Endourology Fellowship: More Than a Stone’s Throw Away for Women

Objective: To characterize the trends in female representation in the endourology fellowship match compared with the urology residency match. Materials and Methods: Available deidentified match data from 2017 to 2022 was obtained from the American Urological Association and Endourology Society annual census data. We evaluated gender-specific participation in the urology residency and endourology fellowship match and compared differences in the trends over the last 6 years. Results: Between the years 2017 and 2021, there were a total of 313 applicants for a fellowship in endourology, and of those, only 8.6% were women. In that same time period, a significantly larger number of women (27.1%) participated in the urology residency match ( p = 0.0002). When specifically examining the endourology applicant trend, there is no significant increase in participation ( R = 0.7, p = 0.35) between 2017 and 2021, as compared with the significant increase in total number of applicants ( R = 7.1, p = 0.04). However, in the urology match, there has been a constant and significant increase in both female ( R = 13.7, p = 0.03) and total applicants ( R = 27, p = 0.04) between 2017 and 2022. Conclusions: Although there has been an overall increase in the number of applicants to urology, the number of women in endourology fellowship has not increased at a commensurate rate. In light of these findings, it is the responsibility of the endourology community to identify social and systemic barriers for women in this field and advocate for change.