Water polo at the Summer World University Games
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Water polo has been part of the Universiade program since the first games, in 1959. A women's water polo tournament was introduced for the 2009 Summer Universiade. Water polo was not included in 1975 and 1989.
Medal winners
- Men
Men's results
Last updated after the 2021 Summer World University Games
| Team |  1959 |  1961 |  1963 |  1965 |  1967 | 1970 |  1973 | 1977 |  1979 |  1981 |  1983 | 1985 |  1987 |  1991 |  1993 | 1995 | 1997 |  1999 |  2001 |  2003 |  2005 |  2007 |  2009 | 2011 |  2013 | 2015 |  2017 | 2019 | 2021 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
 Yugoslavia | 1st | 1st | - | - | - | - | 7th | 4th | 3rd | - | 5th | 2nd | 3rd | - | - | 1st | 8th | 6th | 4th | - | - | - | - | - | - | - | - | - | - |
| Hungary | 2nd | 3rd | 1st | 1st | - | 3rd | 5th | 2nd | 6th | 6th | 8th | 8th | 7th | - | 2nd | 2nd | 2nd | 3rd | 3rd | 1st | - | - | |||||||
| Italy | 3rd | 3rd | - | - | 3rd | 2nd | 4th | 3rd | 7th | 5th | 5th | 5th | 1st | 3rd | 3rd | 8th | 1st | 2nd | 1st | 4th | - | - | - | ||||||
 Netherlands | 4th | 5th | - | 6th | 5th | 5th | 11th | - | 8th | - | 8th | - | - | - | - | 6th | 11th | 7th | - | - | - | ||||||||
 West Germany | 5th | - | - | 8th | 4th | 6th | 6th | 10th | - | - | - | - | - | - | - | - | - | - | - | - | - | - | |||||||
 Romania | 6th | 4th | - | 3rd | - | 7th | - | 1st | 4th | 3rd | 4th | 5th | - | - | 12th | - | - | - | - | - | |||||||||
 Ireland | 7th | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | |||||||||
| Soviet Union | - | 2nd | 2nd | 2nd | - | 1st | 1st | 7th | 2nd | 4th | 1st | 1st | 4th | - | - | - | - | ||||||||||||
| Bulgaria | - | 6th | - | 4th | - | - | 9th | - | - | - | - | - | - | - | - | - | |||||||||||||
| Japan | - | 7th | 4th | 7th | 1st | - | - | 13th | 12th | 10th | 9th | 6th | 8th | 9th | 8th | 10th | 9th | - | 10th | 5th | - | - | - | ||||||
 Indonesia | - | 8th | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | ||
| Brazil | - | - | 3rd | - | - | - | - | 12th | 11th | 10th | - | - | - | - | - | 13th | 10th | 15th | 8th | - | - | - | |||||||
 South Africa | - | - | 5th | - | - | - | - | - | - | - | - | - | - | - | 13th | - | - | - | 14th | - | - | - | |||||||
 Czechoslovakia | - | - | - | 5th | - | - | 10th | - | - | - | - | - | - | 6th | - | - | - | - | - | ||||||||||
 Austria | - | - | - | 9th | - | - | - | - | - | - | - | - | - | - | - | - | - | ||||||||||||
| Great Britain | - | - | - | 10th | - | 8th | 12th | - | 13th | - | - | - | 12th | 10th | - | - | - | - | |||||||||||
| United States | - | - | - | - | 2nd | - | 3rd | 6th | 1st | 2nd | 2nd | 4th | 5th | 1st | 1st | 9th | 7th | 4th | 8th | - | - | - | |||||||
 Sweden | - | - | - | - | - | 4th | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | |||||
 Belgium | - | - | - | - | - | 9th | - | - | - | - | - | - | - | - | |||||||||||||||
 Cuba | - | - | - | - | - | - | 2nd | 9th | 5th | 1st | 3rd | 3rd | 2nd | - | - | 4th | - | 5th | - | - | - | ||||||||
| Mexico | - | - | - | - | - | - | 8th | 8th | 8th | 7th | 12th | - | - | 14th | - | - | - | ||||||||||||
| Canada | - | - | - | - | - | - | - | 11th | 9th | 9th | 6th | 9th | 10th | 11th | 11th | 16th | - | 8th | 13th | 13th | - | - | - | ||||||
| China | - | - | - | - | - | - | - | - | 10th | 8th | 7th | 7th | 6th | 2nd | 6th | 12th | - | 9th | - | - | - | ||||||||
 Greece | - | - | - | - | - | - | - | - | 14th | - | - | - | - | 14th | - | 9th | 11th | 6th | - | - | - | ||||||||
 Guatemala | - | - | - | - | - | - | - | - | 15th | - | - | 11th | - | - | - | - | - | ||||||||||||
| Spain | - | - | - | - | - | - | - | - | - | 11th | - | - | - | - | - | - | 5th | 1st | 5th | 7th | - | - | - | ||||||
 Australia | - | - | - | - | - | - | - | - | - | - | 11th | 9th | 4th | 5th | 3rd | 3rd | 11th | 6th | 3rd | - | - | - | |||||||
| South Korea | - | - | - | - | - | - | - | - | - | - | - | 10th | 11th | - | 15th | - | 12th | 12th | - | - | - | ||||||||
 France | - | - | - | - | - | - | - | - | - | - | - | - | 13th | 12th | 10th | 12th | 10th | 11th | - | - | - | ||||||||
| Turkey | - | - | - | - | - | - | - | - | - | - | - | - | 14th | 8th | 5th | - | - | - | - | ||||||||||
| Germany | - | - | - | - | - | - | - | - | - | - | - | - | - | 7th | - | - | - | - | |||||||||||
| Russia | - | - | - | - | - | - | - | - | - | - | - | - | - | - | 4th | 4th | - | 7th | 2nd | 9th | - | - | |||||||
 Kazakhstan | - | - | - | - | - | - | - | - | - | - | - | - | - | - | 5th | 7th | 6th | 14th | 10th | - | - | - | |||||||
 Slovakia | - | - | - | - | - | - | - | - | - | - | - | - | - | - | 9th | 11th | - | - | - | - | |||||||||
 Poland | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | 13th | - | - | - | |||||||||
 Moldova | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | 14th | - | - | - | |||||||||
 New Zealand | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | 12th | - | - | - | ||||||||
| Serbia and Montenegro | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | 2nd | - | - | - |
Medal winners
- Women
Women's results
Last updated after the 2021 Summer World University Games
| Team | 2009 | 2011 | 2013 | 2015 | 2017 | 2019 | 2021 |
|---|---|---|---|---|---|---|---|
| China | 1st | 1st | - | 9th | - | 7th | 1st |
| Hungary | 2nd | - | 2nd | 6th | 2nd | 1st | - |
| Russia | 3rd | 3rd | 1st | 3rd | 4th | 3rd | - |
| Canada | 4th | 6th | 4th | 2nd | 5th | 4th | - |
| Australia | 5th | 5th | 5th | 1st | 6th | 5th | 3rd |
 Serbia | 6th | - | - | 10th | - | - | - |
| Italy | 7th | 4th | 3rd | 4th | 8th | 2nd | 2nd |
| Japan | 8th | - | 6th | 8th | 3rd | 6th | 4th |
| United States | - | 2nd | 8th | 5th | 1st | 8th | - |
| Great Britain | - | 7th | - | - | 10th | - | - |
| Mexico | - | 8th | - | - | - | - | - |
| France | - | 9th | 7th | 7th | 7th | 9th | - |
| Greece | - | - | - | - | 8th | - | - |
| New Zealand | - | - | - | - | 11th | - | - |
 Argentina | - | - | - | - | 12th | - | - |
| Czech Republic | - | - | - | - | - | 10th | - |
| South Africa | - | - | - | - | - | - | 5th |
 Singapore | - | - | - | - | - | - | 6th |
| Number of teams | 8 | 9 | 8 | 10 | 12 | 10 | 6 |
Medal table
Last updated after the 2025 Summer World University Games
Men
| Rank | Nation | Gold | Silver | Bronze | Total |
|---|---|---|---|---|---|
| 1 | Italy (ITA) | 6 | 4 | 6 | 16 |
| 2 | Hungary (HUN) | 5 | 7 | 6 | 18 |
| 3 | Soviet Union (URS) | 4 | 4 | 0 | 8 |
| 4 | United States (USA) | 3 | 5 | 2 | 10 |
| 5 | Yugoslavia (YUG) | 3 | 1 | 2 | 6 |
| 6 | Serbia (SRB) | 2 | 0 | 2 | 4 |
| 7 | Cuba (CUB) | 1 | 2 | 2 | 5 |
| 8 | Serbia and Montenegro (SCG) | 1 | 1 | 0 | 2 |
| 9 | Australia (AUS) | 1 | 0 | 3 | 4 |
| 10 | Romania (ROU) | 1 | 0 | 2 | 3 |
| 11 | Japan (JPN) | 1 | 0 | 0 | 1 |
 Montenegro (MNE) | 1 | 0 | 0 | 1 | |
| Spain (ESP) | 1 | 0 | 0 | 1 | |
| 14 | Russia (RUS) | 0 | 4 | 0 | 4 |
| 15 | China (CHN) | 0 | 1 | 0 | 1 |
 Croatia (CRO) | 0 | 1 | 0 | 1 | |
| 17 | Brazil (BRA) | 0 | 0 | 1 | 1 |
 Georgia (GEO) | 0 | 0 | 1 | 1 | |
| Germany (GER) | 0 | 0 | 1 | 1 | |
 North Macedonia (MKD) | 0 | 0 | 1 | 1 | |
| Turkey (TUR) | 0 | 0 | 1 | 1 | |
| Totals (21 entries) | 30 | 30 | 30 | 90 | |
Women
Total
| Rank | Nation | Gold | Silver | Bronze | Total |
|---|---|---|---|---|---|
| 1 | Hungary (HUN) | 6 | 10 | 6 | 22 |
| 2 | Italy (ITA) | 6 | 6 | 8 | 20 |
| 3 |  United States (USA) | 4 | 7 | 2 | 13 |
| 4 | Soviet Union (URS) | 4 | 4 | 0 | 8 |
| 5 | Yugoslavia (YUG) | 3 | 1 | 2 | 6 |
| 6 | China (CHN) | 3 | 1 | 0 | 4 |
| 7 | Australia (AUS) | 2 | 0 | 4 | 6 |
| 8 | Serbia (SRB) | 2 | 0 | 2 | 4 |
| 9 | Russia (RUS) | 1 | 4 | 4 | 9 |
| 10 | Cuba (CUB) | 1 | 2 | 2 | 5 |
| 11 | Serbia and Montenegro (SCG) | 1 | 1 | 0 | 2 |
| 12 | Romania (ROU) | 1 | 0 | 2 | 3 |
| 13 | Germany (GER) | 1 | 0 | 1 | 2 |
| Japan (JPN) | 1 | 0 | 1 | 2 | |
| 15 | Montenegro (MNE) | 1 | 0 | 0 | 1 |
| Spain (ESP) | 1 | 0 | 0 | 1 | |
| 17 | Canada (CAN) | 0 | 1 | 0 | 1 |
| Croatia (CRO) | 0 | 1 | 0 | 1 | |
| 19 | Brazil (BRA) | 0 | 0 | 1 | 1 |
| Georgia (GEO) | 0 | 0 | 1 | 1 | |
| North Macedonia (MKD) | 0 | 0 | 1 | 1 | |
| Turkey (TUR) | 0 | 0 | 1 | 1 | |
| Totals (22 entries) | 38 | 38 | 38 | 114 | |