PhalloBoards - An Online Community to Discuss Penile Girth Enhancement General Forum Doctors Forum Username Password Remember me - [ Forgot your password? ](https://phalloboards.info/component/users/reset.html?Itemid=101) - [ Forgot your username? ](https://phalloboards.info/component/users/remind.html?Itemid=101) - [ Create an account ](https://phalloboards.info/register.html) # TOPIC: Penile Filler Complications: When Repair Becomes Reconstructive Urology ## Penile Filler Complications: When Repair Becomes Reconstructive Urology October 9th, 2026 20:38 UTC [\#1308725972](#1308725972) - **[Rejuvall](https://phalloboards.info/general-forum/user/6759970-rejuvall.html "View Rejuvall's Profile")** - [![Rejuvall's Avatar](https://phalloboards.info/media/kunena/avatars/resized/size144/users/avatar6759970.png?1706646395)](https://phalloboards.info/general-forum/user/6759970-rejuvall.html "View Rejuvall's Profile") Topic Author - [ Offline](https://phalloboards.info/general-forum/user/6759970-rejuvall.html) - Pending Email Verification - ![Pending Email Verification](https://phalloboards.info/media/kunena/ranks/rank2.gif) - Posts: 348 - Thanks: 121 - [ ](https://phalloboards.info/pms.html?task=new&recip=6759970) We just published a new page that goes into something we think deserves a lot more discussion in penile enhancement: what happens when HA or PMMA filler is overused, placed improperly, or repeatedly “corrected” without addressing the underlying problem. This is an especially important subject for Dr. Kenneth Carney because a complicated filler result can quickly stop being a cosmetic-injection problem and become a reconstructive urology problem. Dr. Carney is a board-certified urologist and surgeon, Doctor of Pharmacy (PharmD), and Fellow of the American College of Surgeons (FACS). He trained in plastic and general surgery before completing his urology training and later a fellowship in traumatic and reconstructive urology at UCSF. He then spent more than two decades as Chief of Urology at Grady Memorial Hospital, whose Marcus Trauma Center is an American College of Surgeons–verified Level I trauma center and one of the highest-volume trauma centers in the country. That means his reconstructive experience was built in an environment routinely managing extremely complex trauma and surgical anatomy. Dr. Carney also founded a GURS-certified fellowship in reconstructive and plastic urology in 2012 and continues to serve as its director today, training other urologists in advanced reconstructive techniques. That combination matters when you're dealing with permanent material that may be intertwined with scar tissue, blood vessels, nerves, erectile structures, fragile skin, or the urinary system. Repair is not simply a matter of knowing how to inject filler. A few of the biggest points from the new page: - Too much filler and filler placed too deeply are different problems, but they can occur together. There is limited space within penile tissues, and deeper placement brings excessive or permanent material closer to important nerves, blood vessels, erectile tissue, and the urethra. - HA and PMMA complications are repaired very differently. HA can often be selectively dissolved with hyaluronidase. PMMA is permanent and cannot be dissolved. - Not every lump is the same thing. A lump or irregularity may represent uneven filler, edema, fibrosis, a nodule, a granuloma, scar tissue, or another problem. Dr. Carney first has to determine what is actually happening beneath the skin before deciding how to repair it. - Adding more PMMA is not a true repair for an uneven PMMA result. It may temporarily camouflage lower areas, but it does not correct fibrosis, granuloma formation, abnormal collagen response, tissue restriction, or permanent filler that is already unevenly distributed. - PMMA cannot be dissolved or “injected away.” Steroids such as Kenalog may soften inflamed or scarred tissue, but they do not remove the PMMA, granuloma, fibrosis, or underlying structural problem. One of the most important things we discuss on the page is something many patients do not realize before seeking PMMA repair: **Extensive PMMA repair may require degloving the penis.** Once PMMA has integrated with surrounding collagen and tissue, the shaft skin can become extremely thin, scarred, fragile, and tightly adherent to what is underneath it. Dr. Carney sometimes describes longstanding PMMA-affected skin as behaving almost like tissue paper. In that situation, you cannot simply make a series of small incisions over every lump, granuloma, or uneven area. Repeatedly cutting already-compromised skin can further damage it and create additional healing problems. Instead, Dr. Carney may need to deglove the penis, carefully elevating the shaft skin so he has controlled access to the affected tissues beneath it. Depending on the case, this can allow him to address multiple areas of integrated PMMA, remove nodules or granulomas, excise fibrosis and scar tissue, release tethered tissue, reduce excessive permanent filler, and reconstruct damaged areas while preserving as much healthy anatomy as possible. That is where his background in traumatic and reconstructive urology becomes especially important. The goal is not simply to cut out every bit of filler. Trying to remove permanent material indiscriminately can sacrifice healthy tissue along with it. The goal is to determine what is actually causing the complication, correct what can safely be corrected, preserve healthy penile structures, and achieve the best possible combination of function, comfort, tissue health, and appearance. We're also seeing another disturbing issue: patients who were told they received PMMA but were later found to have liquid silicone or another permanent injectable material. The patient may have no reason to suspect this until they are evaluated for a complication. Silicone behaves very differently from PMMA and requires a different repair strategy. The page also covers warning signs that should not simply be dismissed as normal healing after filler, including worsening pain, difficulty urinating, urethral bleeding, significant loss of sensation, color changes, cold or darkening tissue, open wounds, fever, drainage, or rapidly worsening inflammation. The larger point is simple: **A penile filler complication should be diagnosed before someone tries to “fix” it.** When a complication involves permanent filler, fibrosis, fragile skin, altered anatomy, urinary symptoms, sensation, blood flow, or erectile structures, you're no longer dealing with a simple injectable-filler correction. You're dealing with penile anatomy and potentially reconstructive surgery. That is exactly the kind of work Dr. Carney has spent decades doing. Read the full new guide here: [ www.rejuvall.com/penile-filler-repair/](https://www.rejuvall.com/penile-filler-repair/) You must be a Premium Member to view this attachment. You must be a Premium Member to view this attachment. You must be a Premium Member to view this attachment. You must be a Premium Member to view this attachment. You must be a Premium Member to view this attachment. #### Attachments: - ## Hello Gentlemen! Please [Log in](https://phalloboards.info/login.html?return=aHR0cHM6Ly9waGFsbG9ib2FyZHMuaW5mby9nZW5lcmFsLWZvcnVtL2dlbmVyYWwtZGlzY3Vzc2lvbi8xMDE1NzgzOC1wZW5pbGUtZmlsbGVyLWNvbXBsaWNhdGlvbnMtd2hlbi1yZXBhaXItYmVjb21lcy1yZWNvbnN0cnVjdGl2ZS11cm9sb2d5Lmh0bWw=) or [Create an account](https://phalloboards.info/register.html) to view the attachment. [ ![You need to Upgrade to a Premium Membership to View Photos & Attachments.](https://phalloboards.info/images/logo.png) ](#) Please [Log in](https://phalloboards.info/login.html?return=aHR0cHM6Ly9waGFsbG9ib2FyZHMuaW5mby9nZW5lcmFsLWZvcnVtL2dlbmVyYWwtZGlzY3Vzc2lvbi8xMDE1NzgzOC1wZW5pbGUtZmlsbGVyLWNvbXBsaWNhdGlvbnMtd2hlbi1yZXBhaXItYmVjb21lcy1yZWNvbnN0cnVjdGl2ZS11cm9sb2d5Lmh0bWw=) or [Create an account](https://phalloboards.info/register.html) to join the conversation. PhalloBoards Guide: New Visitors Start Here. Moderators: [hoddle10](https://phalloboards.info/general-forum/user/1704891-hoddle10.html "View hoddle10's Profile"), [briceb](https://phalloboards.info/general-forum/user/1725992-briceb.html "View briceb's Profile"), [dstern22](https://phalloboards.info/general-forum/user/2001376-dstern22.html "View dstern22's Profile"), [Dream](https://phalloboards.info/general-forum/user/4492370-dream.html "View Dream's Profile"), [Texas](https://phalloboards.info/general-forum/user/6380043-texas.html "View Texas's Profile"), [Noxcuse](https://phalloboards.info/general-forum/user/6759936-noxcuse.html "View Noxcuse's Profile")