Urological Evaluations by Dr Perovic at a Distance

This form is optional and merely a tool to help us help you from a distance. The acclaimed urologist needs information in order to do a long-distance urology exam and diagnose you accurately without you coming to Belgrade. Your information is completely confidential and read by no one but Dr Perovic and the most senior members of his Team. Alternatively, you are welcome to visit Belgrade for an urology exam and to consult Professor Perovic face-to-face. The noted urologist does not charge for a personal consultation.

Acclaimed urologist Sava Perovic

Costs vary depending on your medical history (such as relevant previous surgeries) and personal details (such as gender, age, height, weight). You can provide that information in an email . For penis enlargement surgery, hypospadias repair, epispadias surgery, or correction of iatrogenic injury urology problems the surgeon wants photos. You can send those files as email attachments .

For gender reassignment surgery, Dr Perovic requires digital copies of the signed letters on the official letterhead paper of your psychiatrist and mental health professional authorizing and approving him to perform the specific surgery you want (no exceptions ever). You can send those files as email attachments .

Our policy is to acknowledge we have received your medical history or email message within 24-48 hours. Be sure to put us on your White List or Friends List or Buddies List or Approved Senders List to ensure our messages reach you. If you do not receive a message from us within a reasonable time it is likely unintelligent mail filters of your ISP or webmail provider or email program has blocked our response — probably because of the topic and content of the messages. Check your junk folders and/or spam folders.

Evaluations, comments and answers from Professor Perovic and Dr Djinovic always take 1-15 days, sometimes longer. Providing everything the surgeons need to diagnose your case ensures you get the response you need in the shortest possible time.
Full Name (as in passport):


Gender:    Male    Female

Nationality:


Date of Birth:


Current Address:


Your phone number (with country code):


Your email address:


Weight (specify kilograms or pounds):
[1 stone = 6.35029318 kilograms]


Height (specify cm or inches):


Do you have diabetes or blood sugar problems?
Yes    No

Do you have heart problems?
Yes    No

If yes, please explain in detail:


Do you have lung problems such asthma or other other breathing difficulties?
Yes    No

If yes, please explain in detail:


Do you have blood pressure problems?
Yes    No

Have you ever been told or know that you have problems with anesthesia?
Yes    No

Do you have any blood disorders, such as bleeding or clotting problems?
Yes    No

Do you have Hep B or Hep C or are you HIV+?
Yes    No

Do you have any implants or metal objects in your body?
Yes    No

If yes, please specify:


Have you previously had surgery of any type?
Yes    No

Please list which surgeries you have had and when.

List all medications (hormones) you currently take, including dosage:


Do you have any allergies?
Yes    No

Do you have any food allergies?
Yes    No

Do you have drug allergies?
Yes    No

If yes, please specify:


List all vitamins or nutritional supplements you take:


Have you ever taken an anticoagulant such as Coumadin®, Heparin® or a daily aspirin?
Yes    No

If yes, when was your last dose?


Have you ever smoked tobacco?
Yes    No

How much do you smoke now?


When was your last cigarette or tobacco product?


Do you drink alcohol?
Yes    No

If yes, how much? (ml/day, ounces/week)


Have you had or do you have any medical conditions not mentioned above?
Yes    No

If yes, please explain in detail:


What surgical procedure do you want and when? Dr Perovic has no “waiting list”.   Request the surgery date you want and we will confirm it or propose the closest available date.   If there is any other information the doctor should know but we haven't asked about — add it here.   You are welcome to write as much as you like.   This text box does not limit the length of your comment.


Have you made yourself aware of the risks involved in the the medical treatment you want?
Yes    No

Have you made yourself aware of all the possible complications that can occur from the medical treatment you want? (We recommend you read this article about the risks and complications of ANY surgery in addition to doing research about the specifics of the procedure you are considering.)
Yes    No

Do you take birth control pills or any hormone replacement medication or use a hormone patch?
Yes    No

For MEN

What is your flaccid penis length?


What is your flaccid penis circumference?


What is your erect penis length?


What is your erect penis circumference?


Have you sent to some sharp, clear, well-lit, unedited photos of your penis in flaccid & erect states from left, right, center, above and below?
Yes    No

For GRS | SRS | MtF| FtM | GID

Do you have written psychiatric approval for the gender transformation surgery you are requesting as specified in the Harry Benjamin Standards of Care, Chapter IV?
Yes    No

Have you completed your “Real-Life Experience” as specified in the Harry Benjamin Standards of Care, Chapter IX?
Yes    No

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All patients must have HIV, Hep B & Hep C tests. Send as email attachment or bring results when you come. Tests can be done in Belgrade but are not included in price & cost Euros €50. HIV+ or Hep C positive disqualifies a person from elective surgeries.

Postponement of scheduled surgery must be done at least seven (7) days in advance.
Dr Perovic needs 1-15 days to provide personal answers and evaluations