Subspecialty training in andrology

The historical development and current status of andrology fellowship training in Europe and the United States are considered, with an eye toward the future of andrology training in both of those regions.

Csilla Krausz, M.D., Ph.D., Robert E. Brannigan, M.D., Mark Sigman, M.D.

Volume 104, Issue 1, Pages 12-15


The field of andrology has evolved significantly in both Europe and the United States over the past 30 years. Although andrology fellowship training programs in these two regions share some common aspects, there are substantial differences as well. Andrology is a broader field in Europe, with andrology fellowship training incorporating topics such as prostate disease, testicular cancer, and genitourinary infection/inflammation. In the United States, these issues are more commonly taught during urology residency, with andrology fellowship training focusing more commonly on male sexual and reproductive health. Finally, European and American fellowship training is compared and contrasted in terms of certification and accreditation procedures, with a look toward the future in each region.

  • Excellent review of the history of the male infertility/andrology field and how it has evolved to the current specialty. If a combined male/female fellowship ever gets formed, the male infertility/andrology specialists stand to lose the most. As it currently stands, it takes many REI specialists to support 1 Male infertility specialist. When I was completing my urology training in a large metropolitan city, there was only 1 male infertility specialist that was supported by multiple REI groups. Our field is narrow, but it provides a very valuable and important component to the infertility couple.

    • Mark Sigman

      I think it would be difficult with present training to have combined fellowships. However, if that were to happen, the “urology” fellows would be then be trained in REI – it would have to work both ways.

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