Evidence map›Paper›PMID 42022230›Full record

ArticleBJUI compass2026

Barriers to pregnancy and parenthood during urology residency across Europe.

Luca Afferi, Gaelle Margue, Carlos Toribio-Vázquez, Belle M Melsert, Loic Baekelandt, Anna Goujon, Mehmet Ozalevli, Enrico Checcucci, Anna Gugerli Lazos, Carolin Siech and 12 more

Abstract read
In one paragraph

Article in BJUI compass, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

22 authors.

Luca AfferiDepartment of Urology Kantonsspital Aarau Aarau Switzerland.ORCID https://orcid.org/0000-0002-5472-1933
Gaelle MargueService d'urologie, Department of Urology Bordeaux University Hospital, CHU de Bordeaux Bordeaux France.ORCID https://orcid.org/0000-0001-5311-1597
Carlos Toribio-VázquezHLA Moncloa University Hospital Madrid Spain.
Belle M MelsertDepartment of Surgical Oncology (Urology) Netherlands Cancer Institute, Antoni van Leeuwenhoek Hospital Amsterdam The Netherlands.
Loic BaekelandtDepartment of Urology University Hospitals Leuven Leuven Belgium.
Anna GoujonDepartment of Urology Rennes University Hospital Rennes France.
Mehmet OzalevliGaziosmanpaşa Training and Research Hospital Istanbul Turkey.
Enrico CheccucciDepartment of Surgery FPO-IRCCS Candiolo Cancer Institute Candiolo Italy.ORCID https://orcid.org/0000-0001-7901-5608
Anna Gugerli LazosDepartment of Urology Universitätsspital Zürich Zürich Switzerland.
Carolin SiechDepartment of Urology Goethe University Frankfurt, University Hospital Frankfurt am Main Germany.
Juan Luis VásquezDepartment of Urology Copenhagen University Hospital-Zealand University Hospital Roskilde Roskilde Denmark.
Laura S MertensDepartment of Surgical Oncology (Urology) Netherlands Cancer Institute, Antoni van Leeuwenhoek Hospital Amsterdam The Netherlands.ORCID https://orcid.org/0000-0003-3317-6427
Evangelos LiatsikosDepartment of Urology University Hospital of Rion Patras Greece.
Bhaskar K SomaniDepartment of Urology University Hospital Southampton Southampton UK.ORCID https://orcid.org/0000-0002-6248-6478
Benjamin PradereDepartment of Urology UROSUD, La Croix Du Sud Hospital Quint-Fonsegrives France.
Jessica WhitburnNuffield Department of Surgical Sciences University of Oxford Oxford UK.
Stephen WylerDepartment of Urology Kantonsspital Aarau Aarau Switzerland.
Alberto BredaDepartment of Urology Fundació Puigvert Barcelona Spain.
Veronique PhéDepartment of Urology Assistance Publique-Hôpitaux de Paris, Tenon Academic Hospital, Sorbonne University Paris France.
Joel S WeissmanCenter for Surgery and Public Health, Department of Surgery Brigham and Women's Hospital Boston Massachusetts USA.
Erika RangelCenter for Surgery and Public Health, Department of Surgery Brigham and Women's Hospital Boston Massachusetts USA.
European Society of Residents in Urology (ESRU)

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

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 ( 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 are needed to support residents while maintaining training requirements and career progression during pregnancy and parenthood.

Indexed as

policypregnancyurology training

Identifiers

PMID42022230
PMCPMC13098357

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.