Implants and operations

Surgical appointment

To make an appointment for a surgical procedure, whether for a penile implant or a penis operation (e.g. Lapeyronie), you can fill in this form to arrange a pre-op appointment.

Form to fill in

First name

Name

Date of birth

E-mail

Phone

Problem / Need

Are you diabetic?

Are you a smoker?

Is this a second operation?

Do you see this as a special moment in the process?

Operating mode

Notes / Comments

If you’d like to call us directly, or if you’d like more information before making your request, you can contact us by phone or e-mail.

Phone

01 42 68 83 30

Email

contact@beleyurologie.fr

Website

www.beleyurologie.fr

Address

82 Bd de Courcelles, 75017 Paris