Urothelial carcinoma (UC) is a highly aggressive malignancy with high incidence and severe complications, significantly impacting patients’ quality of life and survival outcomes. In recent years, there have been remarkable advances in both the diagnosis and treatment of UC. At the 2025 Pujiang Uro-Oncology Conference—jointly organized by the CSCO Urothelial Carcinoma Expert Committee, CSCO Renal Cancer Expert Committee, the Chinese Urologic Oncology Cooperative Group, the Beijing Health Promotion Association Chen Jumei Public Welfare Foundation, and the Shanghai Urologic Oncology Institute, and co-organized by Fudan University Cancer Hospital—Professor Jinchun Xing of the First Affiliated Hospital of Xiamen University delivered an insightful lecture on the latest breakthroughs and future directions in UC management.