TOPIC: Infections, Complications, Risks of PMMA?

I\'ve been trying to imagine what foreign body granuloma would be like in the penis as part of the process of finally making the decision to undergo bioplasty. After googling \"penis+granuloma\" you find a lot of case study reports associated with silicone, paraffin, and mineral oil foreign body reactions that truly look terrifying, of course most of these procedures were done by amateurs, not doctors. There were no cases of penile granuloma from PMMA injection that I could find, probably because it\'s a brand spanking new procedure. The cases of FBG in facial injections that we have seen typically involved less than 1mL of product... what would a FBG reaction look like in the penis with 40mL of product distributed over a wide area? Would the FBG encompass the whole penis, everywhere there are PMMA microspheres? The thought of that really scares me, even if the risk is relatively low, I\'d hate to be that unlucky guy. It might be a good idea to \"sticky\" this thread for all who are considering this procedure to see.

It definitely doesn\'t go below the bucks. It goes below the Dartos fascia, at least that\'s the idea. Wade told me this as did a Urologist who used to inject macrolane. Apparently the bucks is quite tough and would not be easy to puncture accidently.

Thanks for the info, Mikehok.

eqstudent said:\"It is reasonable to project that at the 5 year mark; for every 100 of us that have PMMA injections, 2 of us will get a granuloma, 1 of us will get it resolved after 4 months to a year of treatment, and 1 of us will need to have it surgically removed!\"
So the injection site in this case does not make significant difference in FBG formation compared to the Artefil study?Id Dr.C has been doing PMMA injections to penis for six years, there should be FBG\'s formed on some of his patients?

It is possible that some of Dr. C\'s Patients have developed some problems with PMMA, but they may not have reported it here or anywhere else so the data is incomplete.

I\'m sure this question has been addressed at some point but it bothers my a little that PMMA Girth enhancement isn\'t more widespread. I understand why its use is restricted in the US, but why are there no doctors (that I know of) doing this in Europe, where many different brands of PMMA are legal?

Hi I know its probably in a post somewhere, but who was the first to have PMMA and how long ago was it? And is everything ok, the results look great but I am worried about it moving to organs etc, not so much local reactions as this can be treated fairly easily , also does anyone know if you can have this done if you already have a dermal in.
cheers

@ iain01 Welcome amigo!

GSXR I believe was one of the first members from the old forum to elect for bioplasty enhancement. Start from beginning to finish, By reading all the available patient reports. Any experienced/credible patient\'s perspective is equally as valuable as the clinician\'s opinion who performed the proceedure. Do some independent research on pubmed concerning medical grade PMMA & its uses/complications, I would also recommend doing some research on the Lymphatic system, pick up a college text on Human physiology or take the amateur approach and get some basics on webmd. The human body will not relocate PMMA material to some other unrelated organ/extremity (extremely rare, but nothing is impossible), since the penis is our main reproductive organ as men, once the medical grade PMMA has been injected by an experienced physician it will move around localized to the area it was injected in for several hours to a couple of days. It is YOUR responsibility to massage the penis minutes to hours post treatment. Concerning your dermal graft question, after you\'ve educated yourself with some of the recommendations i made, inquirer with Dr.Casavantes\' office, I\'m sure they\'ll want to know how recently you had your dermal graft enlargement surgery to avoid any potential complications with healing time and inflammatory response and infection. Cheers!

~CHL

Smartman had PMMA about 3 years ago.

Yeah, GSXR was a pioneer/guinea pig! He exhibits excellent results and we owe him a debt of gratitude for having the cojones to take the plunge so early. He was a big inspiration for many; myself included. Thanks for the outstanding contributions you\'ve made CHL!

@lain01
1- I had Artecoll (PMMA) in 1996 in Germany in one side of my face ( to camouflage facial bone depression due to old trauma) only one session.
2- Penile lengthening+Alloderm graft in 2007 by Dr. Rosenthal --> lost most of the graft after almost 1 year and no gain in EL.
3- Penile PMMA bioplasty (Metacrill) in Rio de Janeiro two sessions 2008 + 2009.
Till now no complications (neither local nor distant) whats so ever, but we know there is a low risk of local complication \"foreign body granuloma\" which depends mostly now on the doctor\'s technique ( he should avoid superficial injection ) and most of these FBG can be treated medically.

BTW any one who had penile allograft (e.g Alloderm or DFG or any other types) and he is planning for another penile procedure (not only PMMA) he should have one shot of I.V. antibiotic (e.g. Ancef) 30-60 min. before the procedure and an oral antibiotic (e.g. Augmentin) afterwards to avoid any risk of infection and also avoid water coming near to the entry holes till they are completely healed.

I dont think i have seen this report elsewhere. Seems a good alternative treatment to kenalog.

Apologies for not doing a proper article paste, the ipad can be a bit lacking for edits

archderm.ama-assn.org/cgi/reprint/139/1/17.pdf

At times... I ponder... where would we be without smartman? Awesome contribution brother. Knowing you\'ve experienced no ill effects 3 years out is added reassurance!

@Zol- thanks for the post about Allopurinol,
I have mentioned about this (Allopurinol ) as an alternative treatment to kenalog in page 7, post 103 in this thread :-
phalloboards.websitetoolbox.com/post?Inf...MA-5395825&trail=105
archderm.ama-assn.org/cgi/content/full/139/1/17
I have asked Lemperle about (Allopurinol) for the treatment of FBG from PMMA beside kenalog but unfortunately that what he said :-
\" Allopurinol was the treatment of one patient, only - and it took half a year or longer, e.g. is an anecdotal case, which has been repeated but without success. \"
@ miracle7- thanks man I will do my best to help everyone here as much as I can.