To examine the attitude & beliefs about Artificial intelligence (AI) technology amongst urology health care providers. AI has many uses in medicine including but not limited to diagnostics, predicting clinical outcomes, and patient education. AI has been utilised in urological conditions such as urolithiasis, urogynaecology, and uro-oncology.

A structured online questionnaire, created from a modified Delphi method with a panel of urologists and urology surgical trainees, was delivered through the Urological Asia Association’s annual congress. The questionnaire, with 25 items of mixed type responses (five-point Likert scale, nominal polytomous and open-ended), acquired data regarding demographics, current and perceived AI usage, attitude/belief towards AI usage in urology, and perceived enablers & barriers with AI use.

464 respondents from 47 different countries over six continents were collected. 80% of participants have used AI in their practice and commonly used in research, patient education, and administrative tasks. More than 75% participants are positive towards AI and believe it will improve urological care and many believe AI adoption will not replace clinical practice. 86.2% of participants are willing to adopt AI in future clinical practice and identified the key enablers as regulatory approval, AI clinical effectiveness, and access to AI training.

Overall attitudes and beliefs toward the use of AI in urology is positive as participants see value in improving urological care. Nevertheless, further AI training and education, and regulatory reform are required to realise the full potential of AI in mainstream urology practice.