Uniting urology across continents: EAU-JUA Exchange Programme 2025
We had the incredible opportunity to spend two unforgettable weeks in Japan as part of the EAU–JUA Exchange Programme 2025. This prestigious programme allowed us to explore three distinguished urological departments and conclude our journey at the 112th Annual Meeting of the Japanese Urological Association (JUA2025). What we experienced was far more than clinical observation –a profound professional and cultural exchange that will shape our careers for years to come.
First stop: Niigata University
Our journey began at Niigata University, where we were warmly welcomed by Prof. Yoshihiko Tomita and his team. Their hospitality set the tone for the entire exchange. During our time there, we observed daily ward rounds and participated in video-based clinical seminars. A highlight was the introduction to their renal transplant programme, which included the ABO-incompatible kidney transplantation, presented by Prof. Kazuhide Saito.
In the operating theatres, we witnessed a retroperitoneoscopic robot-assisted partial nephrectomy, a procedure demonstrating their surgical precision and innovation. We also had the privilege of visiting the research laboratories led by Dr. Vladimir Bilim, where we learned about their work on GSK-3 inhibitors with promising antitumor activity.
Second stop: University of Tokyo
After a scenic Shinkansen ride, our next destination was the University of Tokyo, under the guidance of Prof. Haruki Kume. In the operating rooms, we observed a robot-assisted radical prostatectomy with urachal resection, as well as endoscopic combined intrarenal surgery procedures. We toured the inpatient and outpatient units, and explored the simulation centre, where we had the opportunity to try the Hinotori surgical robot, Japan’s robotic platform.
We were also introduced to exciting regenerative research led by Dr. Yoshitaka Kinoshita, focusing on life-supporting functional kidney replacement using embryonic metanephros-bladder composite tissue transplants – a fascinating and futuristic concept.
Third stop: Kyorin University
Our third clinical visit brought us to Kyorin University, hosted by Prof. Hiroshi Fukuhara and his team. Their department is focused on robotic surgery, stone disease, and female urology. We observed various surgeries such as robot-assisted partial nephrectomy, transurethral resection of bladder tumour, and ureteroscopy, guided by Dr. Yu Nakamura.
Prof. Fukuhara also presented their ongoing research into oncolytic virus therapy for prostate cancer – an area of high innovation with translational potential. Like the previous centres, Kyorin also provides comprehensive oncological care, including the latest in chemotherapy and immunotherapy.
Culmination: 112th Annual Meeting of the JUA
Our exchange concluded at JUA2025 in Fukuoka, where 7,000 participants convened. The scientific programme was of the highest calibre, and we had countless opportunities to engage with colleagues from Japan and around the world. The congress was impeccably organised, and Prof. Masatoshi Eto was an outstanding host. The social events further enriched our experience, offering informal moments for collaboration and friendship.
One day in Nagasaki
Following the JUA Annual Meeting in Fukuoka, we enjoyed a guided day trip to Nagasaki, a city with deep historical ties to international exchange. We visited Dejima, the former Dutch trading post during Japan’s isolation era, which offered fascinating insights into early cultural and scientific contact with the West.
We then admired the Spectacles Bridge (Meganebashi), Japan’s oldest stone arch bridge known for its distinctive double-arch reflection. Our final stop was Glover Garden, showcasing beautiful Western-style residences from the Meiji era, including the historic home of Scottish merchant, Thomas Glover. This excursion beautifully highlighted Nagasaki’s unique role in Japan’s modernisation and global connections.
A journey beyond medicine
Beyond clinical and scientific excellence, the EAU-JUA exchange programme offered unforgettable cultural and social experiences. In Niigata, we enjoyed the beauty of cherry blossoms in full bloom and even had the rare privilege of meeting geishas during dinner. In Tokyo, we explored iconic sites such as Asakusa, SkyTree, and the vibrant Shibuya Crossing, and visited Inokashira Park near Kyorin University.
We tasted the best of what Japanese cuisine can offer – from sushi and ramen to wagyu beef and an endless variety of fish – and even experienced a night of singing at a traditional karaoke bar.
Throughout our journey, we observed similarities and differences in practice, exchanged knowledge, and built bridges of cooperation and friendship. We were deeply impressed by the kindness and professionalism of our Japanese colleagues, the high quality of care, and the deep cultural heritage of Japan.
We are truly grateful to the EAU and the JUA for making this remarkable exchange possible. It has been a once-in-a-lifetime experience that will stay with us professionally and personally.
