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08:30
17:00
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Nursing Course
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Mei-Nan LiaoTaiwan
Speaker
Welcoming Speech from the President of the Taiwan Nurses Association
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Ching-Hui ChienTaiwan
Speaker
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.
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Pei-Hung LiaoTaiwan
Speaker
Applying Machine Learning to Identify Associations Between Phthalates and Bladder Cancer: Enhancing Nursing AssessmentCancer remains the leading cause of disease-related death, with both incidence and mortality rates alarmingly high. Despite its impact, most current research continues to concentrate on treatment development. However, cancer is often diagnosed at a late stage, as symptoms typically appear only after significant disease progression. This delay in detection limits treatment effectiveness. Therefore, there is an urgent need to shift focus toward prevention and early diagnosis. One promising direction is the development of a risk prediction model for bladder cancer, particularly by investigating its association with high-risk environmental hormone exposure.
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Nerissa M. GerialPhilippines
Moderator
Leadership in Quality: Empowering Urology Nurses to Drive CQI Initiatives This presentation explores the critical role of urology nurses in leading and sustaining Continuous Quality Improvement (CQI) initiatives in the clinical setting, with a focus on practical application within the National Kidney and Transplant Institute (NKTI). It begins by defining CQI as a structured, data-driven, and preventive approach to improving patient care and institutional performance, grounded in national regulatory frameworks from the Department of Health (DOH).
The session introduces the PDCA (Plan-Do-Check-Act) cycle as the core CQI methodology and walks the audience through each phase using examples and guidance relevant to nursing practice. A special focus is given to the role of nursing leadership in fostering a culture of quality through visibility, support, recognition, and resource allocation and how leadership behaviors directly influence CQI success.
Building a CQI culture is illustrated through the NKTI model, highlighting strategies such as the establishment of a dedicated CQI unit, regular trainings, guided proposal development, executive-level presentations, recognition systems, and integration of CQI into performance evaluation. A practical example of problem prioritization based on the criteria of the Philippine Society of Quality in Healthcare is also included to demonstrate structured decision-making.
The presentation concludes by showcasing CQI milestones and award-winning projects in urology nursing, reinforcing the message that quality is not an accident. It is the result of intentional, collaborative, and skillfully led efforts. Nurses, regardless of position, are empowered to become change agents and stewards of continuous improvement in healthcare.
Hoi-Chu ToHong Kong, China
Moderator
Quiet Nights Ahead: Effective Behavioral Techniques for NocturiaTechnical Pearls: Wheel-Barrow Techniques
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Yueh-Er ChiouTaiwan
Speaker
Epidemiological and Clinical Insights into the Causes and Prevention of UrolithiasisUrolithiasis is a growing global health issue with rising prevalence and high recurrence rates. In Taiwan, up to 34.7% of patients experience recurrence within five years. While treatment options like extracorporeal shock wave lithotripsy (ESWL) are widely used, long-term prevention remains a challenge. Risk factors include inadequate hydration, high sodium and animal protein intake, obesity, and metabolic disorders such as diabetes and hypertension.
Nurses play a vital role in educating patients, promoting lifestyle changes, and supporting chronic disease management. Empowering patients through nurse-led interventions is key to reducing recurrence and improving outcomes in urolithiasis care.
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Yen-Chi LinTaiwan
Speaker
Management of Acute Rejection After Kidney Transplantation-Case StudyA 35-year-old male underwent living donor kidney transplantation, complicated by acute rejection. Discuss the diagnostic approach and management strategies.
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Shu-Cheng WuTaiwan
Speaker
Developments in Immunotherapy for Urologic CancersImmunotherapy has progressed rapidly in genitourinary (GU) oncology, especially in renal cell carcinoma and urothelial carcinoma, providing many patients with meaningful, quality-adjusted survival gains. Focusing on urothelial carcinoma, I will examine how physicians and patients engage in shared decision-making, and—drawing on real-world experience in Taiwan—outline the current applications and future prospects of immunotherapy for this malignancy.
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Marinelle DoctorAustralia
Speaker
Addressing Adverse Reactions: Strategies for BCG Treatment OptimizationIntravesical Bacillus Calmette-Guerin BCG Therapy has been a cornerstone in the management of non-muscle invasive bladder cancer for several decades, demonstrating efficacy in reducing recurrence and progression rates. Nonetheless,its application is frequently limited by adverse reactions experienced by patients. These reactions, ranging from mild local irritations to severe systemic manifestations, pose significant challenges to both clinicians and patients, potentially leading to treatment discontinuation and compromised therapeutic outcomes.This session aims to explore innovative strategies for optimizing BCG treatments by mitigating these side effects.
In addition to clinical approaches, this session will highlight recent advancements in predictive markers for susceptibility to adverse reactions, offering insights into tailoring individual treatment plans.Furthermore, this session will tackle the impact of psychological support in managing treatment-related side effects. Participants attending this session will gain deeper understanding on how to enhance patient experience, improve compliance with BCG therapy , and ultimately achieve better therapeutic outcomes in bladder cancer treatment.
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Jiun-Liang ChenTaiwan
Speaker
Traditional Chinese Medicine in the Care of Cancer PatientsCancer disease remains a formidable global health challenge, the conventional therapeutic approaches to enhance treatment efficacy and reduce adverse effects. Traditional Chinese Medicine (TCM) has been practiced for thousands of years and is widely accepted as an alternative treatment for cancer at the present time. The treatments include Chinese herbal medicine and non-pharmaceutical interventions such as acupuncture, massage, moxibustion, and other acupoint applications. Numerous studies have indicated that the combination of TCM with radiotherapy, other drugs or chemotherapy can enhance the survival rates of cancer patients, improve their quality of life, and stop the growth and spread of cancerous cells. It also can improve cancer patients with co-morbid depressive symptoms and decreases the side effect of radiotherapy , chemotherapy, immunotherapy, and targeted therapy.
Key words Traditional Chinese Medicine, Cancer , Chemotherapy , Radiotherapy , Adverse effects
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Yeong-Yuh JuangTaiwan
Speaker
Integrating Psychosocial Care in Urological Cancer Treatment: Supporting Patients and Their FamilyUrological cancers significantly impact not only the physical health of patients but also their emotional and psychosocial well-being. Effective cancer care requires a holistic approach that addresses the psychological, social, and emotional challenges faced by patients and their families. This presentation focuses on the integration of psychosocial care into urological cancer treatment, emphasizing the importance of supporting both patients and their families throughout the cancer journey.
Key topics covered include recognizing the psychosocial needs of urological cancer patients, understanding the emotional burden on family caregivers, and implementing evidence-based interventions to enhance coping and resilience. Strategies such as early psychosocial screening, counseling, and multidisciplinary collaboration are discussed, along with practical tools for improving communication between healthcare providers, patients, and families.
The presentation also highlights the benefits of integrating psychosocial care, including improved patient adherence to treatment, enhanced quality of life, and reduced caregiver stress.
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Nerissa M. GerialPhilippines
Speaker
Leadership in Quality: Empowering Urology Nurses to Drive CQI Initiatives This presentation explores the critical role of urology nurses in leading and sustaining Continuous Quality Improvement (CQI) initiatives in the clinical setting, with a focus on practical application within the National Kidney and Transplant Institute (NKTI). It begins by defining CQI as a structured, data-driven, and preventive approach to improving patient care and institutional performance, grounded in national regulatory frameworks from the Department of Health (DOH).
The session introduces the PDCA (Plan-Do-Check-Act) cycle as the core CQI methodology and walks the audience through each phase using examples and guidance relevant to nursing practice. A special focus is given to the role of nursing leadership in fostering a culture of quality through visibility, support, recognition, and resource allocation and how leadership behaviors directly influence CQI success.
Building a CQI culture is illustrated through the NKTI model, highlighting strategies such as the establishment of a dedicated CQI unit, regular trainings, guided proposal development, executive-level presentations, recognition systems, and integration of CQI into performance evaluation. A practical example of problem prioritization based on the criteria of the Philippine Society of Quality in Healthcare is also included to demonstrate structured decision-making.
The presentation concludes by showcasing CQI milestones and award-winning projects in urology nursing, reinforcing the message that quality is not an accident. It is the result of intentional, collaborative, and skillfully led efforts. Nurses, regardless of position, are empowered to become change agents and stewards of continuous improvement in healthcare.
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Pei-Shan HoTaiwan
Speaker
Continuous Quality Improvement for Post-Renal Transplantation PatientsUnplanned hospital readmission after kidney transplantation is a significant challenge affecting patient prognosis and the quality of medical care. Data indicate that from April 1, 2017, to March 31, 2018, the unplanned readmission rate within 30 days of kidney transplantation was as high as 33%. The primary reasons for readmission included: urinary tract infection (40%), abnormal renal function (20%), abnormal liver function (20%), and abnormal drug levels (20%).
Analysis of personnel factors revealed that patient-side issues contributed, such as poor fluid intake, poor hygiene habits, poor medication compliance, and unclear dietary concepts. Additionally, from the perspective of both patients and nurses, there was too much information provided and a lack of educational tools. Although the educational content was comprehensive, it lacked intuitiveness and focus, making it difficult for patients to remember and learn, leading to quick forgetting of what was learned. These issues were also identified as workflow design problems.
To address these challenges, the project implemented several countermeasures:
•Improved care skills: This involved guiding patients to learn the correct concept of drinking water and utilizing QR Codes to assist with health education.
•Optimized educational tools: This included the development of tabletop games and the provision of practical aids such as specialized water bottles and medicine boxes.
•Introduction of a checklist.
•Strengthened interprofessional collaboration: As part of discharge planning, a nutritionist joined the patient care on postoperative day 7, and a pharmacist provided discharge education 3 days before discharge.
These multi-faceted quality improvement measures have effectively resolved the issue of unplanned readmissions among post-renal transplantation patients, significantly enhancing patient care quality and prognosis. These improved measures continue to be applied in clinical practice.
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Piao-Yi ChiouTaiwan
Speaker
A Quality Improvement Approach to Discharge Planning Services in NTUH Urology WardBackground:
Unplanned hospital readmissions are associated with increased morbidity and mortality, particularly among older adults. Although structured discharge planning and follow-up may reduce readmissions and improve post-discharge outcomes, more evidence is needed to confirm their effectiveness in high-risk populations.
Objectives:
This quality improvement project aimed to (1) reduce 30-day unplanned readmissions, (2) enhance discharge readiness through structured education, and (3) improve patient and caregiver satisfaction with discharge planning and transitional care.
Methods:
A nurse-led, multidisciplinary discharge planning program was implemented in a urology ward of a medical center in Northern Taiwan. High-risk patients were identified based on impaired function, medical tubing, unhealed wounds, recent transplantation, or chemotherapy. Interventions included nurse training, tailored patient education, caregiver coaching, follow-up calls within one week of discharge, and referrals to home or long-term care services.
Results:
In 2023, 1,042 high-risk patients were enrolled, with 99.4% completing follow-up. Sixteen cases (1.5%) involved unplanned readmissions or emergency visits, down from 19 cases (1.7%) in 2022. Common concerns included wound care, catheter issues, and symptom management. Patient satisfaction with nursing and medical care averaged 4.9/5, and family satisfaction remained high (4.7/5). Thirteen patients were referred for further care. Internal audits showed improved nurse compliance with risk screening and documentation.
Conclusion:
This structured, nurse-led discharge program effectively reduced readmissions and improved satisfaction among high-risk urological patients. Findings support the value of individualized, patient-centered transitional care. Digital tools may enhance future outcomes.
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William J. HuangTaiwan
Speaker
Male Infertility: Challenges and Opportunities in AsiaMale infertility contributes to nearly 50% of all infertility cases, with an increasing burden observed across Asia. In parallel, a dramatic decline in birth rates has emerged in several Asian countries—including South Korea, Japan, Taiwan, and Singapore—reaching historically low total fertility rates (TFRs) of under 1.0. While multifactorial in nature, this demographic crisis underscores the urgent need to address all aspects of reproductive health, including the often-overlooked role of male infertility. Epidemiological data reveal significant regional disparities in the prevalence, diagnosis, and treatment of male infertility. Cultural stigma, limited andrology training, fragmented referral systems, and inadequate coverage of assisted reproductive technologies (ART) have impeded timely diagnosis and intervention. Environmental exposures, endocrine-disrupting chemicals, occupational heat, and increased paternal age have all been linked to declining semen quality, as evidenced by longitudinal studies showing decreased sperm concentration and motility in several urban centers across Asia. Current diagnostic tools—including semen analysis, hormone profiling, genetic testing (e.g., Y-chromosome microdeletion, karyotyping), and imaging—enable better etiological categorization. Microsurgical sperm retrieval techniques such as mTESE have provided new hope for patients with non-obstructive azoospermia, while ICSI and sperm cryopreservation have become increasingly utilized where available. Nevertheless, access remains inconsistent, particularly outside metropolitan regions. Recent integration of AI-based systems for semen evaluation, patient triage, and digital counseling offers promising strategies to improve care delivery, especially in under-resourced settings. However, data privacy, regulatory standards, and user trust continue to pose barriers to widespread implementation. Opportunities for systemic improvement include the development of regional male infertility registries, integration of andrology into national reproductive health frameworks, expansion of insurance coverage for fertility services, and public awareness campaigns to destigmatize male infertility. In light of Asia’s fertility decline, repositioning male reproductive health as a public health and demographic priority is essential for sustainable population policy and long-term healthcare planning.
The Peri-Operative Care of MIST For Prostate HyperplasiaMinimally invasive surgical therapies (MIST), particularly UroLift and Rezūm, have transformed the treatment landscape for benign prostatic hyperplasia (BPH), offering effective symptom relief with reduced morbidity and preservation of sexual function. However, optimal outcomes depend not only on procedural execution, but also on well-structured peri-operative care protocols encompassing pre-, intra-, and post-operative management. Pre-operative evaluation includes comprehensive assessment of prostate anatomy—especially size, shape, and presence of median lobe—via imaging (TRUS or cystoscopy) to determine candidacy. Careful patient selection is essential: UroLift is typically suited for prostates <80 cc without obstructive median lobes, while Rezūm accommodates broader anatomical variability but may have delayed symptom resolution. Baseline symptom scores (e.g., IPSS), uroflowmetry, and post-void residual volume establish functional benchmarks and guide patient counseling. Anesthesia planning must consider procedural setting and patient comorbidities. UroLift can often be performed under local anesthesia with light sedation, whereas Rezūm may require short general anesthesia or deeper sedation due to thermal discomfort. Appropriate selection reduces intraoperative stress and facilitates same-day discharge. Intraoperative care focuses on minimizing trauma and ensuring device precision. UroLift requires accurate deployment of implants to maintain lateral lobe retraction without compromising sphincter integrity. In Rezūm, the number and duration of vapor injections must be titrated based on lobe size and configuration to balance efficacy and tissue inflammation. Real-time visualization and standardized protocols reduce variability and improve safety. Post-operative management involves anticipating and controlling transient irritative symptoms, such as dysuria, urgency, and hematuria. Alpha-blockers and anti-inflammatory medications are commonly used for 3–7 days post-procedure. Catheterization strategies differ by technique: UroLift may avoid catheter use entirely, whereas Rezūm often requires 7-14 days of catheter drainage due to anticipated edema. Monitoring for urinary retention, UTI, or clot obstruction is critical during the early recovery phase. Follow-up care typically occurs at 2–4 weeks and includes reassessment of voiding function, symptom scores, and patient satisfaction. Reinforcement of realistic expectations is especially important with Rezūm, which may take 4–6 weeks to achieve peak efficacy. Longitudinal studies indicate sustained symptom relief and low retreatment rates when peri-operative care is standardized and patient education is emphasized. Adverse event profiles differ between techniques: UroLift is associated with less dysuria but higher retreatment rates in large prostates, while Rezūm presents higher rates of transient discomfort but favorable durability. Structured peri-operative care pathways—including patient education, standardized medication protocols, and clear complication management plans—enhance recovery, minimize adverse events, and improve overall clinical success.
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Fang-Wen HuTaiwan
Speaker
Empowering Optimal Care: A Tiered Approach to Preventing Inappropriate Urinary Catheter Use in Hospitalized Older PatientsThe prevalence of urinary catheter use in hospitalized older patients is approximately 25%, with an estimated 43.9% to 54% deemed inappropriate. Indwelling urinary catheters are associated with extended hospital stays and increased mortality. To address these concerns, we developed a tiered approach framework aimed at reducing inappropriate urinary catheter use and its associated adverse outcomes. This three-year interrupted time series study employed a systematic approach to design, implement, and evaluate the effectiveness of this model. In the first year, we assessed the incidence, risk factors, and outcomes related to inappropriate catheter use among hospitalized older patients. Additionally, we explored knowledge, attitudes, perceptions, and practices concerning catheter use among physicians, nurses, hospitalized older patients, and their primary caregivers. Using a modified Delphi method, we developed a tiered approach model comprising four components: (1) restricting catheter use to appropriate indications (Tier 1A), (2) encouraging the use of alternatives when feasible (Tier 1B), (3) ensuring aseptic techniques for catheter insertion and maintenance (Tier 1C), and (4) facilitating timely catheter removal (Tier 1D). Based on findings from the first year, we implemented educational interventions during the second year, targeting healthcare professionals, patients, and caregivers. Simultaneously, the tiered approach was integrated into routine clinical care processes and subjected to pilot testing. In the third year, the model was fully implemented across clinical settings, and its effectiveness in reducing inappropriate urinary catheter use in hospitalized older adults was systematically evaluated.Empowering Optimal Care: A Tiered Approach to Preventing Inappropriate Urinary Catheter Use in Hospitalized Older Patients
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Hoi-Chu ToHong Kong, China
Speaker
Quiet Nights Ahead: Effective Behavioral Techniques for NocturiaTechnical Pearls: Wheel-Barrow Techniques
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TICC - 2F 201AF
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