Introducing the Sustainable Urology Recommendations Score: Weighing Environmental Impact Within Urological Guidelines.

Pattou, Maxime; Tokarski, Elliot; Bangma, Chris; Neuzillet, Yann; Pradere, Benjamin; Mallet, Richard; Abid, Nadia; Vringer, Tahnee De et al. · Eur Urol · 2026

expert_opinion · Level V

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Abstract

We propose a Sustainable Urology Recommendations (SUR) score for rating the sustainability of recommendations in urology guidelines. Five examples show how the SUR score could be applied to recommendations in the 2025 European Association of Urology guidelines. We call for feedback and partnerships to refine and advance this scoring system as part of the efforts to make daily urology practice more sustainable.

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