TOPIC: Infections, Complications, Risks of PMMA?

I think the worst case scenario is if some PMMA spheres some how go into the blood stream and that is when major issues can occur.

ndbig1 wrote: I mentioned to Dr.C. and Wade about showing the date and batch but they didn\'t really act interested. That actually concerned me and made me a little nervous although everything else was relativity flawless. I have a feeling that they don\'t want to do that and if so there must be a reason.

Some one mentioned that Dr C may be mixing his own % of PMMA to make custom concentrations, if this is the case, then it will be tons of work and almost impossible to keep track of it?

I take what CHL says at face value. HE\'s the one that tipped me off on liquid bandage, which I think is very helpful in the healing process. A couple things: 1) I understand that CHL is busy, but it is a bit much to come on the board in a lengthy way with cyptic dissapointment and then say \"dudes no time to tell you about it, later\". I have grad degree from a top school (sure many years ago) and I can tell you, you need breaks from even the most arduous work and this sort of board qualifies. 2) After a succesful round 1, CHL seems most concerned at the moment about aesthetic OUTCOMES, and seems to only now retrofit that to the science/technique risks (vs. round 1 when all was good on his end). Now Looking at CHL\'s starting stats (!) I personally wonder why he wanted PMMA. Not judging or hating, but it makes me leap to the idea that CHL is a perfectionist (nothing wrong with that). But if you have 4.5\" Girth attached to a small lengh, relative assymetry or less than ideal aesthetics may not be that big a deal to you. For CHL having an above average penis to start was NOT good enough, so if his penis post PMMA is not good enough. There are many cosmetic surgery patients who are \"unhappy\" with outcomes, PMMA will be no different. The hardness issue has to be considered over course of time---if it stays hard that is a problem. I just want to add my two cents in because I would personally feel sorry for guys with real units (a true small unit, not a CHL starting unit) to bypass this procedure based on the outcomes of one. So far I am doing well, even though I see this is far from perfect e.g., my faccid unit is not as comfortable as after round 1 .

@mustang, why would Dr.C mix his own? I mean 10% comes out of a 10% container and same for 20% correct? So why any mixing need be performed?
However in the event that he did that anyway. We still should be able to see the batches and dates of the groups he mixed. I mean lets say he put 2-5% together to make 10% its not impossible to say which two he used. Also I would believe its to his benefit to track it based on a possible complication from a bad batch which would need to be traced to pinpoint the culprit. So there may be more questions that may arise from this practice if it is confirmed. I know Wade reads the boards so maybe they will address this and present a bit of re-assurance.

QUOTE: So far I am doing well, even though I see this is far from perfect e.g., my faccid unit is not as comfortable as after round 1 .

@bighat what do you mean ?

ndbig1 wrote: I know Wade reads the boards so maybe they will address this and present a bit of re-assurance.

Are you sure about that? Wade may skim these boards from time-to-time but he gets most of his info directly from the patients themselves (email & phone), and has told me he barely has enough time to actually review the information on this forum on a consistent basis. He\'s also mentioned that he\'s not computer savvy and tends not to know how to navigate this site when he does visit (however often that is??).
If I\'m not mistaken, Christian will usually pull up the site and Wade & Dr. C may review it per request of a patient or prospective patient.
While bringing this up may appear off-topic, I addressed it to bring to everyone\'s attention that everything you post may not necessarily be read by Wade or Dr. C, so it\'s always smart to ask everything when consulting with them - including risks & complications.

I tip my stetson black eagle to bighat, of course i don\'t wear that around SoCal, but it\'s likeable to my texas kin. At any rate here\'s a study break entry from B.Chem; there\'s too many issues to address i wish we had a skype conference, but here it goes...Mustang addressed a very (very) important issue concerning mixing & titration of the PMMA product. Last friday was the final biochem lecture of the semester & i couldn\'t concentrate since i had this revelation during that time, here\'s what i wrote in my notes instead of paying attention; \"In principle a 3-way valve works for soluble liquids. But to properly mix insoluble solutions of different solute concentrations a 3-way valve, is an inaccurate & artfully not the best choice for titrating a reactive insoluble Dermal Filler like PMMA, because, the molar weight (including reactive size) of the concentrations has them unevenly dispersed throughout the syringe. Based upon the polarity of the microspheres, the result has lead to clumping/Nodule formation after its been applied to the skin as a Dermal Filler. The outcome would include undesired irregularities after the PMMA filler settles. This leaves the 6% (not assumed 5%, per my 2nd procedure conversation with the treating physician) & 20% concentration in question, presumed unprofessionally (improperly) titrated & mixed for modest appilcation. Leaving the 10% & 30% concentrations as the only viable options due to tested quality control reports & proper mixing techniques for distribution accuracy per the manufacturers laboratory. A cheap 3-way valve used in clinical nursing can not replace, the invaluable time labored titration & mixing technique done in biomedical labratories\" [end note] That is my amateur opinion; the science man in me must also suggest inorder to accurately conclude that this is true, we would need to cut up my Dick, take photos, cise out PMMA clumps & nodules and send them to the lab for further analysis. Then we would need to run an experiment, timely experiment, we would need to have an FDA or SSA approved Lab facility or University, then determine if mainly the 20% in question causes unfixed irregularities using a 3-way valve for mixing or if the lab titrated version of 20% provides the best results. I\'m tired of human experimentation with this product, i would then use swine as test subjects because their unit can typically be twice the size of ours, i would add a second variable & compare the absorbtion rate in old swine versus the younger test subjects. I would make this a short 2 year study and publish since a lack of funding probably wouldn\'t take me close to a10 year study. My friend Bighat, please do not use the Walgreen\'s liquid bandage, it may or may not have added to the Nodule(s) formation around my circumference line. As the story goes of which i\'ll go into detail later in the Drudge Report, I called 2 days post round 2, asking Christian to see if i could speak with Dr.Casavantes or Wade about a continuous bleeding concern(not plasma) that was occuring at the entry points. I waited on the phone, he came back and said, Wade wants to know your concern. i told him i would like to ask if Liquid bandage is a contraindication in the healing process or use in this PMMA procedure. I basically wanted the ok. Christian said both Wade and the Doctor were busy and Wade said it was ok, I asked if he was sure & he said Yes. I\'m not certain, but i believe liquid bandage may have affected the healing too well maybe having a indirect link to the Nodule formation. Ironically we applied the liquid bandage in question on touch-up procedure round 2.5 as it were with the doctors visual approval on the nodules that he tried to caterize with an electrode, of which i felt (PAIN) since the lidocaine wore off, the caterization stopped the bleeding, but those details are for my later report. Now the loyal sewing circle could gossip to the doctors staff. Now listen i have what i have i grab him everytime i urinate, i bear partial responsibility since i paid for the damb procedure, but i had a 6inch Dick, with a 5 & 1/8 Inch Girth & i wanted a little more. I\'m only 5\'6.5 in height, i\'m no Audie Murphy i\'m just a nerd, and i wanted a little extra to add to my genetic insufficiencies in this 1 meager life, & so what its the year 2011, i spent close to $4000 on this PMMA investment i believe i\'m entitled to a good outcome. Some personal hardships have rattled my cage this year like death taking a goodwoman, but i\'m a man of science, fluff doesn\'t get me anywhere. Every testimonial is subjective and long patience should not be reserved for a witch hunt. I want to help whoever needs help by joing this group with what time i have. Until this stupid week is over, i\'ll be able to address photos & personal PM\'s in the weeks to come. Cheers, Coolhandluke

CHL, I would kindly ask you to clarify your points in either this thread or in your other report. I do feel that you are addressing important topics but I can hardly follow not just your reasoning but what indeed you are talking about.

Regrettably, my field of study is not in the medical sciences. I think you are assuming too much (even at terminology level) from people who are trained in other disciplines. Just to give you a feeling: what if I told you that each sigma-bounded Baire set is the union of a countable disjoint union of bounded Baire sets? Or if I stated that a locally compact group has a sigma-compact subgroup which is both open and closed?Back to your points: among others, are you actually saying that you think that Dr C. is amateurishly mixing various concentrations of PMMA?

Thanks a lot EP.

Great table and very informative.

At the same time, my uneducated guess is that CHL refers to something else: his use of the verb \"titrating\" would seem to refer to manufacturing of ad-hoc percentage product from mixing official products with different concentrations. Unless of course I\'ve plain misunderstood his post, which is quite possible as I have hinted in my previous post.

I am trying to figure out why CHL has an unsatisfactory outcome after the 2nd round and not after the 1st round :-
In the 1st rd :- 10% conc. , entry holes at the base, blunt micro-cannula and no bleeding post-injection.
In the 2nd rd :- 20% conc. (its sterility??), entry hole at the Circumcision area, sharp large gauge needle ( blood vessel injury ), bleeding , cautery (could it also affect the beads at this localised area ?? the heat ???) and the Walgreen\'s Liquid Bandage .
So it could be one or more of these issues in the 2nd rd which gave CHL an unsatisfactory result, so we are now learning more about PMMA penile injection and its complication esp. the early ones .
So any one who is going to get PMMA penile injection in the near future (either 10% or 20% NewPlastic or even 30% Metacrill) should insist on :- no entry hole in the Circumcision line , no sharp needle ( only blunt micro-cannula) and no cautery.
@CHL
I hope that you will be fine and you get over with this issues as fast as possible. I would like to know, please :-
For how many days did you have this bleeding-like issue ? Is there any possibility that water came in contact to this entry hole during this secretion ? As far as I know you didn\'t have any Phalloplasty before, correct?

I think Dr C uses a sharp needle to make a perforation in the skin to allow the big or small Canullas to enter the penile skin. I know in my case some times he had to do a couple of punctures in the same place with the sharp needle for the Canulla to enter for PMMA dispersion.

I also had one entry point near the glans that did not close up for a few days. I used lots of Triple ointment solution to keep it clean. Eventually it did close up and now it is healed.

I think at this point and with what we know and I hope with what Dr C realized that entry near the glans had caused some issues.

Since, as per EP\'s table and Biomedical\'s website ( www.biomedical.med.br/site/en/produtos.asp?idProduto=6 ), Newplastic is manufactured at either 2%, 10% or 30% PMMA concentrations, how do you get rounds with 20% concentration?

Excellent thread. Here we go... First and foremost: thanks to CHL for sharing and I wish him nothing but the best result/recovery. that being said... I received 10% with primarily glans injection ( a few at base to balance things out) with smaller canulas. I did not watch the procedure- not my thing. I observed,felt, and heard things that led me to certain assumptions. M7 had his first procedure same day with 20%. I have no (major) complications to report. Odd fact: Wade was very explicit in showing me how to \'milk\' the entry points of any excess material and cautioned me against the use of bandages or \'liquid bandage\' to retain material (procedure done 10/27). He said several patients thought they were losing valuable material as it naturally weeped from entry holes, which resulted in build up or nodules at the entry points. I have one such \'bump\', which I\'m not even remotely concerned about (less than 1mm). Again, very reasonable outcome. Texture:smooth. Function: perfect. Gain: modest, but reasonable. Another odd fact: Wade told me as I was leaving that he hadn\'t slept in two days. I\'m not sure what to make of that... but he mentioned it after appearing momentarily disoriented while writing/describing my post procedure protocol. He seemed momentarily unsure of what/how to recommend with post care and made a few contradictory suggestions. I mention it in passing- no harm or foul implied. He may well have just been exhausted/drained. I did what I did and it worked- thus far. I recently read a post in which a member was expressing his hopes of a 1.25\" gain. REALLY!?? I mean really? Isn\'t that gettting to be a little \'greedy\' for any procedure without major side-effects? So big question: how DOES one get 20%? mixing of 10 and 30 sounds really good if I was in 7th grade science class, not so good injected in my Dick. mixing peanut butter and chocolate doesn\'t give you a reese\'s peanut butter cup gentlemen... summary: I can\'t summarize. I am unaware of any \'cauterizing\' or sharp needle techniques employed, other than it would make sense to create a perforation into which one would insert a blunt canula. My ignorance I guess. I look forward to the progress of this thread. I\'m one of those with \'average/above\' beginning stats and am satisfied with minor imperfections- uhmmm.. have you seen a penis on a billboard lately? They\'re typically not exactly pretty to begin with... Hopefully we can collectively pull it together and focus this thread on any REASONABLE heath threat as opposed to the expected aesthetic/cosmetic pitfalls. Every procedure has them as any contributing member knows. Respect and regards to all.... P.S.- seriously, what\'s up with the 20%? that\'s puzzling...

clarification: Wade said NOT to use liquid bandage as some patients had apparently done. that was what lead to excessive Nodule formation at glans entry points.

Nurse Wade gave the ok, then retracts his professional opinion because of the possible indirect link liquid bandage may have with Nodule formations occuring at the entry points of the circumference line. The patient in question was not self-medicating, he received the permission from the medical staff. And during procedure 2.5 (touch-up round), due to venous bleeding at the entry points they asked if patient in question could even place more of the liquid bandage over the entry wounds to see if it was effective in stopping the bleed, after all else failed a second attempt at electrode cauterization stopped the bleeding, the pain wasn\'t a walk through the park, lidocaine wore off, it was like a hot set touching your Dick. Cheers gents (dinner time) Nodule formation theory (influence of 20% batch) will be addressed in the Drudge Report. We should be paid for this...