TOPIC: Tomorrow 7/17 round 4 at avanti

@richardgaines I had a full session- not rich like that... to just go for a touch-up only...

I passed on doing kenalog on my second session w/ Avanti but they did it for my 3rd session. I only had one nodule from my first procedure with a different doctor. The way Avanti explained it- PMMA can't be broken down, so it will just reform new collegen scaffolding if kenalog is used to soften the nodule I guess.

I'm sure a doctor can chime in, but I was worried the kenalog would create a low spot, but they injected & lanced it and then added more filler in the same procedure.

I posted results but overall it's much less noticeable now.

@lurkin thanks man. That makes sense and puts me at ease.

(Posting this as 2 posts since it wouldn't let me post all the links at once)

@curiousBetsy Here are several related studies and some of the original ones I shared. Sorry, best I could do with the time I have. Please do not DIY penis enlargement. Peyronie's cases are heartbreaking, for our patients and for us.

Bilgutay AN, Pastuszak AW. “Peyronie’s Disease: A Review of Etiology, Diagnosis, and Management” (free full text)
pmc.ncbi.nlm.nih.gov/articles/PMC4535719/

Gonzalez-Cadavid NF, Rajfer J. Nat Rev Urol 2010;7(4):215–221. doi:10.1038/nrurol.2010.24
pubmed.ncbi.nlm.nih.gov/20212516/

Meinhardt W, et al. “Skin necrosis caused by use of negative pressure device for erectile impotence.” J Urol. 1990. doi:10.1016/S0022-5347(17)39640-4
pubmed.ncbi.nlm.nih.gov/2398575/

Stoller ML, Lue TF, McAninch JW. Constrictive penile band injury: anatomical and reconstructive considerations. Journal of Urology. 1987;137(4):740–742.
pubmed.ncbi.nlm.nih.gov/3560340/

@curiousBetsy

Cowper MG, Burkett CB, Le TV, et al. “Penile Stretching as a Treatment for Peyronie’s Disease: A Review.” Sex Med Rev. 2019;7(3):508–515. doi:10.1016/j.sxmr.2018.11.002
pubmed.ncbi.nlm.nih.gov/30612978/

Chung E, Brock G. “Penile traction therapy and Peyronie’s disease: a state of art review of the current literature.” Ther Adv Urol. 2013;5(1):59–65. doi:10.1177/1756287212454932
pubmed.ncbi.nlm.nih.gov/23372611/

Usta MF, Ipekci T. “Penile traction therapy for Peyronie’s disease—what’s the evidence?” Transl Androl Urol. 2016.
pubmed.ncbi.nlm.nih.gov/27298777/

Silberstein J, Grabowski J, Lakin C, Goldstein I. Penile constriction devices: case report, review of the literature, and recommendations for extrication.
J Sex Med. 2008 Jul;5(7):1747-1757. doi:10.1111/j.1743-6109.2008.00848.x.
pubmed.ncbi.nlm.nih.gov/18507720/