Surgery appointment

Home Surgery appointment

Implant placement and surgeries

To schedule a surgical procedure, whether for penile implant placement or for penis surgery (e.g., Peyronie's disease), you can fill out this form so that we can arrange a pre-operative appointment.

Form to be filled out

Step 1 of 2 Contact

First name

Name

Date of birth

E-mail

Phone

Step 2 of 2 Situation

Problem / Need

Are you diabetic?

Are you a smoker?

Is this a second operation?

Do you consider a particular time for the procedure?

Operating procedure

Notes / Comments

Your details and message are sent by e-mail to the practice of Dr Sébastien Beley only. They are not stored on this website.
Please do not include detailed medical information here (test results, treatments…): it will be discussed during your consultation.

Required field

Office

Where to consult

Address82 Bd de Courcelles, 75017 Paris
Phone01 42 68 83 30
E-mailcontact@beleyurologie.fr

82 Bd de Courcelles, 75017 ParisView map and directions