TOPIC: Total removal of PMMA....

@jec - that\'s a great idea, i would be interested to hear his response, and also to know whether he is familiar with Cassuto and this paper. I think it should be someone who has already corresponded with him, as I get the impression that their office is starting to be flooded by our requests! Any volunteers...?

IMO most of the plastic surgeons and urologists will refuse to do any penile enhancement procedures ( injection with temporary or permanent products OR phalloplasty with other girth material ) even penile exercises they will tell you don\'t play with such a dear part of your body ( they are right it is better to have a healthy, functional, thin and short penis than to have a non-functional thick long penis ).
So Dr. D. Cassuto\'s reason for not having a permanent fillers injected into our penis is because of Foreign Body Granuloma formation and it\'s management.
The most important Q. is :- Is FBG a serious complication or NOT ?? If the answer is yes ---> it means also the other temporary fillers he listed them are also dangerous and they shouldn\'t be used in the body and not only in the penis , I would like to know why did he treat the temporary fillers ( e.g. collagen, Puragen-HA and Matridex) (some of them as we know will be absorbed completely within 6-8 months) with the laser which is painful and can cause permanent scarring, that was his words????
He might say that these are temporary fillers are safer than the permanent ones but he still used the same treatment (Laser with its complications) for both types ???
In fft injection you can have also FBG which if local treatment ( antibiotics and steroids) has failed, it has to be removed surgically ( they have mentioned also in this paper :- The fat has to be refined and the technique is very important (as in pmma) )
bjo.bmj.com/content/early/2010/11/01/bjo.2010.180547.abstract
BTW Dr. S. Cohen said the best treatment for FBG is just leave it it will resolve spontaneously.
The chance of having FBG in the worst pmma generation (Arteplast) was high (2.5 %) and since 1994 they stopped producing it. In (Artecoll) the 2nd generation the chance of having FBG is around (1:5000).
I think the worst thing about PMMA is if you decide to remove it totally for any reason (which can be only by surgery) ---> the chance of skin necrosis is high.
So anyone who decide to go for PMMA penile injection ---> he shouldn\'t go for a big volume.

darkstaff wrote: Thanks for the support guys.

I\'m concerned that my doctor has no idea what PMMA is, and has no capacity to include a related cause within the scope of his diagnosis.

The good news is that I have no issue with my penis ... it seems to be fine... so I\'m hoping there is no relation... and instead is just a crazy coincidence that my health went south a few months after my procedure in June.

I had a CT scan with contrast about a week and half ago ... the complaint was pain in my abdomen, and pain when I took a full breath of air (pain on my left chest wall) ... it came back clean.

I got a copy of the CT scan, and it showed the penile area, and guess what ... I didn\'t see anything that would indicate PMMA ... is this normal? .. does PMMA not show up on CT scans? (Anyone know?)

Thanks!
Dark

The actual beads are a small percentage of the new tissue. It\'s not like silicone or other fillers. PMMA is particulate, so it probably wont show up.

But don\'t go getting this stuff removed. It will be a nightmare to cut out and even then I doubt they\'ll remove it all.

Also, given that only 3% of the beads are even smaller enough to theoretically migrate, then that means at the very most, 0.06 cc of PMMA could have migrated. Obviously that wont be the case, as not all that could have would have. In fact it\'s unlikely any has. When you consider all the other particles that get moved around the human body, I still don\'t get the worry of PMMA migrating. Obviously if it\'s injected directly into vessels at the point of injection, then we\'ve seen this can have tragic consequences, but the chances of this are close to zero when using a micro cannula. I just can\'t imagine the CIA have PMMA beads in their arsenal for assassinations.

Thanks for the support guys.

I\'m concerned that my doctor has no idea what PMMA is, and has no capacity to include a related cause within the scope of his diagnosis.

The good news is that I have no issue with my penis ... it seems to be fine... so I\'m hoping there is no relation... and instead is just a crazy coincidence that my health went south a few months after my procedure in June.

I had a CT scan with contrast about a week and half ago ... the complaint was pain in my abdomen, and pain when I took a full breath of air (pain on my left chest wall) ... it came back clean.

I got a copy of the CT scan, and it showed the penile area, and guess what ... I didn\'t see anything that would indicate PMMA ... is this normal? .. does PMMA not show up on CT scans? (Anyone know?)

Thanks!
Dark

If darkstaff is indeed have health problems due to migration of PMMA in the blood stream or lymph system this should not be classified as a mental health issue. His response is appropriate and very understandable. Right now he does not have a diagnosis, so we should not jump to conclusions.

Hang in there. I am sure by working with the right medical professionals they can get a better idea of what is going on with your body. Right now, you don\'t have answers so its challenging, but I am sure with time they will be able to get a better grasp on things. Also do not rely on internet posters to diagnose yourself, this is your doctors job. I think things will change for the better soon. Be patient and you will get through this.

...

darkstaff wrote: Has anyone ever gotten PMMA removed --- and posted results on this board?

I\'ve been going mental with my medical problems, and at this point, If I can get it removed, I want it removed ... just not sure.

CHL said he had a Urologist who would unfold his penis and clean it up --- is this something that can really be done? ...

Dark

DO NOT GET IT REMOVED


This must be a really tough time for you, but as much as possible you need to try and stay as rational as possible. It\'s a real shame our other members who have freaked out post PMMA didn\'t keep consistently updated progress threads, as I\'m sure they would be of great help to you now. I\'d be amazed if your issues had anything to do with PMMA. In fact they don\'t, but it\'s not my place to tell you that as I\'m not a Dr. The trouble you face is that no Dr is going to feel comfortable ruling something out, when they\' don\'t know much about it. Maybe you should email Prof Lemperle. From reading previous correspondence of his, I\'m sure he\'d tell you straight it isn\'t PMMA causing your issues.

Don\'t steriod injections help with glanuloma?

darkstaff wrote: Has anyone ever gotten PMMA removed --- and posted results on this board?

No one has posted here about their own personal experience with complete PMMA Removal (e.g. de-gloving).

Has anyone ever gotten PMMA removed --- and posted results on this board?

I\'ve been going mental with my medical problems, and at this point, If I can get it removed, I want it removed ... just not sure.

CHL said he had a Urologist who would unfold his penis and clean it up --- is this something that can really be done? ...

Dark

www.realself.com/review/long-island-ny-artefill-artifill
If repeatable granuloma formation after years can happen in face area, it can also happen in penis with the technique and product that Dr.C uses?What I gather it\'s possible that the granulomas that the woman has had could resolve by themselves and that they are only cosmetic problem?
How frustrating that there is no more info on cases like that.Why this has happened to her?How it has been resolved?

@smartman
who did the job to this elderly guy?

@smartman
Do you have any links about this HIV+ man?

Do you know if he has found anyone to remove the PMMA?

FBG in general is not dangerous and can be treated if it did persist for a longer time , it is only a localized issue and it doesn\'t cause severe generalized inflammation , in the other hand a systemic infection in our body can trigger FBG formation .
I think the worst thing if a person who has overcorrection of PMMA (--->PMMA Removal for aesthetic reason) then I am sure he will think about removing PMMA (partially or totally), so I advise everyone who decide for PMMA injection go for small volume and wait for a longer interval between each sessions (you are not doing any harm to your penis if you wait longer) and go for few sessions only and never be addict for more+more Girth.
I have just heard one elderly HIV-patient who had > 6 sessions of PMMA 20%+30% 2 years ago--> he has now a very big penile Girth, his Flaccid penis is like a big sack full of irregular lumps of grain to pea sizes and he is looking for a doctor to remove his PMMA.
BTW he has loose penile skin and uncircumcised which can worsen his case

So how dangerous FBG can be?
It\'s only dangerous if it causes severe inflammation?