Urolink and global urology: A 10-year review of UK urological participation

Abstract

Objective:

To establish current views of British Association of Urological Surgeons (BAUS) members and non-members on global urology and compare findings with its 2016 Urolink survey, to inform future strategic priorities.

Methods:

A 2025 cross-sectional survey, adapted from one carried out in 2016, collected demographic data, global surgery experience, suggested Urolink priorities, and barriers to global health work on a 5-point Likert-type scale, with further suggestions as free text. Quantitative data were analysed descriptively, and subjective data responses, thematically.

Results:

One hundred urologists responded. 38% had previously undertaken urological work in low- and lower-middle-income countries (LMIC), consistent with the 2016 survey. Activity, mentoring, and in-country training were rated the most important Urolink functions at means of 4.5/5 and ~4.5/5, respectively. Advocacy, regional training hubs, equipment support, and reciprocal training opportunities scored means of ⩾ 4.0/5. Key barriers included lack of time, insufficient professional leave, family commitments, and financial constraints. 90% of respondents believed professional leave was important for humanitarian work. 89% of respondents viewed Urolink as important to BAUS’s international profile and 79% expressed interest in remote engagement.

Conclusion:

UK urologists show sustained commitment to global health and have clear preferences for partnership-based, educational, and sustainable models. The findings support expanding long-term institutional links, structured remote training and mentorship, and advocating formal professional leave to facilitate global health activities. Respondents also endorsed reciprocal training opportunities for LMIC and UK trainees, providing a focused framework for Urolink’s future strategy.