There are some quite good SRS surgeons in Europe, they just don't advertise their work, like surgeons from US or Thailand do, where they use business approach to it. In Europe it is mostly health care directed approach and most of surgeons/urologists are not in it like it's a private company business. Therefore it is a issue of information availability, and often even not accessible to foreigners. It is threated like a health care rather than anything else, covered by a health insurance, and accessible to those patients who go through (more or less) organized system, working on a principle of multidisciplinary team, from psychiatrist, psychologist, endo's, urologist, surgeon, gynecologist, etc...
