I'm looking for input and advice on an upcoming procedure. I've had a number of procedures in the past, including both PMMA and a lig cut. However, the PMMA from one of my procedures migrated to my pubic area and two things happened. First, it caused tissue to reconnect between my pubic bone and penis, essentially undoing the lig cut and replacing it with the new suspensory ligament largely comprised of scar tissue. Second, it's possible an FBG has formed in that area along within the scar tissue. I would like to have one last procedure to correct this and get this whole journey over with already. Preferably, I would like to do another lig cut, removing both the PMMA and the scar tissue from the prior procedure.
I've seen from others that Removal of PMMA can cause additional issues, but it seemed like all of those removals consisted of removing the PMMA directly from the penile shaft. I'm curious if there would be less complications removing it from the pubic area. Moreover, I'm not sure it makes sense to do a Kenalog shot or something similar given the location, because even if the FBG were to get melted, it's not possible to relocate that migrated PMMA from the pubic area back to the shaft. And at the end of the day, I want/need to get the scar tissue removed regardless, so the PMMA is going to come out no matter what. I will say that my greatest concern with any surgery is damage to my dorsal nerve, as I want to avoid that at all costs, and from what I can tell from feeling, some of the PMMA does run along the top of my penis on the inner part of my body. So I'm very concerned about having that surgically removed and causing permanent nerve damage.
I think the questions are: (i) Does Removal of PMMA from the public area raise the same level of complications as Removal from the penile shaft? and (ii) If Removal goes forward, would it be better to attempt to break up the nodules before the lig cut/Removal or to do the lig/cut Removal and then break up any remaining nodules?
WonderingMatias wasn't diverting the topic at-hand; determining what physician performed the procedure can be helpful in ultimately answering your question(s). If you feel you prefer not compromising your doctor's identity for whatever reason, you can feel free to contact me via PM, as this information can potentially have major implications (i.e. I know of two clinics, possibly 3, that purportedly uses PMMA but in-fact injects silicone oil). Volume fillers are far more susceptible to migration than dermal fillers, hence my suspicion regarding the product injected.
I'll be quite frank: surgical Removal should be a last option. There are means to resolving these issues with other therapies/treatments and one has to wonder if all those avenues have been exhausted.
At the very least have your irregularities confirmed/diagnosed; you're just assuming it's migration & FBG when it could very well be something fixable without the invasive Removal. Sharing more info (at least with me, the forum administrator who will keep your information private) can help better the advice we give you.