The Global State of Contemporary Andrology Practice: A Comprehensive Analysis of Clinical Practice, Training Pathways, and Emerging Challenges
Makaleler > Tam Makale · 2025
Yazarlar: Rupin Shah, Taymour Mostafa, Manaf Al Hashimi, Germar-Michael Pinggera, Wael Zohdy, Bahadır Şahin, Hiva Alipour, Ayad Faeq Palani, Mohamed Arafa, Eric Chung, Ayman Rashed, Edmund Ko, Ahmet Barış ALTAY, Amarnath Rambhatla, Tuncay Toprak, Hussein Kandil, Edoardo Pescatori, Ahmed El-Sakka, Haitham Ali Elbardisi, Juan Manuel Corral Molina, Marco Falcone, Edouard Harry Amar, Taiwo Crossby Omotoriogun, Selcuk Sarikaya, Nguyen Ho Vinh Phuoc, Mounir Jamali, Oğuzhan Kahraman, Ahmet Cihan, Sava Micic, Muslim Dogan Deger, Muhammad Ujudud Musa, Gökhan Çeker, Umut Cagin Ari, Cevahir Ozer, Huda Mossa Omran, Saleh Binsaleh, Rossella Cannarella, Mohamad Ahmad Moussa, Iman Shamohammadi, Andrian Japari, Francesco Gaggia, Aria Danurdoro, Nasser Mogharabian, Mohamed Elmahdy Toiema, Hisanori Taniguchi, Missy Savira, Christopher Chee Kong Ho, Keerti Singh, Manh Truong Nguyen, Parviz K. Kavoussi, Shingai Bertrand Angelo Mutambirwa, Ishan Merchant, Dharani Moorthy, Vijay Kumar, Arif Kalkanli, Faiza Rao, Fatih Gokalp, Nicolas Garrido, Charalampos Konstantinidis, David Pening, Sedigheh Bahmyari, Parisa Dolati, Aldo E. Calogero, Ramadan Saleh, Birute Zilaitiene, Giorgio Ivan Russo, Nadia Kazdar, Ricky Adriansjah, Gianmaria Salvio, Giancarlo Balercia, Catalina Zenoaga-Barbarosie, Balantine Ugochukwu Eze, Widi Atmoko, Deniz Kulaksiz, Amina Benabbou, Siu King Mak, Luca Boeri, Sang Thanh Le, Ajay Kumar Jain, Amr El Meliegy, Kadir Böcü, Nur Dokuzeylül Güngör, Gokhan Calik, Konstantinos Makarounis, Mesut Berkan Duran, Hisham Ahmed Arab, Luigi Montano, Gulfam Ahmad, Trang Thi Minh Nguyen, Hyun Jun Park, Eko Arianto, Krishna Chaitanya Mantravadi, Andrea Crafa, Tahsin Turunc, Fotios Dimitriadis, Umut Arslan, Sk. Mizanur Rahman, Andri Rezano, Ryan Patrick Smith, Erman Ceyhan
The World Journal of Men's Health, Uluslararası, Wos, 2025, cilt 44, ss 608-608
DOI: 10.5534/wjmh.250039
Özet
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.