Genital and sex change surgery

Surgery of mail and female genitals, as well as sex change surgery are performed by a team lead by the world known expert, member of the Serbian academy, prof. Ph. D. Dr. Sava Perović. After death of prof. dr. Sava Perovic the team successfully continues to work under the guidance of dr. Rados Djinovic.

Congenital Anomalies in Children and Adults: Abnormal and Deformed Genitalia Correction

  • Cryptorchidismus
  • Inguinal, umbilical and other hernias
  • Creation of umbilicus
  • Penile duplication
  • Penile ectopy
  • Megalourethra
  • Duplication of uterus
  • Male incontinence (congenital or iatrogenic after prostatectomy) ARGUS implantation

Kidney, Pyelon, Ureters and Urinary Bladder Surgery

  • Pyeloplasty
  • Ren arcuatus
  • Nephropexy
  • VUR: Extravesical ureters re-implantation or endoscopic instillation of DEFLUX (sting procedure)
  • Neurogenic bladder — bladder augmentation with bowel or autoaugmentation with rectus abdominis muscle
  • Ureteral reconstruction.
  • Urethral Surgery

  • All types of urethral stenoses — meatal, anterior and posterior urethra with or without buccal mucosa grafting
  • Balanitis xerotica obliterans caused stenosis
  • Urethral trauma
  • Urethral fistulae.
  • Female Genital Modification

  • Hypertrophic clitoris
  • Hypertrophic labia minora
  • Hypertrophic labia majora
  • Urethral cysts
  • Female urethra reconstruction after injury/rupture — sphincter reconstruction
  • TVT and TOT treatment of stress incontinence
  • Cystocoele and Rectocoele: Anterior and posterior vaginal wall plasty using VIPRO mesh
  • Vaginal/uterus prolapse — trans-vaginal colpo/uteropexy for sacrospinous ligament
  • Vaginal agenesis (Mayer-Rokitansky syndrome) — vaginal reconstruction using recto-sigmoid colon
  • Vesico-vaginal and recto-vaginal fistula
  • All types of external genitalia deformities.
  • Male Genital Modification

  • Buried peniss
  • Penile curvature - plication or grafting (bent penis, adult chordee / penile chordee / congenital penile curvature)
  • Hypospadias surgery - all types, children and adults
  • Epispadias - children and adults
  • Penile Enlargement Surgery | Penile Augmentation | Penile Enhancements — both lengthening by ligamentolysis and widening (girth enhancement) using autologous tissue engineering with PLGA scaffolds
  • Only girth enhancement using PLGA scaffolds (no lengthening)
  • Gynecomastia and/or nipple reduction at the same time as penis enhancement surgery
  • Buttocks liposuction at the same time as penis enhancement
  • Mb Peyronie: a) Tunica albuginea plication; b) real penile lengthening (grafting using geometrical principle); and c) prostheses implantation
    • Erectile Dysfunction correction using venous ligation (total penile disassembly):

    • Implantation of inflatable prosthesis, such as AMS penile implants
    • Implantation of semi-rigid prosthesis
  • Geometric disproportion — reduction corporoplasty
  • Penile trauma — accidental or iatrogenic penis injury repair
  • Broken penis, penile fracture
  • Vaso-vasostomy
  • Trapped penis with missing penile skin — single-stage penile skin reconstruction using scrotal flaps
  • Micropenis syndrome correction — Total Phalloplasty using musculocutaneous latissimus dorsi (MLD) flap for micro penis correction
  • Low-stage penile cancer — organ sparing surgery
  • Glans injury .
  • Intersex surgery

  • Feminization
  • Masculinization.
  • MtF SRS / Transsexual Surgery / Female to Male Operation

  • Mastectomy
  • Hysterectomy with Salpingo-Oophorectomy — trans-abdominal or trans-vaginal
  • FtM SRS: removal of all genitalia, including vaginectomy, trans-vaginal hysterectomy and oophorectomy (also know as ovariectomy - surgical removal the ovaries) plus Perovic Metoidioplasty 2008 with scrotoplasty (including prosthesis)
  • FtM Perovic Metoidioplasty 2008 with vaginectomy and scrotoplasty (testicular prosthesis included)
  • Perovic Metoidioplasty 2008 with scrotoplasty(prosthesis included) for patients who have already received oophorectomy, hysterectomy & vaginectomy
    • Total Phalloplasty using MLD flap:

    • Stage one (note: You’ll be in the hospital for this stage for 6-7 days)
    • Stage two
    • Stage three
  • MtF SRS Vaginoplasty from penile skin
  • Male to Female Surgery Vaginoplasty from recto-sigmoid segment