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The Global State of Contemporary Andrology Practice: A Comprehensive Analysis of Clinical Practice, Training Pathways, and Emerging Challenges.

Fecha de publicación: Fecha Ahead of Print:

Autores de IIS La Fe

Participantes ajenos a IIS La Fe

  • Shah R
  • Mostafa T
  • Al Hashimi M
  • Pinggera GM
  • Zohdy W
  • Sahin B
  • Alipour H
  • Palani AF
  • Arafa M
  • Chung E
  • Rashed A
  • Ko E
  • Altay B
  • Rambhatla A
  • Toprak T
  • Kandil H
  • Pescatori E
  • El-Sakka A
  • Elbardisi HA
  • Molina JMC
  • Falcone M
  • Amar EH
  • Omotoriogun TC
  • Sarikaya S
  • Phuoc NHV
  • Jamali M
  • Kahraman O
  • Cihan A
  • Micic S
  • Deger MD
  • Musa MU
  • Çeker G
  • Ari UC
  • Ozer C
  • Omran HM
  • Binsaleh S
  • Cannarella R
  • Moussa MA
  • Shamohammadi I
  • Japari A
  • Gaggia F
  • Danurdoro A
  • Mogharabian N
  • Toiema ME
  • Taniguchi H
  • Savira M
  • Ho CCK
  • Singh K
  • Nguyen MT
  • Kavoussi PK
  • Mutambirwa SBA
  • Merchant I
  • Moorthy D
  • Kumar V
  • Kalkanli A
  • Rao F
  • Gokalp F
  • Konstantinidis C
  • Pening D
  • Bahmyari S
  • Dolati P
  • Calogero AE
  • Saleh R
  • Zilaitiene B
  • Russo GI
  • Kazdar N
  • Adriansjah R
  • Salvio G
  • Balercia G
  • Zenoaga-Barbarosie C
  • Eze BU
  • Atmoko W
  • Kulaksiz D
  • Benabbou A
  • Mak SK
  • Boeri L
  • Le ST
  • Jain AK
  • El Meliegy A
  • Böcü K
  • Güngör ND
  • Calik G
  • Makarounis K
  • Duran MB
  • Arab HA
  • Montano L
  • Ahmad G
  • Nguyen TTM
  • Park HJ
  • Arianto E
  • Mantravadi KC
  • Crafa A
  • Turunc T
  • Dimitriadis F
  • Arslan U
  • Rahman SM
  • Rezano A
  • Smith RP
  • Ceyhan E
  • Kumar N
  • Parikesit D
  • Özkent MS
  • Putra R
  • Lin H
  • Rajmil O
  • Jayaprakash SP
  • Le TV
  • Dipankar SP
  • Thomas C
  • Giulioni C
  • Nguyen DC
  • K V V
  • Qureshi Z
  • Giacone F
  • Reddy A
  • Dasgupta S
  • Jain D
  • Salzano C
  • Finocchi FF
  • Rocco L
  • Kadioglu A
  • Sikiru AB
  • Kilicalp AS
  • Rabin MM
  • Liguori G
  • Rodriguez JAM
  • Vazquez JFS
  • Marino AA
  • Hamoda T
  • Karthikeyan VS
  • Erkan BK
  • Ruzaev M
  • Nezzal M
  • Colpi GM
  • Bahar F
  • Sethupathy T
  • Hebrard GDCH
  • Al-Marhoon MS
  • Motawi AT
  • Andreadakis S
  • Kaya C
  • Franceschelli A
  • Rizaldi F
  • Roychoudhury S
  • Padilla PC
  • Awwad AA
  • Zylbersztejn DS
  • Gherabi N
  • Bensouda A
  • Firsty NN
  • Franco G
  • Goswami NS
  • Lakshmi BA
  • Santer FR
  • Serefoglu EC
  • Esmaeili V
  • Sokolakis I
  • Kadihasanoglu M
  • Bendayan M
  • Naghi P
  • Diaz SIL
  • Buhlea SA
  • Kheradmand A
  • Irez T
  • Mierzwa TC
  • Lestari SW
  • Bibi R
  • Nguyen Q
  • Vishwakarma RB
  • Salacone P
  • Papaharitou S
  • Abumelha SM
  • Kamaraj E
  • Van Staden RA
  • Durairajanayagam D
  • Asci R
  • Paul GM
  • Oyerinde A
  • Mustafa A
  • Gupta C
  • Kloping YP
  • Sabbaghian M
  • Deswanto IA
  • Wildy ML
  • Ong TA
  • Ko SL
  • Homa ST
  • Gajbhiye R
  • Simopoulou M
  • Farag MA
  • Malhotra V
  • Etukudo EM
  • Al-Rumaih HM
  • Tamboli NC
  • Kafle A
  • Elkhouly M
  • Agarwal A

Grupos

Abstract

PURPOSE: This study evaluates the current state of andrology practice worldwide, identifies challenges faced by clinicians, and explores training, certification, and research opportunities. It also seeks to redefine the qualifications necessary to be recognized as an andrologist and to propose areas for standardization and improvement. MATERIALS AND METHODS: A global, cross-sectional survey was conducted using a 48-question online questionnaire designed by international experts. The survey, distributed in English, covered various domains of modern andrology practice. Responses from 405 participants across 59 countries were analyzed using R version 4.1.2, with categorical variables reported as frequencies and percentages. RESULTS: Among respondents, 47.3% held medical doctor (MD) degrees, with urologists (31.1%) and clinical andrologists (25.3%) being the most represented specialties. Formal, board-certified andrological training was reported as available in only 48.1% of countries. While half of the respondents identified as andrologists based on experience, only one-third did so through certification, obtained from diverse, nationally recognized organizations. The primary areas of practice included male infertility (36.7%), male sexual dysfunction (27.2%), and sexually transmitted infections (14.5%). Many participants were actively engaged in assisted reproductive technologies, imaging, and andrological surgical emergencies. Despite strong interest in clinical, basic, and translational research, respondents highlighted significant challenges, including inconsistent training pathways, insufficient certification standards, and the complexity of managing diverse andrological conditions. CONCLUSIONS: Andrology is an evolving multidisciplinary specialty where board-certified urologists, clinical andrologists, and reproductive medicine specialists collaborate to address male reproductive and sexual health challenges. Despite their advanced competencies in medical, surgical, and laboratory interventions, specialists face significant global disparities in training and certification. This survey highlights the urgent need for standardized training, evidence-based guidelines, and unified certification to ensure consistency, enhance patient care, and advance andrology's academic and clinical excellence worldwide.

Copyright © 2025 Korean Society for Sexual Medicine and Andrology.

Datos de la publicación

ISSN/ISSNe:
2287-4208, 2287-4690

The world journal of men's health  KOREAN SOC SEXUAL MEDICINE & ANDROLOGY

Tipo:
Article
Páginas:
-
PubMed:
40583018
Factor de Impacto:
0,788 SCImago ℠
Cuartil:
Q1 SCImago ℠

Citas Recibidas en Web of Science: 1

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Keywords

  • Andrology; Infertility; Male; Medical education; Sexual health; Surveys and questionnaires

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