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. 2025 Jun 25.
doi: 10.5534/wjmh.250039. Online ahead of print.

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

Rupin Shah  1   2 Taymour Mostafa  2   3 Manaf Al Hashimi  2   4   5 Germar-Michael Pinggera  2   6 Wael Zohdy  2   3 Bahadır Şahin  2   7 Hiva Alipour  2   8 Ayad Faeq Palani  2   9 Mohamed Arafa  2   3   10   11 Eric Chung  2   12 Ayman Rashed  2   13 Edmund Ko  2   14 Baris Altay  2   15 Amarnath Rambhatla  2   16   17 Tuncay Toprak  2   18 Hussein Kandil  2   19 Edoardo Pescatori  2   20 Ahmed El-Sakka  2   21 Haitham Ali Elbardisi  2   10   11   22 Juan Manuel Corral Molina  2   23 Marco Falcone  2   24   25 Edouard Harry Amar  2   26   27 Taiwo Crossby Omotoriogun  2   28 Selcuk Sarikaya  2   29 Nguyen Ho Vinh Phuoc  2   30 Mounir Jamali  2   31 Oğuzhan Kahraman  2   32 Ahmet Cihan  2   33 Sava Micic  2   34 Muslim Dogan Deger  2   35 Muhammad Ujudud Musa  2   36   37 Gökhan Çeker  2   38 Umut Cagin Ari  2   39 Cevahir Ozer  2   40 Huda Mossa Omran  2   41   42 Saleh Binsaleh  2   43 Rossella Cannarella  2   44   45 Mohamad Ahmad Moussa  2   46   47 Iman Shamohammadi  2   48 Andrian Japari  2   49 Francesco Gaggia  2   50 Aria Danurdoro  2   51 Nasser Mogharabian  2   52 Mohamed Elmahdy Toiema  2   53 Hisanori Taniguchi  2   54 Missy Savira  2   55 Christopher Chee Kong Ho  2   56 Keerti Singh  2   57   58 Manh Truong Nguyen  2   59   60 Parviz K Kavoussi  2   61 Shingai Bertrand Angelo Mutambirwa  2   62 Ishan Merchant  2   63 Dharani Moorthy  2   64 Vijay Kumar  2   65 Arif Kalkanli  2   66 Faiza Rao  2   67 Fatih Gokalp  2   68 Nicolas Garrido  2   69 Charalampos Konstantinidis  2   70 David Pening  2   71 Sedigheh Bahmyari  2   72 Parisa Dolati  2   73 Aldo E Calogero  2   44 Ramadan Saleh  2   74   75 Birute Zilaitiene  2   76 Giorgio Ivan Russo  2   77 Nadia Kazdar  2   78 Ricky Adriansjah  2   79 Gianmaria Salvio  2   80 Giancarlo Balercia  2   80 Catalina Zenoaga-Barbarosie  2   81 Balantine Ugochukwu Eze  2   82 Widi Atmoko  2   55 Deniz Kulaksiz  2   83 Amina Benabbou  2   84 Siu King Mak  2   85 Luca Boeri  2   86 Sang Thanh Le  2   87 Ajay Kumar Jain  2   88   89 Amr El Meliegy  2   3 Kadir Böcü  2   90 Nur Dokuzeylül Güngör  2   91   92 Gokhan Calik  2   93 Konstantinos Makarounis  2   94 Mesut Berkan Duran  2   95 Hisham Ahmed Arab  2   96 Luigi Montano  2   97   98 Gulfam Ahmad  2   99   100 Trang Thi Minh Nguyen  2   101 Hyun Jun Park  2   102   103 Eko Arianto  2   104   105 Krishna Chaitanya Mantravadi  2   106 Andrea Crafa  2   44 Tahsin Turunc  2   107 Fotios Dimitriadis  2   108 Umut Arslan  2   18 Sk Mizanur Rahman  2   109   110 Andri Rezano  2   111   112 Ryan Patrick Smith  2   113 Erman Ceyhan  2   114 Naveen Kumar  2   115 Dyandra Parikesit  2   116 Mehmet Serkan Özkent  2   117 Rosadi Putra  2   118   119 Haocheng Lin  2   120   121 Osvaldo Rajmil  2   122   123 Sanjay Prakash Jayaprakash  2   124 Tan V Le  2   30   125 Satish Pundlik Dipankar  2   126 Charalampos Thomas  2   127 Carlo Giulioni  2   128 Danh Cong Nguyen  2   129 Vinod K V  2   130 Zaid Qureshi  2   131 Filippo Giacone  2   132 Ashish Reddy  2   133 Sujoy Dasgupta  2   134 Divyanu Jain  2   135   136 Ciro Salzano  2   137 Federica Finocchi Finocchi  2   138 Lucia Rocco  2   139 Ateş Kadıoğlu  2   140 Akeem Babatunde Sikiru  2   141 Ali Said Kilicalp  2   142 Mezbahul Moker Rabin  2   143   144 Giovanni Liguori  2   145 Jose Arturo Mora Rodriguez  2   146 Jesus Fernando Solorzano Vazquez  2   147 Angelo Alessandro Marino  2   148 Taha Hamoda  2   149   150 Vilvapathy Senguttuvan Karthikeyan  2   151 Bircan Kolbaşı Erkan  2   152 Mikhail Ruzaev  2   153 Manel Nezzal  2   154 Giovanni M Colpi  2   155 Fahmi Bahar  2   156   157 Tamilselvi Sethupathy  2   158 Guadalupe Del Carmen Hernández Hebrard  2   159 Mohamed S Al-Marhoon  2   160 Ahmad Tarek Motawi  2   3 Sotiris Andreadakis  2   161 Coskun Kaya  2   162   163 Alessandro Franceschelli  2   164 Fikri Rizaldi  2   165 Shubhadeep Roychoudhury  2   166 Pedro Cuapio Padilla  2   167 Ahmad Ateyah Awwad  2   3 Daniel Suslik Zylbersztejn  2   168 Nazim Gherabi  2   169 Abdallah Bensouda  2   170 Naufal Nandita Firsty  2   171   172   173 Giorgio Franco  2   174 Neha Shreyas Goswami  2   175 B Aanantha Lakshmi  2   176 Frédéric Romain Santer  2   177 Ege Can Serefoglu  2   25 Vahid Esmaeili  2   178 Ioannis Sokolakis  2   179 Mustafa Kadihasanoglu  2   180 Marion Bendayan  2   181   182 Petronela Naghi  2   183 Sofia Ines Leonardi Diaz  2   184 Saviana Adriana Buhlea  2   185 Alireza Kheradmand  2   186 Tulay Irez  2   187 Tiago Cesar Mierzwa  2   188 Silvia Werdhy Lestari  2   189 Riffat Bibi  2   190   191 Quang Nguyen  2   192   193 Ranjit Babulal Vishwakarma  1   2 Pietro Salacone  2   194 Stamatis Papaharitou  2   195 Saad Mohammed Abumelha  2   196 Elango Kamaraj  2   197 Robyn Amanda Van Staden  2   198 Damayanthi Durairajanayagam  2   199 Ramazan Asci  2   200 Gustavo Marquesine Paul  2   201 Abiodun Oyerinde  2   202 Akhmad Mustafa  2   203 Chirag Gupta  2   204 Yudhistira Pradnyan Kloping  2   205 Marjan Sabbaghian  2   206 Isaac Ardianson Deswanto  2   207 Moungala Lionel Wildy  2   208 Teng Aik Ong  2   209 Sann Lin Ko  2   210   211 Sheryl Toni Homa  2   212 Rahul Gajbhiye  2   213 Mara Simopoulou  2   214 Mohamed Abdelfatah Farag  2   3 Vineet Malhotra  2   215 Ekom Monday Etukudo  2   216 Hazem Meteb Al-Rumaih  2   217 Ninad Chandrakant Tamboli  2   218 Awaj Kafle  2   219 Mohamed Elkhouly  2   220   221 Ashok Agarwal  2   222
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Free article

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

Rupin Shah et al. World J Mens Health. .
Free article

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.

Keywords: Andrology; Infertility; Male; Medical education; Sexual health; Surveys and questionnaires.

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Conflict of interest statement

The authors have nothing to disclose.

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