Adult Hypospadias Repair?
Certainly!

Hypospadias repair for adults can be challenging to find because it appears at birth and affects children so is treated early. Can hypospadias in adults be repaired? Certainly! No problem. The Sava Perovic Surgical Team> can help you whether 2 or 72 — and expect zero hypospadias repair complications after surgery.

Because of intense specialization in the medical profession, pediatricians who perform hypospadius repair on children will not do hypospadias repair for adults. Dr Rados Djinovic (pronounced RAH-DOSH JIN-O-VICH) accepts patients of all ages. He does hypospadias surgery on infants as well as hypospadias repair for adults.

After nine surgeries … without improvement, I find that Dr Djinovic did the impossible!

But failed hypospadias surgery over and over is devastating and hypospadias repair complications are frequent. After continuous, multiple, futile attempts at hypospadias repair with significant scarring and tissue loss, many parents can no longer endure seeing their dear son in pain and traumatized.

They beat themselves up over the fact that failed hypospadias surgery has made their child even worse. Worst of all? They paid plenty of money to have it done. And more than 50% of those children will have complications related to hypospadias as an adult.

Chordee hypospadias in adults: pics of hypospadias

The child grows into an adult learning to accept and tolerate the failed hypospadias surgery and various hypospadias repair complications — but quality of life is not good. The continual problem diminishes focus in all endeavors.

Hypospadias repair surgery worldwide often lacks durability. Approximately one third of children who get a so-called “successful” hypospadias repair develop recurring complications related to the hypospadias when adult. The “success” is fleeting. Not to worry. Adult hypospadias repair by Dr Djinovic can put it right.

No hypospadias treatment as a child increases risk of risk of severe stricture disease as an adult as well as the chronic and progressive Balinitis Xerotica Obliterans (BXO) which causes hardening and inflammation of the foreskin and glans.

No need to endure and tolerate adult hypospadias, deformity or hypospadias surgery complications. Dr Djinovic can put you right.

As a recent adult hypospadias repair patient reports: “Everything is fine now. I am VERY satisfied with the job of Dr Djinovic. After nine surgeries … without improvement, I find that Dr Djinovic did the impossible! Fistula is closed, and many old scars have disappeared.”

Our Russian section is unique content, not a translation. Use Google Translator in top right corner.

Adults who have had hypospadias repair done properly can have excellent quality of life. SUCCESSFUL adult hypospadias repair enables you to focus on your career, profession, love life, family and goals. It eliminates the nagging, distracting subconscious stress, fear and worry caused by problematic genitals. Inner peace at last.

But if you limit your surgical options too much and handicap your surgeon search by making it too narrow, you are doing yourself or your loved one a disservice. Why? Because the best paediatric urologist in the USA for hypospadius repair does not necessarily get the best surgical results worldwide nor on an absolute scale and not long term.

If you limit your options even more to only one city, not only a single country, that significantly impacts on your chances of truly getting hypospadias repair done right the first time with one surgery and minimizing risk of hypospadia repair complications in later life.

For example, if you look for a urologist in Chicago who will repair hypospadias in adults or the best Maryland hypospadius urologist, that fails to consider the more specialized urogenital reconstructive surgeons and expert surgeons in hypospadias repair everywhere else in the world. And urologists are not all experienced urologic surgeons. An open minded approach is in your best interest and to your benefit.

Nearly 82% of adult men who got hypospadias repair locally or based on convenience, whether as a child or an adult, have multiple problems urinating as an adult, including:

Professor Dr Sava Perovic MD, PhD

For decades, it was a well-kept secret in the global genitourinary medical community that the best surgeons for hypospadias were in Serbia at the University of Belgrade School of Medicine.

Who would expect the best doctor for hypospadias repair to be in a tiny, land-locked country north of Greece and east of Italy that was formerly part of Yugoslavia?

But in 2007, word began leaking out to the general public about Professor Dr Sava Perovic's amazing, remarkable, almost unbelievable success rates and supreme quality surgical results. The big question became: “Is there any hypospadias problem Perovic can not solve?”

Unfortunately, Perovic results are not the standard and NOT what you will get locally. Fortunately, they continue to be offered by the Sava Perovic Surgical Team.

Ask any expert surgeons in hypospadias repair: Is it is true that attempted hypospadias repair in adults & children OFTEN turns into failed hypospadias surgery and/or with multiple short-term and/or long term complications?

Note how they diplomatically choose their words very carefully to minimize the alarming statistical facts and downplay the high risk of a bad result.

“We will try our utmost to do the best hypospadias repair possible” does NOT mean “your child's problem will be effectively corrected and he will grow up enjoying a normal life.”

Best effort does not mean good result. Every day plenty of urologists worldwide “have a go” at hypospadias repair … but failure and complications are rampant. The situation is so bad that “failed hypospadias repair” is developing into it's own sub-branch of genito-urinary surgery.

Of course, like multi-level marketing, somebody is going to be successful. But iatrogenic hypospadias is more common than you think. Tiny penises disfigured by surgery are not as rare as you might assume. The need for post-op psychiatric counseling is not unusual.

That is why Dr Djinovic's first advice to all parents of sons with hypospadias is: “STOP!”

The same advice applies to hypospadias repair for adults.

“STOP!”

You do NOT live near the best hypospadius surgeon.

“STOP!”

The best doctor for hypospadias repair is NOT in your city.

“STOP!”

The best doctor for hypospadias repair is NOT in your neighborhood, shire, parish, municipality, county, borough, district, region, state, province or country — unless you live in Belgrade, Serbia.

Your best hope is NOT local.

Your best chance of successful hypospadias surgery with least chance of complications is NOT convenient.

Your choice is between close and convenient or supreme surgical result for you or your loved one.

travelmath reports Belgrade is only 2 hours 6 minutes from London. eDreams says it costs as little as €81 (US$118). travelmath reports it takes only 9 hours 3 minutes from New York City to Belgrade. eDreams reports it can cost as little as US$$1,530 from New York's JFK airport to Belgrade — round-trip.

Focus on results.

Demand an excellent quality solution, not merely an attempt and best effort.

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Sava Perovic Hypospadias Articles in Leading Peer-Reviewed Journals

OPERATIONSPRINZIP BEI DER PENILEN HYPOSPADIE
Akt Urol, 12:78, 1981

OPERATIVE TECHNIK: SCHWERE HYPOSPADIEFORMEN EINZEITIGES KORREKTURVERFAHREN
Akt Urol, 14:310, 1983

EINZEITIGE KORREKTUR UNTERSCHIEDLICH SCHWERER HYPOSPADIEFORMEN
Akt. Urol. 22:I-VIII, 1991

HYPOSPADIAS SINE HYPOSPADIAS
World Journal of Urology, 10: 85-89. 1992

PENOSCROTAL TRANSPOSITION WITH HYPOSPADIAS: 1-STAGE REPAIR
Journal of Urology 148:1510-1513, 1992

ONLAY URETHROPLASTIK BEI DISTALER HYPOSPADIE
"Ausgewahlte Urologische OP Techniken". Georg Tieme Verlag. pp. 457-465, 1994

EINZEITIGE KORREKTUR UNTERSCHIELICH SCHWERER HYPOSPADIEFORMEN
"Ausgewahlte Urologische OP Techniken". Georg Tieme Verlag. pp. 465-477, 1994

ONLAY ISLAND FLAP URETHROPLASTY FOR SEVERE HYPOSPADIAS. A VARIANT OF THE TECHNIQUE
Journal of Urology 151:711-714, 1994

ONLAY URETHROPLASTIK BEI DISTALER HYPOSPADIE
Akt. Urol. 25:I-VIII, 1994

OUR MODIFICATION OF ONLAY ISLAND FLAP URETHROPLASTY IN SEVERE HYPOSPADIAS
European Journal of Pediatric Surgery, 5: 94-101, 1995

CONTROVERSIES IN HYPOSPADIAS SURGERY: PENILE CURVATURES
Dial. Pediatric Urology, 19 (7):2-8, 1996

CONTROVERSIES IN HYPOSPADIAS SURGERY: URETHRAL PLATE
Dial. Pediatric Urology, 19 (8):2-8, 1996

HYPOSPADIAS
Hohenfellner, R., and Novick, A. (Eds): Innovations in Urological Surgery. ISIS MEDIA, Oxford, 1997, pp. 206-214.

PENILE DISASSEMBLY TECHNIQUE IN HYPOSPADIAS REPAIR
British Journal of Urology, 81:479-487, 1998

NEW APPROACH IN HYPOSPADIAS REPAIR
World Journal of Urology, 16: 195-199, 1998

PENILE DISASSEMBLY TECHNIQUE IN HYPOSPADIAS REPAIR: A NEW APPROACH
European Urology Video Journal, Vol. 5 Nr. 1: 10-11,1998

TECHNIQUE DE DÉSASSEMBLAGE DU PÉNIS: UNE NOUVELLE APPROCHE DE LA CHIRURGIE RECONSTRUCTICE DE L'HYPOSPADE
Progrés en Urologie, 9:371-379, 1999

VASCULARISATION OF THE HYPOSPADIAC PREPUCE AND ITS SIGNIFICANCE IN HYPOSPADIAS REPAIR
American Academy of Pediatrics Urology Section and ESPU Joint Meeting 7-10 June, Tours, France, Supplement, British Journal of Urology 85 (4): p 50, 2000

MORFOLOGY OF THE HYPOSPADIAC PREPUCE AND ITS IMPACT TO HYPOSPADIAS REPAIR
XIIth ESPU meeting and 3rd ICCS Congress 26-29 April, 2001, Ararhus, Denmark, Supplement, British Journal of Urology 87 (1): p 21, 2001

URETHRALDIVERTICEL NACH HYPOSPADIEKORREKTUR
Komplikationen in der Urologie (Eds. Steffens J, Langen PH), Steinkopff Verlag, Darmstadt, 2002; pp 164-168

VASCULARIZATION OF THE HYPOSPADIAC PREPUCE AND ITS IMPACT ON HYPOSPADIAS REPAIR
Journal of Urology, 169: 1098-1101, 2003

SEXUAL BEHAVIOR AND SEXUAL FUNCTION OF ADULTS AFTER HYPOSPADIAS SURGERY: A COMPARATIVE STUDY
Journal of Urology 2004; 171(5):1876-9

CLASSIFICATION OF PREPUCE IN HYPOSPADIAS ACCORDING TO MORPHOLOGICAL ABNORMALITIES AND THEIR IMPACT ON HYPOSPADIAS REPAIR
Journal of Urology 2004;172(1):301-4

DORSAL DARTOS FLAP IN PREVENTION FISTULA FORMATION IN SNODGRASS HYPOSPADIAS REPAIR
British Journal of Urology International, 2005; 95:1303-1309

LONGITUDINAL DORSAL FLAP FOR PREVENTION OF FISTULA AFTER A SNODGRASS HYPOSPADIAS PROCEDURE
European Urology Platinum ISSN: 0302-2838. 2006 July; 50(1):53-57

CALIBRATION AND DILATATION WITH TOPICAL CORTICOSTEROID IN THE TREATMENT OF STENOSIS OF NEOURETRAL MEATUS AFTER HYPOSPADIAS REPAIR
British Journal of Urology International, ISSN 0007-1331. 2006 Jan;97(1):166-8

COMBINED BUCCAL MUCOSA GRAFT AND DORSAL PENILE SKIN FLAP FOR REPAIR OF SEVERE HYPOSPADIAS. Urology. 2008 May; 71(5):821-5

ONE-STAGE REPAIR OF SEVERE HYPOSPADIAS USING COMBINED BUCCAL MUCOSA GRAFT AND LONGITUDINAL DORSAL SKIN FLAP
European Journal of Pediatric Surgery. 2008 Dec;18(6):427-30

RETROSPECTIVE DESCRIPTIVE ANALYSIS OF 1,176 PATIENTS WITH FAILED HYPOSPADIAS REPAIR
Journal of Urology 2010 Jan; 183(1):207-11. Epub. PMID: 19913825

SURGICAL CHALLENGE IN PATIENTS WHO UNDERWENT FAILED HYPOSPADIAS REPAIR: IS IT TIME TO CHANGE?
Urologia Internationalis 2010;85(4):427-435 (DOI: 10.1159/000319856)

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