Dr Md Jahangir kabir MBBS, FCPS, FRCS (Glasgow, UK) Chief Consultant Urologist & Adjunct Professor, Labaid Specialized hospital, Dhaka Bangladesh & State University of Bangladesh.
Member Advisory board, Bangladesh Association of Urological Surgeons (BAUS),
Member of Society international d Urology,( SIU)
Member, Urological Association of Asia (UAA)
Member, Society of Genito-urological oncologist (SOGO)
Member, American Urological Association (AUA),
International member, Urological Society of India(USI)
Secretary general, South Asian Society for Sexual Medicine (SASSM).
Secretary general, Urology and transplant foundation of Bangladesh (UTFB)
Life member, Society of Surgeons of Bangladesh (SOSB),
Life member, Society of Endo-Laparoscopic Surgeons of Bangladesh (SELSB)
Md Jahangir Kabir received his MBBS from Rangpur Medical College, Bangladesh in 1983,. Following his surgical training he became a Fellow the Bangladesh college of Physician and Surgeons in 1991 and subsequently became of fellow of the Royal College of Surgeons of Glasgow, UK in 1993. He then get clinical experience in urology in different UK Hospitals including Institute of urology and nephrology London, Aintree University Hospital, Liverpool, Bristol urological institute, and St Mary’s Hospital IOW. In Bangladesh he worked in different teaching positionsin BSMMU, NIKDU, DMCH, and SSMC & Mitford Hospital. Dr. Kabir is one of pioneer in the field of Laparoscopic urology, PCNL, RIRS, urodynamic procedures in Bangladesh. Dr. Kabir treats urological cancer like prostate, bladder, kidneys and testes using conventional open surgery as well as minimally invasive technique. Dr Kabir has also been involved in the treatment of stone disease, andrological problems and reconstructive surgery. Dr Kabir regularly attends and presents papers in national & international conferences and published more than 20 articles in national international journals. Dr. Kabir served over 10 years as Chairman scientific subcommittee of the BAUS.
15th August 2025
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10:30
12:00
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Hammad Ather Pakistan
Speaker
Current Evidence Supporting Adjuvant and Neo-Adjuvant TreatmentThe Upper Tract Urothelial Cancer (UTUC) is increasingly being considered as a genetic disorder. Following RNU, the IHC can detect a deficiency in mismatch repair proteins or microsatellite instability (MSI) using PCR. In the presence of MSI, it is necessary to undergo germline testing. High-grade UTUC is an aggressive cancer and is often associated with micrometastases, resulting in early recurrence and development of metastases. Risk classification and recognising more aggressive cancers in whom adjuvant or even neoadjuvant chemotherapy may be of benefit. One of the most crucial steps in considering patients for chemotherapy is the platinum eligibility, renal function (<30ml/min), functional status (ECOG >2) and comorbidities >2 grade are considered ineligible. There is good-quality evidence of improved survival for adjuvant chemotherapy in eligible patients following RNU for pT2–T4 and/or pN+ disease. The 2025 EAU guidelines recommend discussing adjuvant nivolumab with PD-L1-positive patients unfit for, or who declined, platinum-based adjuvant chemotherapy for ≥ pT3 and/or pN+ disease after previous RNU alone or ≥ypT2 and/or ypN+ disease after previous neoadjuvant chemotherapy, followed by RNU. However, the evidence supporting this recommendation is weak. Single intravesical chemotherapy is strongly recommended. There is currently no level 1 evidence supporting neo-adjuvant chemotherapy; however, non-randomised series have shown a decreased incidence of positive surgical margins, recurrence, and improved survival over RNU alone.Avoiding Complication in Orthotopic NeobladderIn most large series from Europe, approximately 1-2 of every 10 patients undergoing radical cystectomy have an orthotopic neobladder (ONB). Data is supporting ONB in terms of quality of life, cosmetics, and improved patient satisfaction. Early and late morbidity in up to 22% of patients is reported. The terminal ileum is the GI segment most often used for orthotopic bladder substitution. With ileo-ureteral anastomoses, there is UUT reflux, and renal functional deterioration is a concern. Various forms of UUT reflux protection, including a simple isoperistaltic tunnel, ileal intussusception, tapered ileal prolongation implanted subserosally, and direct (sub)mucosal or subserosal ureteral implantation, have been described. Superiority of one over the other is not proven. Urethral recurrence is a significant concern; therefore, patient selection must be optimal. Short-term complications are related to the GI tract, including atelectasis and metabolic acidosis. They are all preventable with standardised post-operative measures. The ERAS protocol is particularly useful in avoiding short-term complications and decreasing postoperative hospital stay, among other benefits. The key to success in preventing complications is meticulous patient selection and the implementation of preemptive measures to avoid common complications.Prostate Biopsy Technique: Current EvidenceOptimal prostate biopsy is critical in risk-stratifying patients for appropriate patient care. The traditional TRUS-guided biopsy is associated with UTI sepsis and other infectious complications. Recently, the use of the transperineal route has been advocated for the diagnosis of prostate cancer. Biopsy is either systematic or targeted. There is evidence supporting the notion that MRI-targeted biopsy without systematic biopsy significantly reduces the over-diagnosis of low-risk disease, compared to systematic biopsy. This seems true even when systematic biopsies are indicated after risk stratification with the Rotterdam Prostate Cancer Risk Calculator. EAU recommends performing prostate biopsy using the transperineal approach due to the low risk of infectious complications and better antibiotic stewardship. They also recommend using either target prophylaxis based on rectal swab or stool culture, or augmented prophylaxis (two or more different classes of antibiotics), for transrectal biopsy.
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Vinod K.VIndia
Moderator
Testosterone Therapy: Implications for Cardiovascular Health Sexual Function Preservation in MIS for BPH
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M. SivashankarSri Lanka
Speaker
Management of NMIBC during BCG Shortage EraDuring periods of Bacillus Calmette–Guérin (BCG) shortage, management of non muscle invasive bladder cancer (NMIBC) must be guided by risk stratification and resource optimization. Recent evidence supports reduced dosing (one third to half) rather than abbreviated schedules, with induction prioritized for high risk and carcinoma in situ cases. Alternative intravesical agents—mitomycin C (especially with chemohyperthermia or EMDA), gemcitabine, epirubicin, or sequential gemcitabine/docetaxel—are recommended when BCG is unavailable. In cases of incomplete BCG followed by chemotherapy, outcomes may be superior to chemotherapy alone. For high risk patients, upfront radical cystectomy should be considered when BCG is wholly unavailable. Future trials and supply diversification remain vital.
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Athanasios PapatsorisGreece
Speaker
BCG Refractory Cancer: Current Status of Intravesical TreatmentRecommendations in Laser Use for the Treatment of Upper Tract Urothelial Carcinoma
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Rajeev TPIndia
Moderator
Newer Advances in the Endourological Management of Stones – Have We Reached the Zenith
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Hammad Ather Pakistan
Speaker
Current Evidence Supporting Adjuvant and Neo-Adjuvant TreatmentThe Upper Tract Urothelial Cancer (UTUC) is increasingly being considered as a genetic disorder. Following RNU, the IHC can detect a deficiency in mismatch repair proteins or microsatellite instability (MSI) using PCR. In the presence of MSI, it is necessary to undergo germline testing. High-grade UTUC is an aggressive cancer and is often associated with micrometastases, resulting in early recurrence and development of metastases. Risk classification and recognising more aggressive cancers in whom adjuvant or even neoadjuvant chemotherapy may be of benefit. One of the most crucial steps in considering patients for chemotherapy is the platinum eligibility, renal function (<30ml/min), functional status (ECOG >2) and comorbidities >2 grade are considered ineligible. There is good-quality evidence of improved survival for adjuvant chemotherapy in eligible patients following RNU for pT2–T4 and/or pN+ disease. The 2025 EAU guidelines recommend discussing adjuvant nivolumab with PD-L1-positive patients unfit for, or who declined, platinum-based adjuvant chemotherapy for ≥ pT3 and/or pN+ disease after previous RNU alone or ≥ypT2 and/or ypN+ disease after previous neoadjuvant chemotherapy, followed by RNU. However, the evidence supporting this recommendation is weak. Single intravesical chemotherapy is strongly recommended. There is currently no level 1 evidence supporting neo-adjuvant chemotherapy; however, non-randomised series have shown a decreased incidence of positive surgical margins, recurrence, and improved survival over RNU alone.Avoiding Complication in Orthotopic NeobladderIn most large series from Europe, approximately 1-2 of every 10 patients undergoing radical cystectomy have an orthotopic neobladder (ONB). Data is supporting ONB in terms of quality of life, cosmetics, and improved patient satisfaction. Early and late morbidity in up to 22% of patients is reported. The terminal ileum is the GI segment most often used for orthotopic bladder substitution. With ileo-ureteral anastomoses, there is UUT reflux, and renal functional deterioration is a concern. Various forms of UUT reflux protection, including a simple isoperistaltic tunnel, ileal intussusception, tapered ileal prolongation implanted subserosally, and direct (sub)mucosal or subserosal ureteral implantation, have been described. Superiority of one over the other is not proven. Urethral recurrence is a significant concern; therefore, patient selection must be optimal. Short-term complications are related to the GI tract, including atelectasis and metabolic acidosis. They are all preventable with standardised post-operative measures. The ERAS protocol is particularly useful in avoiding short-term complications and decreasing postoperative hospital stay, among other benefits. The key to success in preventing complications is meticulous patient selection and the implementation of preemptive measures to avoid common complications.Prostate Biopsy Technique: Current EvidenceOptimal prostate biopsy is critical in risk-stratifying patients for appropriate patient care. The traditional TRUS-guided biopsy is associated with UTI sepsis and other infectious complications. Recently, the use of the transperineal route has been advocated for the diagnosis of prostate cancer. Biopsy is either systematic or targeted. There is evidence supporting the notion that MRI-targeted biopsy without systematic biopsy significantly reduces the over-diagnosis of low-risk disease, compared to systematic biopsy. This seems true even when systematic biopsies are indicated after risk stratification with the Rotterdam Prostate Cancer Risk Calculator. EAU recommends performing prostate biopsy using the transperineal approach due to the low risk of infectious complications and better antibiotic stewardship. They also recommend using either target prophylaxis based on rectal swab or stool culture, or augmented prophylaxis (two or more different classes of antibiotics), for transrectal biopsy.
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TICC - 1F 101D
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