Member Application

Membership Category




Active Membership is open to any MD, DO, or other health care professional who has completed an accredited urology residency with an unlimited license to practice medicine and surgery in the state, province, or country of the applicant’s residency AND Medical practice limited to the specialty of urology AND Board Certification of urology in country of practice.
Associate Membership is open to any MD, DO, or other health care professional who has completed an accredited urology residency with an unlimited license to practice medicine and surgery in the state, province, or country of the applicant’s residency AND Medical practice limited to the specialty of urology.
Affiliate Membership is open to persons who are currently enrolled in a residency or graduate training program in urological surgery.
Candidate Membership is open to persons who have a marked interest in the development and purpose of the Society.

Applicant Information


Applicant Demographics

Applicant Addresses

Office Address



Home Address

Payment Information (must be made in U.S. dollars)

  • Billing Information

If paying by check, make check payable to: Society of Urologic Prosthetic Surgeons.

Mail payment to:
Society of Urologic Prosthetic Surgeons.
Two Woodfield Lake
1100 E. Woodfield Road, Suite 350
Schaumburg, IL 60173

  • 309937