TOPIC: Pain 5 weeks post PMMA

Hi guys-

Hoping I can get some support or advice here. I had my first round of 28cc PMMA placed just shy of 5 weeks ago (July 10'th). Initial healing went very well. I was even able to have gentle sex on the 5'th and 7'th day with no issues. On the 9'th day (July 18'th) I had rougher sex more accustomed to normal, after which my penis swelled up for the entire day. The next day I woke up in significant pain (a diffuse burning sensation around the entire shaft) and had substantial bruising. The pain and bruising lasted for several days. Every few days I experienced slightly less pain. I was feeling 90% better and got a blowie on the 24'th and only had a minor reaction the next day, so on that Sunday the 26'th I had very gentle sex with my wife. The next day on Monday I was back to significant pain again.

By Friday the 31'st I was feeling quite good, maybe 90-95% better. I decided I should try the fire roll massage because I haven't massaged since the 9'th day post op, due to my pain. Well after the massage I developed pain again, which got worse the next day again. I compounded that by having extremely careful gentle sex that Sunday the 2'nd (it was like 3 pumps lol...). Monday morning the 3'rd I was in quite significant discomfort again like I was after the initial flareup on the 20'th, even seemingly worse than before and like prior events, the pain has lasted multiple days and is ongoing. The pain again lasted for the entire week, and never fully subsided. For reference the pain is a diffuse burning throughout the entire shaft and is constant (sleep and heat is my only real relief) erections do not cause any pain. I have been abstaining from basically everything trying to recover, but I'm still in constant discomfort even today.

I messaged Dr. Rupeka's office on Aug 4th and explained the situation, and they advised this is consistent with what they've seen in some cases with Bio-stimulators in some guys who get above average inflammation reactions from the Bellafill. He advised to abstain from activities and manipulation until the pain subsides, then return to hot compress and massage of the firmer area. He did say I could add in an anti inflammatory, so i have been taking Aleve with Tylenol.
I messaged his office again this morning (8/12) giving him an update and am waiting for a reply. I also had a visit with my primary care physician today to rule out any physical concerns or potential infection or UTI (urinalysis sample taken-waiting on results).

Has anyone else had reactions like this where they have pain for multiple days post activities? When I palpate the entire penis, I'm not able to find any specific area that is sensitive or seemingly connected to the pain. I'm slightly worried this pain isn't going to go away. I’ve been unable to concentrate throughout the day and haven’t even been able to work at my desk. My wife seems to think this will likely go away with time. I'm hoping I can get some reassurance from people here on the forum.

@SkepticalAttempt I'm just going to drop these articles here again. What you're experiencing is consistent with what we see in our repair clinic every week from too-much and too-deep placement unfortunately.

www.rejuvall.com/why-ha-before-pmma-penis-filler/
www.rejuvall.com/pmma-penis-filler-risks-case-study/
www.rejuvall.com/hyaluronic-acid-penis-filler-urologist/

Edited to add: Our best advice is to see a reconstructive urologist who is familiar with complications following PMMA girth enhancement.

I’m only 24 hours post op from my round 1 but I really think you need to let everything heal, you shouldn’t have even attempted sex for the first 4 weeks minimum. You’re constantly bruising that area and not letting it heal.

@Rejuvall I believe may be jumping the gun, it’s only 5 weeks post op, you have weeks and months left before everything is healed and the collagen process has completed. Talking about reconstructive penis surgery at this point is crazy. The pain I would assume is just from not being careful with the area while it heals. Let it heal, try anti inflammatories, the collagen process is still underway.

First, I am not a doctor, only speaking from experience here. As a first step, I would visit your doctor or local clinic and get some steroids like they use for allergies. These lower your bodies inflammation level. If you don’t want to tell them exactly what’s wrong you can see a telehealth provider and complain about a severe seasonal allergy attack. When I had my hybrid filler with Leonardo he gave a weeks worth of prednisone post op as part of the protocol, which seemed to help a great deal.

Either prednisone or a Medrol dose pack might help if it’s just your body overreacting to the PMMA. If you’re anywhere close to the border, you can get them OTC in Mexico at a reputable pharmacy. Give those a chance before doing anything drastic.

While Rejuvall was being a bit blunt, this is why a lot of us recommend a round of HA first to get the body used to foreign material. It also helps that the trauma of the initial hydro dissection (how they open the plane) isn’t occurring at the same time as the PMMA irritation. Above all, give your penis a rest. If nothing else, the initial encapsulation should be completed soon as it typically only lasts 2-4 months.

I sincerely appreciate the replies. I read the links you provided Rejuvall and thankfully I don’t seem to have any of the listed complications referenced on your website. I’ll take that as a good sign for now and will keep en eye out for any changes in my status.

As for the prednisone recommendation. I actually have about 50mg on hand. I messaged Dr. Rupeka to inquire if this is something I should consider.

My PCP today seemed to think this will heal with time. Same as what Mike is saying. My wife has done a great deal of research and seems to think the same thing. Apparently the Bellafill paperwork cites that several patients experienced dull burning sensations that resolved within 180 days. I’m keeping my hopes up for now.