Upgrading, Revising or Correcting Surgical Results of Other Surgeons
Fundamentally flawed foundations
If you want Dr Djinovic to “upgrade” with urethroplasty and/or a penile prosthesis implant an FtM phalloplasty done by someone else somewhere else, you are not asking for Total Phalloplasty Stage Two nor Stage Three.
You need a unique solution and that requires an evaluation by the surgeon.
To have Dr Djinovic evaluate your surgical results to determine if he can upgrade, correct or revise them:
- submit your medical history;
- send us a batch of sharply focused photos showing your penis from all angles in good light. Do NOT send them as email attachments. Send them to us using the method explained on our web page on that topic;
- send measurements of your current penile length and girth in both flaccid and erect state. You can simulate “erect” state by pulling/stretching it to what you consider normal. Be reasonable, be realistic — and don't injure yourself.
With that information, Dr Djinovic will:
- evaluate your case;
- let you know whether he can help you; and
- quote a firm, exact price for the surgical package.
Do NOT send photos, psychiatric evaluations or other large files as email attachments.
Only a few FtM phalloplasty procedures (other than Perovic Total Phalloplasty) result in a neophallus with sufficient vitality that is large enough, and with sufficient vascularization to accommodate an inflatable prosthesis.
Most FtM phalloplasty procedures are not designed for upgrades of functionality in the future. They are based on fundamentally flawed concepts.
Sometimes they can be upgraded but sometimes it proves too much for the penis. It varies case by case.
Groin flaps and any other harvested tissue that is primarily fat and skin with no muscle is not suitable for urethroplasty. It does not have the amount of vascularity required for a successful skin graft needed to create the neo-urethra.
Penile prosthesis implantation is possible for penises made from that type of flap but urethroplasty is high risk.
Flaps that have a significant amount of muscle tissue can often have successful urethroplasty but may be too small to safely accommodate an inflatable penile implant.
What's the point of getting an implant if you suffer infection and eventual protrusion or even lose the penis because of necrosis? We want you to get a good permanent result.
There is only some chance a bad phalloplasty can be turned into a better one.
No man putteth a piece of new cloth unto an old garment, for that which is put in to fill it up taketh from the garment, and the rent is made worse. Neither do men put new wine into old bottles: else the bottles break, and the wine runneth out, and the bottles perish: but they put new wine into new bottles, and both are preserved. (Mt 9:16-17)
The best way to upgrade someone else's work or convert a bad phalloplasty into a better one is remove it and get Perovic Total Phalloplasty done.