punctured transpapillary with an echogenic-tip needle after artificial hydronephrosis is produced by retrograde ureteroscopic irrigation. A hydrophilic, floppy-tip yet stiff-shaft guidewire is then advanced through the needle, allowing atraumatic navigation of the collecting system under ureteroscopic visualization. Balloon dilation—used in place of sequential dilators—prevents guidewire dislodgement. When necessary, a through-and-through guidewire from flank skin to urethral meatus may be created to secure renal access. Finally, antegrade nephroscopy along this coaxial tract confirms unobstructed entry, provides panoramic inspection, and optimizes lithotripsy efficiency—all without fluoroscopy. Collectively, these steps deliver reliable access, eliminate radiation, and streamline stone clearance in a single, ergonomically favorable supine position.
TICC - 1F 101A
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11:00
12:00
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TICC - 3F Banquet Hall
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12:00
13:00
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Redefining the Trajectory of Prostate Cancer
TICC - 2F 201DE
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Advancing Focal Therapy with HIFU for Localized Prostate Cancer
TICC - 2F 201AF
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Dornier Thulio – ONE Laser for all Your Endourology Needs
TICC - 1F 101A
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Beyond oncologic outcomes: new approaches to Prostate and Bladder Cancer Care
TICC - 1F 101B
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12:00
13:00
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Redefining the Trajectory of Prostate Cancer
TICC - 1F 101D
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Latest Advances in mHSPC to Fight Tumor Heterogeneity: Experience from Australia and Japan
TICC - 3F South Lounge
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How to Optimize ADT Therapy in PC and BPH Treatment: From Evidence to Practice
TWTC - 1F Exhibition Hall
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13:30
15:00
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TICC - 3F Banquet Hall
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TICC - 3F Plenary Hall
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TICC - 1F 101A
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13:30
15:00
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Advancing Urologic Care Through Technology and Minimally Invasive Innovation
TICC - 1F 101B
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Recent Advancements in Muscle-Invasive Urothelial Carcinoma
TICC - 1F 101C
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TICC - 1F 102
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Oncology Prostate (D)
TICC - 1F 101D
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Andrology & BPH
I-Shen HuangTaiwan
Moderator
New Horizons in Clinical Predictors for Sperm Retrieval in Non-Obstructive Azoospermia Patients
Weida LauSingapore
Moderator
An Indepth Discussion on Male InfertilityIn this lecture, we will look at the urologist role in the diagnosis and management of male infertility. We will take an indepth look at the timing of male infertility consult and the assessment of patient focusing on risk factors and the diagnosis of important etiologies of male infertility. Next, we address the interpretation of basic semen analysis and other essential tests for male infertility. Lastly, without being too exhaustive, we learn to manage specific management scenarios including varicocele, obstructive azoospermia, medical management of male infertility, and the issue of sperm retrieval. Low-Intensity Shockwave Therapy: Current Evidence and Applications in Erectile DysfunctionIn this lecture, we aim to understand the basic science behind the use of LiESWT for erectile dysfunction and summarize the evidence that supports the utility of LiESWT for ED. Next, the lecture will address the role of LiESWT in the present armamentarium for the management of ED, including selection of patients who will best benefit from the treatment. Lastly, the talk will touch on current trends in the use of shockwave treatment including the prevalence in the use of radial shockwaves that has gained popularity in some regions despite the lack of evidence for efficacy.
TICC - 3F South Lounge
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13:30
15:00
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Transplantation & AI & Training
TICC - 3F North Lounge
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Functional Urology (A)
TICC - 4F Elegance Lounge
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Andrology (A) & Novel Advance (A)
Vinod K.VIndia
Moderator
Testosterone Therapy: Implications for Cardiovascular Health Sexual Function Preservation in MIS for BPH
TWTC - 2F Conference Room A+
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15:00
15:30
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TWTC - 1F Exhibition Hall
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15:00
17:00
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TWTC - 1F Exhibition Hall
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15:30
17:00
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TICC - 3F Plenary Hall
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15:30
17:00
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Advancing Precision Medicine in Advanced PC: From Patient-Specific Factors to Real-World Evidence
TICC - 1F 101C
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Oncology Prostate (E)
TICC - 1F 101D
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Oncology Bladder UTUC (D) & Functional Urology (B)
TICC - 1F 102
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Novel Advances
TICC - 3F South Lounge
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Nursing
Ching-Hui ChienTaiwan
Moderator
Self-Management with an Application in Urogenital Cancer PatientsProstate, kidney, and bladder cancers are among the most common urogenital malignancies. Of these, prostate cancer has the highest incidence and prevalence, yet
also imposes the greatest burden in terms of disability-adjusted life years (DALYs). Evidence suggests that self-management can enhance quality of life by improving
urinary and bowel symptoms, sexual dysfunction, emotional well-being, psychological health, confidence in symptom management, and self-efficacy in patients with prostate cancer. Our team developed and implemented an app-based self-management intervention specifically for prostate cancer patients. The findings showed significant improvements in urinary symptoms, social participation, and self-efficacy. Healthcare providers are encouraged to integrate app-assisted self-management
strategies into clinical practice to better address the holistic needs of patients.
Khatijah Lim AbdullahMalaysia
Moderator
Psychosocial and Physical Challenges of Young Adults with Urogenital Cancer: A Nursing Perspective
TICC - 3F North Lounge
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15:30
17:00
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Functional Urology (C)
TICC - 4F Elegance Lounge
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Oncology: Kidney
Siros JitpraphaiThailand
Moderator
RCC and IVC ThrombectomyRCC and IVC thrombus
Siros Jitpraphai
Division of Urology, Department of Surgery,
Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, THAILAND
Abstract
Renal cell carcinoma (RCC) with inferior vena cava (IVC) thrombus represents a complex surgical challenge, with an incidence of venous involvement in 4-10% of cases. This case report demonstrates the successful surgical management of a 58-year-old female patient with a large left-sided renal mass and IVC thrombus. The patient presented with gross hematuria and was diagnosed with a 10 cm clear cell renal cell carcinoma (Fuhrman nuclear grade 3) extending into the renal vein and IVC. Recognizing the complexity of the case, a multidisciplinary approach was employed, involving urological and hepatobiliary surgical teams. The comprehensive treatment strategy included an open radical nephrectomy with IVC thrombectomy. The surgical technique was meticulously planned and executed, with several key considerations. Preoperative imaging was crucial in determining the exact level of thrombus, allowing for precise surgical planning. The procedure emphasized careful vascular control and en-bloc tumor removal, with intraoperative ultrasound used to ensure accurate thrombus localization. Surgical teams worked collaboratively to minimize potential complications and maximize surgical success. Operatively, the procedure was substantial, with an estimated blood loss of 900 mL and a total operative time of 5 hours. The patient required two days of postoperative intensive care and was discharged from the hospital seven days after the surgery. Pathological examination confirmed the diagnosis of clear cell renal cell carcinoma, with no lymph node metastasis detected and positive tumor thrombus. Importantly, surgical margins were found to be free of tumor.
Follow-up evaluations have been encouraging, with no signs of tumor recurrence observed during regular intervals. This case illustrates the critical importance of a systematic surgical approach, precise technical execution, and comprehensive multidisciplinary management in successfully treating RCC with IVC thrombus. It provides valuable insights into the complex surgical management of this challenging condition, potentially offering guidance for similar cases in the future.
Keyword: RCC (Renal Cell Carcinoma), IVC Thrombus, Thrombectomy, Surgical Technique, Multidisciplinary Management
Highlight: RCC with IVC thrombus is a complex surgical challenge affecting 4-10% of cases. Successful management requires meticulous preoperative imaging, multidisciplinary team approach, and precise surgical technique. With careful planning and execution, 45-70% of patients can be cured through radical nephrectomy and IVC thrombectomy.
Robotic Partial Nephrectomy in Complex and Difficult Tumor Location
TWTC - 2F Conference Room 4
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Oncology RCC (B)
TWTC - 2F Conference Room A+
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18:30
22:00
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Taipei Expo Dome
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