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Barriers to pregnancy and parenthood during urology residency across Europe

Title: Barriers to pregnancy and parenthood during urology residency across Europe
Authors: Afferi, L; Margue, G; Toribio‐Vázquez, C; Melsert, BM; Baekelandt, L; Goujon, A; Ozalevli, M; Checcucci, E; Gugerli Lazos, A; Siech, C; Vásquez, JL; Mertens, LS; Liatsikos, E; Somani, BK; Pradere, B; Whitburn, J; Wyler, S; Breda, A; Phé, V; Weissman, JS; Rangel, E; (ESRU), the European Society of Residents in Urology
Publisher Information: Wiley
Publication Year: 2026
Collection: Oxford University Research Archive (ORA)
Description: Background: There is no information regarding challenges faced by European urology residents in starting a family. The aim of this study was to examine pregnancy and parenting experiences and policies during urology residency, identify regulatory gaps and provide recommendations for standardized European guidelines. Methods: A cross‐sectional English‐language electronic survey targeted urology residents and young urologists across Europe. The 44‐item, self‐administered survey was pilot‐tested and iteratively revised with European Society of Residents in Urology (ESRU) board members. Data were collected between August and October 2024 from ESRU, the European Association of Urology (EAU) and the European School of Urology (ESU) via mailing lists and social media platforms. Results: From 387 respondents, 237 (61%) were females and 255 (66%) were residents. Written policies on pregnancy and parenthood management were reported by 112 (29%) respondents. Formal discussions on pregnancy and parenting were reported to be absent from 319 (82%) respondents, though 228 (59%) agreed about their importance. Among 250 non‐childbearing participants, parenthood was postponed due to fears of missing training opportunities in 130 (92%) female versus 76 (86%) male respondents and due to fears of missing career opportunities in 122 (86%) female versus 62 (70%) male respondents. Concerns about falling behind peers in training were present in 119 (84%) female versus 58 (66%) male respondents (p < 0.001). Across all participants, 283 (87%) and 277 (85%) supported adjusting residency working and training schedules, respectively, upon return to work to ensure the completion of residency requirements. Both male and female respondents strongly endorsed standardized European guidelines on pregnancy and parenting in urology residency. Conclusions: This survey highlights the significant barriers to family planning in European urology residency. Fear of career setbacks and training disruptions drives parenthood delays. Standardized policies ...
Document Type: article in journal/newspaper
Language: English
Relation: https://doi.org/10.1002/bco2.70181
DOI: 10.1002/bco2.70181
Availability: https://doi.org/10.1002/bco2.70181; https://ora.ox.ac.uk/objects/uuid:33216a48-9e1a-4a2a-a42e-a8d6144d0204
Rights: info:eu-repo/semantics/openAccess ; CC Attribution (CC BY)
Accession Number: edsbas.820A8585
Database: BASE