TCS president speechObjective DevelopmentNewsletter Editing Committee
Internet Publishing CommitteeAcademic CommitteeCommunity Continence Promotion Committee
TCS president speech
I would like to express my sincere gratitude to the members of the Taiwanese Continence Society for your support and encouragement. It is a great honor to be given the privilege to serve as sixth Chairman of the President of the society.

With great efforts of our founding Chairman Dr. Han-Sun Chiang, and the succeeding Prof. Alex T.L. Lin and Prof. H.C. Kuo, the Taiwanese Continence Society has acquired satisfactory results in educating related doctors and nurses, proving correct knowledge of incontinence and continence control to the general republic, and establishing the concept of the prevention and treatment of incontinence. We have now accomplished the three stages of the objective. Firstly, we gave the public a new understanding of continence control and the importance of the prevention and treatment of incontinence. Secondly, we held seminars of voiding dusfuncion and incontinence, and organized the training programs for those working on these issues. Thirdly, we gathered Taiwan’s specialists to make the guideline for diagnoses and treatment of various voiding dysfunction, including overactive bladder, lower urinary tract symptoms, interstitial cystitis, pelvic organ prolapsed, benign prostatic hyperplasia, neurogenic voiding dysfunction, and continence promotion for aged people.

The Taiwanese Continence Society has the future objectives for our work:

1. To share information on the prevention and treatment of incontinence by the internet, to enhance the communication and contact among our members, and to stretch our services. We hope the society platform can be available to other Chinese communities.
2. To strengthen the health education for people living in remote towns, and to shorten the knowledge gap between urban and rural areas.
3. To integrate the research, started with the epidemiology of Ketamine cystitis, which is a serious problem in Taiwan.
4. To accumulate and pass on the research results on continence control, and to enhance the cooperation and experience sharing of scholars from other countries.
5. To provide the easy-reading Chinese version of our reports, newsletters and publications, so that the general public can be benefit from them.
I’d like to thank our members for the dedication and active participation to accomplish our missions and goals. Yet not much can be accomplished without the necessary means. We are in need of funds and other resources. For the activities of educating continence control in public, communities and nursing homes, we will look for government grants as previous years, and will expand the donation from other people or society. We hope that more and more colleagues will join our society to work for prevention of incontinence and promote the health of lower urinary tract, so that we can make all of our people have good urinary flow as well as continence control.

With the full support of the members of the Taiwanese Continence Society, I am honored to be elected as the Chairman of the board. In the forthcoming three years, I pledge to continue the work of former leaders, to gather the most outstanding scholars and specialists, to provide better concepts and knowledge for continence control, and to promote the health of Taiwanese on the lower urinary tract. The continuous encouragement and support from the members and the general public for the Taiwanese Continence Society will be greatly appreciated.

Dr. Yao-Chi Chuang
President of Taiwanese Continence Society
Chief, Department of Urology, Kaohsiung Chang Gung Memorial Hospital



The Taiwanese Continence Society is a non-profit social organization established in September 1997 by doctors and nursing staff from medical centers and academic hospitals devoted to public welfare. Its professional members currently total over 500.

The objectives of the Taiwanese Continence Society are:

1. To integrate local health care professionals and other people providing service to incontinence patients in order to help these patients acquire a proper attitude toward incontinence.
2. To organize academic seminars and engage in exchange activities with similar international organizations so as to provide health care professionals with the latest information on the prevention and treatment of incontinence.
Since the establishment of the Taiwanese Continence Society, emphasis has been placed on the promotion of public welfare activities and health care, while services have been aimed at incontinence care for patients suffering from pediatric enuresis, female urinary incontinence, male urinary incontinence, geriatric urinary incontinence, impaired urinary elimination caused by prostatic hypertrophy, long-term clinical problems, etc. The Society’s service area stretches around the island of Taiwan and extra attention is paid to more backward areas with lower medical standards.

In addition to organizing activities in conjunction with government departments and agencies, the Society also engages in the following

1. The organization of health lectures, such as to spread informationon the prevention and treatment of incontinence and enuresis in schools, communities and nursing home.
2. The publishing of a society newsletter; currently the newsletter is published once every three months and distributed free of charge to the outpatient departments of hospitals to provide information on the prevention and treatment of incontinence.
3. The organization of on-the-job training programs for health care professionals and academic seminars in order to provide local health care professionalswith the latest information on the prevention and treatment of incontinence.
4. The organization of Kegel exercise classes and bed-wetting camps, providing professional consultation for incontinence-related problems and the seeking of medical treatment.



Under the dynamic leadership of prof. Alex T.L.Lin, President of the society, four committees have been established to promote the execution of general affairs, namely a Newsletter Editing Committee, an Internet Publishing Committee, an Academic Committee and a Nursing Committee.

As a result of this combined effort, the Society has attained a new image, taking it into a whole new era and gaining support, recognition and positive response from different directions.

Future objectives include the further promotion of public health activities and the introduction of health concepts in a bid to make a contribution to the general public health of Taiwan.

Following is an introduction to the function of the four committees.



( 1 ) . Newsletter Editing Committee
Dr. Stephen S.D., Yang, chief of the Department of Urology of the ECK Hospital, was called upon to take the position of chairman of the Newsletter Editing Committee, while various doctors in obstetrics and gynecology and in urology as well as incontinence nursing teachers were asked to function as committee members.

A team of editing members made the publication of a new newsletter possible. A completely new layout was made to increase the scope and profundity of services, and topics were planned for each different issue. An editing member was   appointed for each issue and put in charge of editing and inviting for submission of articles.

Each issue of the newsletter aims to give the public a new understanding of the prevention and treatment of incontinence and to become a reference in the education of health care professionals.

“Activity Sidelights” and “Academic Reports” form the footprints of our seminars and other activities. In addition, we also invite members to submit abstracts of seminars so that everyone can share the information.

“Latest Developments in Medicine” and “Q&A” function as a bridge between the public and health care professionals. Professionals are encouraged to submit articles to develop this section, and in addition to publication in the newsletter, articles will also be posted on the website of the Taiwanese Continence Society for increased exposure. The public is welcome to send in questions that will be answered in detail by a professional.



( 2 ) . Internet Publishing Committee
The position of chairman of the Internet Publishing Committee has been filled by Dr. Edward C.S., Chen, chief of the Department of Urology of the Chang-Gung Memorial Hospital in Chiayi, while web design experts have been recruited as members of the Committee responsible for the planning of a new website so that full advantage can be taken of the unlimited possibilities of the Internet and people can make use of readily available information.

As of June 2001, design and management of the website, originally outsourced, has been taken into own hands, so that funds originally spent on high website maintenance fees could be reallocated to the production of publications of the Society. From June 2001 to April 2002, extensive reconstruction and innovation of the website took place, while systematic editing was applied to fully organize all content. The outer appearance of the website was somewhat neglected, however, until April 2002 when Ms.Jennifer Lee who has a background in information management, started to get involved in the design and periodical updating of the website. The outlook of the website gradually improved and animation was added, making the website more attractive.. Thanks to Ms.Jennifer Lee the web content has been enhanced to a level qualifying the “update by call” era. Now, any news on events and periodical literature or activities can be posted on the society’s website after approval by a committee member or the secretariat, while latest information can be uploaded at any given time. Also, monthly newsletters are sent to members by email, providing them with the latest information about the society.

In addition to instant processing, the web content was linked up with the academic team in June 2002 to promote literature reading so as to provide an additional service to professional members, while in September 2002 a discussion room and a bulletin board were introduced to give members the opportunity to exchange views. Case analyses by Dr. H.C., Kuo chairman of the Academic Committee, provide another valuable reference for doctors of the younger generation.

Planning is still underway for the design of a search engine which should facilitate even faster services.



( 3 ) . Academic Committee
In the past the Taiwanese Continence Society strived to educate the public and pass on experience in the prevention and treatment of incontinence. To date, there is a need of expansion to promote academic research.

On invitation of prof. Alex T.L., Lin President of the society., Dr.H.C., Kuo, chief of the Department of Urology of the Hualien Tzu Chi General Hospital and devotee to the education of young doctors and technical staff, has taken the position of chairman of the Academic Committee. He has systematically planned annual educational activities and periodical seminars at various locations, giving interested professionals an opportunity to make a concerted effort to explore the field. He has also had a hand in the expansion of the academic content of the Society’s General Assembly of Members and the increase of opportunities to publish papers and hold thematic seminars, setting the stage for communication between local specialists in related fields, while bringing the Society to a new academic level and creating a new image, which has resulted in greater recognition by increasing numbers of professionals!

In 2002, three “Seminars on Urodynamics” were held in Kaohsiung, Taichung and Taipei respectively, attracting over 500 local health care professionals. Local specialists in the field of urodynamics were invited to lecture, while product suppliers gave product presentations, introducing participants to the latest products and materials.

In order to raise the standard of female urology in Taiwan, two “Seminars on Female Urology” are planned to be held in Kaohsiung and Taipei in 2003. These seminars aim to bring together specialists from female urology and urologynecology, so that problems can be approached from different angles and participants will gain a new recognition and understanding of female urology. These seminars form some of the few large-scale academic seminars on obstetrics & gynecology and urology held in Taiwan in the past few years.

Finally, a “Literature Reading Team” has been established consisting of a number of local medical specialists and nursing teachers who periodically review various journals and make summaries of valuable information. Every month these summaries are sent by email to members by the secretary of the Internet Publishing Committee and posted on the website. Dr. H.C., Kuo, also makes a collection of case analyses to be posted periodically on the website so as to provide a valuable reference for doctors of the younger generation.

Future Direction:

1. Seminars on Urodynamics techniques: these courses are aimed at examiners and young doctors engaged in urodynamics, who willbe awarded with a certificate issued by the Society.
2. Clinical application of urodynamics: relevant articles on local experience in the field will be submitted by senior physicians and posted on the website, and bound into book form in the future, to serve as a reference for young doctors and technical staff.
3. Formation of research teams: such as a care team for urinary system dysfunction due to spinal cord injury, a stress urinary incontinenceresearch team, a urodynamics techniques research team, an interstitial cystitis research team, a prostate gland treatment research team,a hyperactive bladder research team and a pelvic floor muscle training team. Through the collaboration between interested specialists the society hopes to accomplish valuable study results.



Community Continence Promotion Committee
Even though there is a high prevalence of incontinence and the disorder has a major effect on patients’ physical, mental and social state, assistance provided by hospitals still mainly consists of the treatment of symptoms and tends to neglect comprehensive needs. A woman, for example, may experience some leaking of urine and occasional uncontrollable release of gas caused by injury of the birth canal during childbirth. She will probably seek treatment with her gynecologist, but will most likely not receive proper treatment for the problems of gas release and a more sensitive sex life.

Also, as most doctors are male, many patients suffering from female incontinence or abnormal pelvic muscle function feel embarrassed and will conceal the problem. Nursing professionals in the USA and Europe have come up with a solution that can meet patients’ needs and provide assistance where the medical world fails to do so and developed so-called incontinence care centers (USA) and continence advisors (UK), in the hope that these can provide patients with the comprehensive service that is so needed.

At the request of prof. Alex T.L., Lin President of the society, Dr.,C.h.,Tsai .chief of the Department of Nursing of the Tzu-Chi College of Technology and holding a master’s degree in elderly care from the Pennsylvania State University and a doctor’s degree from the University of Pittsburgh, has taken the position of chairman of the Community Continence Promotion Committee, while local incontinence nursing specialists were added to the team to plan activities for education in the prevention and treatment of female urinary incontinence and to compile teaching materials for the education of the public. To date, a VCD-concise version on “Leakproof and Fit - pelvic floor muscle exercises” and a VCD-professional version on “Leakproof and Fit - pelvic floor muscle exercises” have been completed.

The Community Continence Promotion Committee has also taken up the responsibility to organize “incontinence prevention and treatment nurses”training courses, hoping to help define the role and function of incontinence prevention and treatment nurses, as well as core courses, training opportunities and certification. The committee aims to provide a channel for local nursing professionals interested in the prevention and treatment of incontinence to participate in advanced training programs, and hopes that through this concerted effort incontinence prevention and treatment nurses will in the future berecognized and will be able to play a positive professional role in the medical world.