Questions Dr Perovic is Frequently Asked


Can Professor Perovic write a letter for me stating that I've already had my sex reassignment surgery since I'm going to have it soon?

What are the advantages of getting surgery from Dr Perovic in Belgrade?

Is Serbia a third-world country? Is Belgrade a dangerous place to visit?

Does Dr Sava Perovic's tissue engineering penis enlargement have any other advantages over dermal grafting, besides not cutting a portion out of one's body?

What kind of length gain have you seen typically from Sava Perovic penis enlargement surgery?

What's the the effect of penis enhancement surgery on sensations, pleasure, orgasms, stiffness of the erection, and effect on ability to penetrate?

Does lengthening (ligamentolysis) result in the penis pointing downwards and a hairy base of the penis and slipping and shifting during intercourse?

Hasn't anyone developed a method for re-anchoring the penis after ligamentolysis to avoid the reported problems of slipping and shifting during intercourse?

What post-operative procedures must patients follow to get maximum results from the penis enlargement surgery? Pumps? Weights? What?

Where will the incision for the penis lengthening be done? Or is it done during degloving?

Why not put an Allograft (see AlloDerm® below) dermal matrix graft under the proximal glans cap for glans enhancement?

Why not use AlloDerm® for penis enlargement?

Why shouldn't I get 1-hour glans penis enhancement using hyaluronic-acid gel injected over the entire glans penis using a 30 gauge needle and local anesthesia which gives a 20% increase in girth for about 12 months?

Why doesn't Professor Perovic do autograft dermal fat grafts or porcine dermal matrix grafts?

What is the average penis size? Is average penis length the same around the world?

Why is flaccid, not erect penis size, usually used when talking about the results of penis enlargement surgery?

Does Dr Perovic's penis enlargement surgery produce “permanent” results that will last a life time?

What is the location and extent of scarring resulting from penis enlargement surgery by Dr Sava V. Perovic?

What stitching material does Dr Perovic use for penis enlargement surgery? Do patients need to have it removed later by a doctor their local area? If so, when?

Can I get Perovic Total Phalloplasty & still keep my vaginal canal with the ability to be penetrated?

Dear Professor Perovic, what is the average length and width of the penis after your metoidioplasty (metaoidioplasty)?

Is Dr. Perovic board certified to practice in the United States?

Is it possible for Dr. Perovic to bill the cost of my surgery directly to my insurance provider?

What types and brands of penile prosthesis devices can Dr Perovic implant?

Does Dr Perovic use InteXen LP (lyophilized porcine), the dermal matrix graft material of American Medical Systems Holdings Inc of Minnesota?

I had a partial suspensory ligament cut done in the past but it failed. Can Dr Perovic redo it?

I have a hormone condition. Can I get male breast reduction (gynecomastia) and nipple reduction at the same time I get penis enlargement surgery by Sava Perovic?

I want buttocks liposuction when I get my penis enlargement phalloplasty. Can Dr Perovic do that? And does he use wet or dry liposuction?

Exactly how many cases of penis enlargement surgery has Dr Perovic done?

Would I be better off contacting Dr Perovic directly? And what is the schedule and number of examinations with the doctor before and after the penis enlargement surgery?

Does Professor Perovic put in writing his assurances that he'll sort out any complications arising later from the surgery?

What happens to old fat injections when you do penis enlargement using PLGA scaffolds?

Do the Thai plastic surgeons who have studied your "Tissue Engineering with Biodegradable Scaffolds" procedure perform it in Bangkok?

Are there any Thai doctors who perform Dr Sava Perovic's FtM sex change surgery in Bangkok?

How does Dr. Perovic incorporate the clitoral nerves to the neophallus during his Total Phalloplasty?

Is a scrotoplasty also included in the third stage of Perovic Total Phalloplasty surgery?

Is it necessary to have a vaginectomy before getting Perovic Total Phalloplasty?

How long must a Perovic Total Phalloplasty patient stay in hospital?

Is it OK to bring friends, relatives and/or other people interested in becoming patients of Dr Perovic to Belgrade when I get my surgery from the professor?

Where do you usually perform Perovic Total Phalloplasty in Belgrade?

Are there any girth gains when the penis is erect through the tissue engineering with biodegradable PLGA scaffolds phalloplasty which Dr. Perovic performs? Is the penis circumference increased in both flaccid and erect state?

What's a fistula?

If i went to Belgrade to have FtM metoidioplasty surgery performed by Dr Perovic himself, where and at which hospital will the Perovic metoidioplasty be performed?

Who exactly IS on Professor Perovic's Team?

Does Dr Perovic's Metoidioplasty surgical fee include full hysterectomy and vaginectomy?

If I choose to have my Perovic Metoidioplasty 2008 done personally by the professor in Belgrade, will someone organize accommodations and transport during my stay there?

Will Dr Perovic supply me with Andractim gel to put on my clitoris to make it bigger?

Do you use good medical facilities? Can your patients who go there expect to have peace, quiet and privacy, unlike what some persons have experienced with other doctors?

Can Dr SV Perovic do "glans sculpting" so the glans looks more natural and conspicuous? Can anything be done in that regard in addition to the de-epithelialized skin strip at the tip of the neophallus created during Total Phalloplasty?

What is the actual complication rate for Perovic Metoidioplasty 2008 with the urethral lengthening procedure?

In what way is Perovic Metoidioplasty 2008 more advanced than in the past and better than what is offered by other doctors?

If my friend, family member, companion, wife or signficant other wants to come along with me to Belgrade to provide support and will stay with me at my hotel or apartment arranged by your team, will they need to pay extra for their accommodation?

How much does it cost to stay at a medical facility in Belgrade longer than the stipulated number of days in the surgery package price?

Can Sava Perovic's Tissue Engineering with Biodegradable Scaffolds be used for the clitoris during metoidioplasty to gain more girth and possibly length?

Prof. dr Savom Perovićem o polnim organima - Dr Perovic The Carnal Organ Player!

Questions and answers about aesthetic genital surgery from the RTS-a TV interview with Dr Perovic on Saturday, 24 November 2007: Prof. dr Savom Perovićem o polnim organima - Dr Perovic The Carnal Organ Player!

Q: Bliskost tela u tangu uvek kreće romantično i onda dolazi do konkretnog, a vi ste lekar za konkretne situacije, kada dolazi do spajanja muškarca i žene. Vi ste hirurg, urolog, prof. dr Sava Perović, dosad ste pokazali svoju veštinu svuda u svetu. Gde ste sve bili?

A: Mogu reći da je cela ova godina bila vezana za putovanja po celom svetu. Od dvanaest meseci sigurno sam osam bio van Beograda.

Q: Član ste velikog broja svetskih udruženja gde pokazujete svoje umeće. Šta je ono što vi radite, a što drugi u svetu ne rade tako dobro kao vi?

A: Ono što me je proslavilo u svetu jeste veština da polni organ rastavim u delove, u najsitnije njegove anatomske delove, popravim urođeno ili stečeno oboljenje i potom taj organ sastavim, a da se to nimalo ne primeti i da pri tom zadovoljim estetiku, jer ona u meni, baš kao i agrentinski tango, budi posebna osećanja, ne mogu to da opišem.

Q: Da li vam se ljudi uvek obraćaju s razlogom, jer kod nas postoji jedno uverenje, kao verovatno i u svetu, da veličina muškog polnog organa ima veze s njegovom dužinom, debljinom i uspehom u seksualnom činu? Da li je to uvek tako?

A: Nažalost, moram da kažem da 80% muškaraca koji dolaze kod mene imaju potpuno normalan polni organ, čak mogu da se svrstaju u tzv. mačomene. Razlog za operaciju uopšte ne postoji. Ja te pacijente šaljem kod psihijatra na jednu strogu psihijatrijsku kontrolu, jedno ispitivanje. I pored toga, čak i ako dobijem preporuku psihijatra, ja još uvek razmišljam da li da kod tih pacijenata izvedem hiruršku intervenciju, jer ona jednostavno nije medicinski opravdana.

Q: Kako izgleda njihovo obraćanje vama? Oni dođu kod vas i šta vam kažu?

A: Oni jednostavno koriste ono što se dešava godinama i decenijama u estetskoj hirurgiji kod žena. Žena želi da uveća grudi, ulepša nos itd, pa i oni kažu: i mi želimo da uvećamo naše genitalije. Jednostavno je počela da se razvija tzv. estetska genitalna hirurgija, koja potiče iz bogate Kalifornije i mogu da kažem da sam jedan od pionira, zajedno sa njima, upravo ja. Ali indikacije su ovde u Srbiji u mom slučaju veoma stroge.

Q: Kada vam se jave takvi pacijenti i obrate s molbom da im uvećate penis, da li ih često odbijate?

A: Vrlo često ih odbijam. Prvo im kažem da pripadaju muškarcima koji nisu čak ni na donjoj granici, ni u sredini, nego su pri vrhu. Znači, ne postoji medicinski razlog da se uveća polni organ, a takođe ne postoji ni razlog za estetsku korekciju, jer im polni organ izgleda normalno, ne postoje nikakvi deformiteti, pa nema šta da se estetski popravi. Kažem im da se samo izlažu jednom riziku, jer hirurgija nije matematika i čovek ne može da garantuje uspeh.

Q: Recite mi nešto o rizicima hirurške intervencije? Hirurzi retko govore o tome. Retko ćete od hirurga čuti da je svaka hirurška intervencija rizik – da je i najmanja hirurška intervencija rizik?

A: Ne postoji mala hirurška intervencija! Svaka je veoma ozbiljna i velika i svaka ima svoj rizik!

Q: Englezi imaju uzrečicu: kažu da je mala intervencija uvek ona koja se obavi na nekom drugom?

A: Kod tih tzv. malih hirurških intervencija najčešće i dolazi do komplikacija. Puno radim u hirurgiji, i to s takvim entuzijazmom i tolikom ljubavlju da mi se čini da u hirurgiji uživam kao u nekoj vrsti umetnosti. Jer, hirurgija koju ja radim tačno se prepliće s umetnošću. Težim da i tu drugu komponentu, umetnost, unesem u svoje hirurške intervencije. Kad vršim npr. skulpturiranje polnog uda.

Q: Imate jako veliki broj sledbenika u svetu. Ljudi znaju da vi imate neke svoje metode. Imate jako puno učenika. Svojevremeno su dolazili na dečju kliniku u Tiršovoj ulici da bi posmatrali vaše operacije, a vi ste im davali licence za određene vrste intervencija, jer jedno je hirurgija, ali treba povezati i nerve i zadržati kompletnu funkciju tog osetljivog polnog organa - penisa. Mislite li da muškarci imaju mnogo kompleksniji polni organ nego žene? Veća je prokrvljenost, veći rizici? Kod žena je taj reproduktivni aparat vrlo jednostavan?

A: Nažalost, za razliku od žena, taj mehanizam, ta funkcija muškog polnog organa toliko je kompleksna i povezana s masom problema da bi se ostvarila uspešna erekcija i uspešan seksualni odnos da bi se o tome mogla napisati knjiga od 2.000 strana. I još uvek smo u fazi istraživanja i ispitivanja - i još uvek nema konačnog odgovora. Ali, moram da napomenem, sada više nije samo u trendu tzv. muška polna nemoć, impotencija, već i polna nemoć žena. Evo, baš sad idem u Lisabon, gde će veliki deo kongresa biti posvećen ženskoj seksualnoj disfunkciji, nemoći žena u seksualnom odnosu.

Q: Da li se vi slažete s tim da jedan uspešan seksualni odnos može postojati samo ako ima ljubavi? Ima li to veze? Slažete li se s tim da je za jedan uspešan seksualni odnos bitnija ljubav nego to kako izgledaju polni organi i koje su veličine? Da li vi to kažete svojim pacijentima?

A: Apsolutno. Imao sam prilike da vidim veliku ljubav između partnera, a kad sam pogledao njihove genitalije, rekao sam – pa ovo je nemoguće. Odlučio je ipak njihov mozak. Sve je u glavi!

Q: Je l’ da je zdravlje najvažnije?

A: Jeste.