TOPIC: Peyronies after Pmma. Treatment?

Hi everyone.

I\'ve read some great threads here from guys like Restoration and Miracle who have overcome peyronies and then had PMMA.

But what I\'m interested in finding out is, what happens if you have PMMA first and then develop peyronies?

Does having PMMA in your penis make surgery for something like peyronies impossible?

If someone had PMMA, then got peyronies that was bad enough to want surgery.... would they have to have the PMMA removed before they got this surgery?

anon1 wrote: Hi everyone.

I\'ve read some great threads here from guys like Restoration and Miracle who have overcome peyronies and then had PMMA.

But what I\'m interested in finding out is, what happens if you have PMMA first and then develop peyronies?

Does having PMMA in your penis make surgery for something like peyronies impossible?

If someone had PMMA, then got peyronies that was bad enough to want surgery.... would they have to have the PMMA removed before they got this surgery?

I think Restoration and Miracle are the best to answer. But I have to guess that if degloving is involved, then the PMMA will make it harder to do so and the dr MAY have to remove it to eliminate any distortion to the shape of the penis that the PMMA/collagen may cause....but this is just a guess on my part.

Peyronies is very rare, so I wouldn\'t worry about it that much... but it would probably make surgery more difficult. PMMA is injected between the bucks fascia and Dartos fascia. Peyronies disease occurs below that - on the tunica albuginea. The problem is, some surgeons deglove down to the Dartos fascia, and it would complicate matters if there was PMMA & fibrosis (excessive collagen) in there. How much would it complicate things - I don\'t really know. Also, there are many approaches to Peyronies surgery, so you might end up needing a different approach if you had a substance injected... and you might also be limited to a handful of urologists who would even touch the case because it\'s complicated enough without PMMA in there.




There are 3 layers to think about here in this diagram.


I thought I was de-gloved down to the tunica (below where the PMMA goes), but I was only degloved where the bucks and dartos are separated (where the PMMA is now) - and they made small incisions in the dartos to get into the tunica... so they could reverse the bend. Miracle - I think - was degloved down to the tunica and then had grafts placed in there...which would likely avoid where the PMMA is altogether. It may be harder to close the incisions with PMMA and the fibrosis it causes.... I don\'t really know. Sewing scar tissue is hard to do (and PMMA causes collagen growth similar to scar tissue) I would only trust a few doctors to evaluate the case if I had peyronies with PMMA... and they might need to do two surgeries if they can\'t deal with it in one... though that seems extreme. My whole surgery was 90 min. I may have had existing scar tissue from my procedure that Miracle didn\'t have because they opened the skin in the same plane as the PMMA.

Also, the bigger you go, the harder it would be to get inside for any reason because you\'re adding in tissue that isn\'t really supposed to be there & surgeons might not really know how to deal with it.