The 2025 American Society of Clinical Oncology Genitourinary Cancers Symposium (ASCO GU 2025) was held from February 13 to 15 in San Francisco, showcasing the latest research and treatment strategies in the field of urological oncology from experts worldwide. Several clinical research findings from Dr. Hongqian Guo’s team at Nanjing Drum Tower Hospital were selected for presentation, covering a wide range of topics, including non-clear cell renal cell carcinoma (nccRCC), small renal tumors, metastatic hormone-sensitive prostate cancer (mHSPC), upper tract urothelial carcinoma (UTUC), and bladder cancer. Urology Frontier invited Professors Xuefeng Qiu, Shun Zhang, Guangxiang Liu, Yifan Sun, and Dr. Xi Zheng from Nanjing Drum Tower Hospital to share their insights.