Total Phalloplasty Stage 3 Penile Prosthesis Implantation

The penile prosthesis implantation of the the third stage of Total Phalloplasty and the final step in transition takes three hours of surgery done approximately three months (often longer) after the creation of the neo-urethra in the second stage.

Patients stay 2-3 nights in hospital and about a week in Belgrade.

Two patients who recently finished their transition by competing the third stage and who had traveled to Serbia together each time, reported:

All patients are encouraged to stay longer in Serbia than the medically mandated minimum.

There is no maximum amount of time you can wait between Stage 1 & 2 or Stage 2 & 3 but the minimum is 90 days between each.

Often, the doctor has patients wait much longer than three months (six months or more) for softening of scars which results in a better final solution.

Cost of a penile implant prosthesis is never included in the surgical fee because it varies according to brand, model, type and size that the patient chooses.

Penile implant prices are set by the manufacturers, not the surgeons, and vary country-by-country for the exact same make and model.

However, our surgical package prices are always a flat fee net amount and do include the cost of an implant.

Dr Djinovic's current recommendation for most transguys is the AMS 700 CX inflatable implant.

The previously recommended AMS Ambicor (2-component) is the penis implant Dr Djinovic once preferred for fixing erectile dysfunction and was the one he would have got if he ever developed ED.

Instead, Dr Djinovic now recommends the 3-component, AMS 700 CX inflatable penile implant with MS pump.

The CX has InhibiZone Antibiotic Surface Treatment which impregnates antibiotics into the tissue-contacting surfaces of the penile prosthesis.

Semi-rigid (malleable) AMS 650TM and 600M TM penile implants cost a quarter of the price of inflatable implants.

The malleable Promedon Tube implant of Argentina costs about 38% less than AMS semi-rigid implants and is the doctor's top recommendation if you are short on cash (but ONLY if there is no way you can afford an inflatable one.

An independent study of (natal males, not transsexual) patients using the Promedon Tube, reported:

• Successful sexual intercourse: 90.4%
• Prosthetic infection: 0%
• Non-specific pain (subsided spontaneously, no intervention): 24%
• Prosthesis too short complaint: 32.5%
• Retarded ejaculation: 10%
• Unsatisfactory penis appearance complaint: 9.6%
• Crural cross-perforation: 4%
• Hematomas: 1.6%
• Penile hypothesia [reduced sensation] (subsided spontaneously, no intervention): 0.8%

In some Stage 3 cases, there is no option and a malleable implant is medically indicated and must be used first. After a period of time it can be replaced with an inflatable one.
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