Standard penile implantation by Professor Sava V Perovic, MD PhD of the University of Belgrade School of Medicine, the world's leading urological surgeon, costs no more than what is offered in most developed and developing countries. Most cases qualify for his standard surgical fee package. Dr Perovic's surgical fee varies if a especially difficult case, such as patients who have had previous operations by other doctors, men suffering from Peyronie’s disease, and men with infections or other complications.
Patients receive treatment with a combination of several wide-spectrum antibiotics starting one day before surgery. Surgery takes 3-4 hours and is usually performed using epidural or spinal anesthesia although general anesthesia can be used if the patient prefers.
American Medical Systems (AMS) penile implants can also be safely inserted into Perovic Total Phalloplasty patients as well as natal men with erectile dysfunction (ED). Penile prosthesis implantation for natal men is a totally different procedure than the one used for Perovic Total Phalloplasty Stage Three.
Prosthetic rods (cylinders) are enveloped in a vascular graft to decrease the chance of prosthesis protrusion. Since a semi-rigid prosthesis has a higher risk of protrusion due to permanent pressure of prosthetic tips, Dr Perovic and Dr Rados Djinovic, primary permanent member of the Perovic Surgical Team, highly recommend an inflatable prosthesis and also enveloped in a vascular graft.
Envelopment of the prostheses in a vascular graft greatly decreases risk of prosthesis protrusion.
After surgery, the patient wears a transurethral catheter for 5-7 days.
Strong combined antibiotic treatment is continued for 7-10 days postoperatively.
Prosthesis implantation in Total Phalloplasty Stage Three takes three hours of surgery and requires 2-3 days in the medical facility and 5-7 days total time in Belgrade. Cost of the penile implant is not included in the surgical fee and varies according to brand, model, type and size that the patient chooses.
The recommended AMS 700 inflatable penile implant with the InhibiZone Antibiotic Surface Treatment which impregnates antibiotics into the tissue-contacting surfaces of the penile prosthesis costs almost as much as the surgery. Cost of the penile implant is not included in the surgical fee and varies according to brand, model, type and size that the patient chooses.
