Bridging the Past and Future: New Horizons in Urological Disease Treatment
Dr. Ka-Lun Lo
Country : Hong Kong
Official Title : Attending Physician, Department of Urology
Department :
Institute : Prince of Wales Hospital
Speaker CVUroLift and Rezūm in BPH: Office-Based MIST in Real-World Practice
To evaluate the safety, feasibility, and early clinical outcomes of two office-based minimally invasive surgical therapies (MIST), Urolift and Rezum, for benign prostatic hyperplasia (BPH) performed under pure local anesthesia with same-day discharge. Prospective cohorts of men with BPH-related lower urinary tract symptoms (LUTS) or obstructive uropathy underwent either Urolift or Rezum between 2023 and 2024. Procedures were performed in the endoscopy room under local anesthesia without general or regional block. Peri-operative outcomes, pain scores, catheter status, hospital stay, and functional outcomes were recorded. Follow-up included International Prostate Symptom Score (IPSS), quality of life (QoL), uroflowmetry, prostate volume, and renal function when applicable. A total of 50 patients were treated (30 Urolift, 20 Rezum). For Urolift, mean prostate volume was 52.4 cc, mean operative time 20 minutes, and mean procedural pain scores were low. All LUTS patients and 85% of retention patients were discharged catheter-free on the same day, with no 30-day readmissions. At 3 months, prostate volume decreased by 14.9%, IPSS improved by 69%, QoL by 50%, and Qmax by 21%. For Rezum, median prostate size was 57.8 ml, and 95% of men with obstructive uropathy were successfully weaned off catheter within a median of 33 days, with stable renal function. At 3 months, no recurrent retention occurred; prostate volume decreased by 38%, median IPSS was 4, QoL 2, and Qmax reached 10.3 ml/s. Both Urolift and Rezum are safe and effective office-based MIST options for BPH, feasible under pure local anesthesia with same-day discharge. Urolift offers rapid symptomatic relief with minimal peri-operative morbidity, while Rezum provides significant prostate volume reduction and durable voiding recovery in patients with obstructive uropathy. These approaches can reduce hospital stay, optimize theatre utilization, and expand access to minimally invasive BPH treatment.
Dr. Yu-Feng Chuang
Country : Taiwan
Official Title : Chair, Urology Education Committee
Department :
Institute : Tungs' Taichung MetroHarbor Hospital
Speaker CVChoosing the optimal approach beyond MIST for large glands
Aquablation is a modern, minimally invasive treatment for benign prostatic hyperplasia (BPH) that uses a heat-free, high-pressure waterjet to precisely remove excess prostate tissue. The procedure is performed by a surgeon using real-time imaging, which allows for highly accurate and consistent tissue removal. This precision can help reduce the risk of common side effects like incontinence and erectile dysfunction, making it an effective and safe option for men with an enlarged prostate.
Dr. Hung-Chieh Chiu
Country : Taiwan
Official Title : Director of the Center for Male Sexual Health
Department :
Institute : Asia University Hospital
Speaker CVIntegrating sexual function and genital aesthetics in men’s health
• ADMs have potentials in plastic and reconstructive urology surgeries • ADMs in premature ejaculation (option) • ADMs in penile girth augmentation • Pre-op PE and psychological evaluation • Risk evaluation and communication • Particle and Patches • Early rescue for complication
Dr. Han-Chung Yang
Country : Taiwan
Official Title : Director of the Center for Male Sexual Health
Department :
Institute : Taichung Veterans General Hospital
Speaker CVExploraing New Frontiers of the Davinci SP system
This presentation focuses on the application and development of the da Vinci SP single-port robotic system in minimally invasive urological surgery. The SP platform operates through a single 2.5 cm incision, integrating three fully articulating surgical instruments with a high-definition 3D endoscopic camera, enabling precise operations in the narrow and deep pelvic cavity. The session will highlight its clinical advantages in procedures such as radical prostatectomy, partial nephrectomy, and ureteral reconstruction, including reduced postoperative pain and infection risk, shorter recovery time, and improved patient satisfaction. The system’s design also enhances surgeon ergonomics, minimizes instrument collision, and improves overall efficiency. Taichung Veterans General Hospital will share its current surgical experiences at this symposium.
Dr. Po-Fan Hsieh
Country : Taiwan
Official Title : Attending Physician, Department of Urology
Department :
Institute : China Medical University Hospital
Speaker CVReimagining ECIRS: Ex-panding the Scope from Stones to Strictures
Nowadays, miniature of percutaneous access and combination with retrograde flexible ureteroscope are two major trends to lower the complication rates and increase the stone free rate in treating patients with renal stones. Decreased percutaneous access tract size would reduce the damage of renal parenchyma, with subsequent lower transfusion rate, less pain, and shorter hospitalization. However, miniature of percutaneous access decreased the SFR and limit its indication. Therefore, a novel technique developed, namely, endoscopic combined intrarenal surgery (ECIRS). Combining retrograde flexible ureteroscope and PCNL has the advantage of simultaneous antero-retrograde approach to the whole collecting system. ECIRS makes it possible to remove urolithiasis along the whole urinary tract in one session, especially for patients with anatomic renal anomaly or ureter stricture.
Dr. Chih-Chin Yu
Country : Taiwan
Official Title : Chief of Urology Diagnostic Unit
Department :
Institute : Taipei Tzu Chi Hospital
Speaker CVHow Robotic Surgery is Transforming Inguinal Hernia Repair
Robotic-assisted surgery has emerged as a valuable innovation in inguinal hernia repair, combining the benefits of minimally invasive surgery with enhanced visualization, dexterity, and surgeon ergonomics. While clinical outcomes such as recurrence, complications, and postoperative pain are comparable to laparoscopic repair, robotics provides distinct advantages in complex and bilateral hernia cases. The challenges of longer operative times and higher costs currently limit universal adoption, but technological advances and broader experience are likely to shape a future where robotics becomes integral to hernia surgery.
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