Urogenital Evaluations from Afar by Perovic Surgical Team

 

You can begin solving your urogential problems by completing this optional form.

The Sava Perovic Surgical Team, led by Dr Rados Djinovic, needs detailed, accurate, complete information in order to do a long-distance evaluation before you travel to Belgrade.

Your information is confidential and read by only by Dr Djinovic and the case manager.

Dr Rados Djinovic, reconstructive surgeon and leader of Sava Perovic Foundation Surgical Team

You are welcome to travel to Serbia for an urogential exam and to consult Dr Djinovic face-to-face at our Belgrade clinic.

The consultation fee is waived for patients flying at substantial expense from distant countries. Serbians and patients from countries in the Balkans pay a consultation fee of Dinars 5000.

Cost of the surgical solution for your urogenital problem depends 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 but this form is the easiest way to provide complete information.

Personal answers from Dr Djinovic can take up to 30 DAYS!

The surgeon needs photos of your genitalia if you are requesting:

Information about the types of photos needed and how to send pics, radiation imaging, medical document imaging and psychiatric evaluations to us is explained on our page about that.

Avoid sending photos by email attachment whenever possible. Instead, read this page “How to Send Medical Photos”. about how to send medical photos or medical imaging to Dr Djinovic securely and reliably

All patients are required to have a number of pre-arrival tests 4-7 days before coming to Belgrade to determine they are in good health suitable for surgery.

Tests can be done in Belgrade but are NOT included in quoted priced.

HIV+ or Hep C positive disqualifies a person from elective surgeries.

Surgery for UNhealthy patients will be postponed.

Postponement by patients of scheduled surgery must be done at least seven (7) days in advance.

Our goal 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.

HotMail OFTEN prevents our responses from getting to the intended recipient. AOL is also terrible. Yahoo is slightly better. Gmail appears to have no censorship.

If you do not get an answer from us within a reasonable period of time (approximately 72 hours), it is possible/likely unintelligent mail filters of your ISP or webmail provider or email program has blocked our response — probably because of the urological topic and content of the message and words like “sex” or “penis” or “vagina”. Check your junk folders and/or spam folders or bulk folders.

Evaluations, comments and answers from Dr Djinovic always take 1-30 days.

Providing everything the surgeon needs to diagnose your case ensures you get the response you need in the shortest possible time.

Do you due diligence to enable yourself to be able to sign the Informed Consent Form prior to surgery.

Read carefully what we have already published about your health problem and our surgical solution for it.

Often our articles are very condensed with a lot of information that requires careful study and several reads to understand it all.
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 WPATH | Harry Benjamin Standards of Care, Chapter IV?
Yes    No

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

Please show you are human. Type in the white box below the characters you see in the black box next to it, then click Submit. Thank you.

     

This form was checked and working properly as of Friday, 24 June 2011. It is NOT broken. We must have a difficult security code to stop spammers and bots. We regret the inconvenience.

Common Challenges of this Form only Humans can Overcome:

  1. Lower case letter "c" can appear like "e" — especially if it is in the crosshairs.
  2. Lower case letter "o" can appear similar to the number zero "0" but is not as big and has a right-to-left, top-to-bottom slash ø. Capital letter "O" is never used. It must be a zero "0". CAPITAL letters of the alphabet are not used.
  3. The number "8" can appear like the number "0" — especially if it is in the crosshairs.
  4. Example: code that looks like "a2c03" could actually be "a2e03" or "a2c83
  5. TIP: If the security code is wrong, try switching any of those letters or numbers in the code and try again.
  6. TIP: Code too difficult? Click the REFRESH button of the browser to get a new security code and KEEP the form data. REFRESH does not delete your info.
  7. TIP: If you experience a form error that means required information like your email address is missing. Click the “Go back one page” button of your browser (one or two times), add the missing info, and resubmit without losing all your form data.
  8. WARNING: If you click the RESET button the form will be wiped and all date removed.

In some browsers (not all), the security code in the black box can be ENLARGED by holding down the CTRL-key and rolling your mouse scroll button towards the computer screen.

If your medical history submission is successful, you will see a screen like this:

final step of date submission



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