TOPIC: Infections, Complications, Risks of PMMA?

@ hoddle10 - I agree with what you mentioned about granulomas if its there and not a big deal then why not leave it be.

I feel like I\'m missing some research about granulomas here but can\'t seem to find it can someone fill me in more about them? From what I read most will go away over time if untreated anyways, if left untreated is there a possibility of it escalating to something worse, if so then what? Otherwise are people mainly getting them removed because where studied this issue is mainly on the face and its a aesthetics issue?

@Zmann
That\'s a relevant comment. I recall another member here (smartman?) telling us that there are guys in Brazil that pay to have granules embedded in their penises for their aphrodisiac effect during intercourse. Will we be seeing requests for granula forming PMMA concentrations as a last layer with Dr C? Kinda kiddin\' here of course, but it is to put into perspective the gravity of this problem if it is of no serious medical consequence. Sure a lump or two are best avoided and one can get hung up over it, but not having ever seen one (god forbid I get any after saying this lol) it doesn\'t seem as serious as migration or infection. JMHO
HC

reading those articles it seems that that FBG is not a big deal as it responded well to conservatice treatment and it is believed to be self resolving with time.
PMMA seems indeed the best solution for Girth enanchement with the less sides.

Does anyone know if systemic reaction like those experienced in silicone \"leaks\" cases are possible with PMMA?

From reading those articles, it seems that if one wanted they could just accept the granulomas and not suffer any health risks because of them. My biggest concern with PMMA has always been that it might have to be removed and then there is a high risk of Necrosis leading to loss of the shaft skin, which would be uttelry devestating. But if one can just leave the granulomas indefinitely, then why have surgery to remove them?

As someone who has experienced lumps in my penis from both fat and scar tissue I can tell you that it really isn\'t that terrible. I\'m not saying they didn\'t effect me, but that they are something one can live with and much less terrible complication than Necrosis. However, if they caused the penis skin to go red, as in some of those photo\'s then it would be a different story, as the penis would not be presentable and the skin would probably be sore. So, I\'m wondering if the redness only shows if the PMMA is injected into the skin as oppossed to below the fascia? My thinking is that if one has a red lump in the skin, it is going to visible, but if the red lump is below the skin, I\'m assuming the redness wont show through.

What I\'m saying about lumps in the penis not being that bad is hard to explain unless you\'ve actually experienced it. I\'ve currently got several lumps of thick scar tissue. I\'m assuming seeing as it\'s collagen it will feel similar to a granuloma. And to be honest, I have to feel around at times to even find it. Lastime posted the other day that his scar tissue feels like a leech stuck to the shaft of his penis. Mine is the same, but I seriously doubt anyone would be able to detect it unless they knew it was there. When I had fat lumps they were much more noticeable, but that was because the fat was soft and it contrasted with penis, makig it more obvious to touch. But I\'m assuming granulomas would be much firmer, like scar tissue. Dr C says he hasn\'t had any granulomas when injecting below the fascia, but I\'m now wondering if that is the case, or that his patients simply aren\'t aware they have developed granulomas. I guess much of this depends of the shape and size of the granuloma, but from my experiecne, many of those shown in the photos in Dr Lemperle\'s article, wouldn\'t be such a big deal in the penis and certainly not worth the risk of surgical Removal.

Thanks for the links Supa! Looking forward to finding some time to thoroughly review these articles, the \"G\" word is of considerable importance to many on this forum that\'s for sure!

Two key articles on granulomas authored by Dr. Lemperle. Please, take a look, as they are very informative.

@Jec

Dr C. does NOT offer Artefill for penis bioplasty. He uses it for the treatment of other body parts (face, etc). Reason: Artefill contains bovin collagen whereas his PE technique is based on water carriers.

So far, no patient treated by Dr C. for PE via PMMA has required surgical Removal of the product.

Thanks for that tidbit supa!

Interesting stuff EP. Wade clearly told me in May that surgical Removal has never been required. He was referring to PMMA injections to the penis performed by Dr C. (so, not patients treated elsewhere and coming to see Dr C. for advice/help). The only explanation is that the case you are referring to occurred after my conversation with Wade.

EP and Supa--
Wade told me that a patient who previously had something along the lines of 100ccs of PMMA injected from another doctor had come to Dr. Casavantes to have it removed.

He never said who the other doctor was, just a patient who previously had the procedure with someone else. According to Wade, the guy wanted it out because he realized he had way too much used and his girlfriend didn\'t want to go near him. He didn\'t mention any complication.

I wonder how they removed it, and if there were complications removing it?

There would be consistency if the guy mentioned by Christian wanted it removed for whatever reason (eg the guy fell desperately in love with a tres, tres petite asian lady ) rather than had to have it removed.

Would be quite important to know the details.

I do recall this story as well. Wade said the guy\'s penis looked like an arm... though I can\'t recall the details as well since I was on a few meds that cause drowsiness and poor memory retention.

If anyone goes for an extra huge Girth enhancement with any procedure and also has e.g. a small glans which is not tapered with his shaft\'s size ---> he will have very difficulty (actually impossible IMO) to have sex in the future.
A guy with e.g. > 6 sessions or around 100 cc of PMMA ---> he will have e.g. >3.5\" extra gain in his Girth so imagine somebody with 8-8.5\" Girth with 3.5-4\" glans Girth how can he use his penis ---> No sex for the rest of his life ifhe didn\'t remove it .
I had around 48cc ---> 6.75\" EG , imagine if I go for another 50 cc --> sure there will be no sex life for me then.
It is mostly our mistake we should know our limit and to say it is enough and no more PMMA , I think it is better to wait for a longer period than 6 wks after the 2nd session ( it will be no harm if you wait for few months use your tool and enjoy it for a period of time and then decide if you want more or not ???) unless you are so sure it will be only for touch-up and thats it (even that I will wait for 3-4 months to see the end result) .

And it is also the doctor\'s mistake if he agreed to the patient\'s request for a huge Girth , an experienced doctor (and worried about his reputation) wouldn\'t do that .
So you can always add some PMMA in the future but it will be very difficult to remove it without a risk of complication (this is very important for all of us and esp. the young guys here) so be careful.