TOPIC: Can't Gain w/ 30%, PLEASE HELP!!!! Plus length loss, shorter flaccid, massive lump

If it is not bound to the fascia, they can use dissecting shears to detach the Nodule from the fascia. It is not always possible, however. The incision won\'t be tiny, but it won\'t be as big as the ones I had - but those were to Repair other surgeons\' mistakes. Somewhere in my journal / posts, you\'ll see the Removal of my upper left Nodule. I had a scar that disappeared from that. That Removal went well. That Nodule was dissected out, not cut out with the skin. I lost skin because doctors botched the removals and there was so much PMMA preventing wound closure, they had to take more out than if it went right the first time.

The difference is that the Nodule will be removed through the skin, rather than with the skin. You\'ll have a scar either way, but skin loss is definitely not a fun thing to have happen.

Xiaflex could break up the collagen but the PMMA is still there, so it could re-form to some extent (or not - it\'s never been tried). Also, xiaflex can blister and scar your skin if it is injected too close to the skin. It is around $3000-4000 to have injected once. Usually you need more than one. I thought about it before too, but I don\'t think any doc would do it because it is a highly caustic and toxic substance that can cause some bad side effects if gets out of the intended area...and it\'s definitely off label.

Bad idea to consider clostridium collagenase as an option.

What angle are you stretching and what device are you using?

Okay, so stand facing a chair and put your left foot on the chair. Then take your left hand and put it behind your back, through you legs (beneath the butt cheeks) and grab the end of the penis, behind the glans with an ok grip. Then lower your foot from the chair, so the weight of your leg is on your left forearm. This should cause very a very intense stretch of the ligs. When you do this, do you feel such a stretch?

I think you should get it cut out so you can move on from this. Perhaps a plastic surgeon could do it, sparing as much skin as possible. Or, a male sexual function Urologist. The longer I waited, the more the PMMA triggered fibrosis that attached to the fascia....and the more I was just stuck in this mental state that you are in. It\'s unfortunate that Kenalog and 5-fu did nothing, but I don\'t think those substances work on lumps that big or that dense...or that mature.

Oh that\'s not good that it\'s wrapped around so much space... maybe he can get it out though. There are probably more problematic parts than others.

Anyway, aside from this - your Dick looks good. I don\'t think anyone would notice the mound. I know you lost size, but anyone seeing that pic would be like - oh he has a nice Dick. That\'s it. It doesn\'t have that \"plump\" PMMA look. There are no lumps. There\'s no circ scar gap. The skin is fine. No scars... I mean... I hate to use the cliche \"it could be worse\" because it minimizes how people feel about their issues - but really - it could be way worse.

Just to be totally blunt: If I was on grindr and got that sent to me as a Dick pic (welcome to gay world), I wouldn\'t think twice about it.

Hey smalljay, you will get your length back, it really hasn\'t gone anywhere, you actually still have it- it has just been impeded from coming out. The cells that make your Dick whatever size it was have not disintegrated. I have had a total of 3 surgeries on my Dick and my length always comes back - and more through long term stretching. The day I had my graft removed while I was on the operating table I could hear the Dr. saying to the Nurse, \"look this penis just got longer\" and it was. Then it contracted a bit in the following month and then it all came back. Relax, if you feel like it all has to come back today you will freak yourself out. Your car isn\'t stolen, it is just in the garage if that makes sense

By the way, I was expecting to see a really disfigured penis. I completely understand abnormalities that you can feel with your hands - like lumps, but aside from that - you look really good and natural. Way better than I was expecting from your posts.

smalljay wrote: I just tried it. I felt an overall stretch, but no stretch specifically in the region where the ligaments are. I do think they may be somewhat covered or inhibited by the mass, but I can\'t be sure. I sent Lemperle an email asking him if the ligaments are located in the same \'tissue pocket\' where the PMMA gets injected.

So far, the 3rd round of Kenalog/5fu has done nothing, as I suspected. Just sucks that once this stuff goes wrong it\'s like cement, and the only real option is to wait multiple years and hope it softens, or cut it out. Let\'s hope this shit stretches over time. At the very least, I think I have disqualified myself from being able to gain length above where I used to be - and have a good chance of not gaining back all that I\'ve lost. But we\'ll see. I\'m gonna give it the time and not rush into surgery - I\'ve just heard too many nightmare stories. I\'m not overly eager to risk even more length at this point.

Just wish I could have been one of the many who go through this with only minor or no imperfections. I can\'t go near the progress reports section...it fucks me up every time now.

If you don\'t feel the stretch in the lig area, then the PMMA isn\'t constricting the ligs.

Looking at you photos it\'s just so hard to see an signs of lig based restriction. With my penis, where the tunica tissue is connected to the skin, there is an obvious restriction, that causes and upwards bend. Yet your penis seems really straight, it doesn\'t even have an upward Erect angle, let alone a bend. And now you are saying you feel no real tension on the ligs with a btc style pull.

Although I fully understand your issues smalljay I must say it look really aesthetically good on you. Streching takes time, so hopefully you get ack what you lost.

hoddle10 wrote: If you don\'t feel the stretch in the lig area, then the PMMA isn\'t constricting the ligs.

What does that mean? That the PMMA prevents to strech properly? Is 30% somewhat harder to strech and that e.g. 10%?

They injected the mound and you got a spider vein on your circ scar? I don\'t think that would be related...Kenalog is made of tiny crystals and they stick to the tissue where they are injected almost instantly.

I got hypopigmentation from Kenalog, but it resolved in a few mos...with some saline infiltration (look up Kenalog Atrophy saline treatment) - and also this was around the time I used DMSO (which i think brings water into the tissue and hydrates things, leading to the softening effect - and the dispersal of Kenalog side effects). Then again, a vein is different than pigmentation, but that just sounds weird if they injected the opposite end.

smalljay wrote: Lemperle\'s response: \'yes, the PMMA was injected - as all injectables or implants - into the loose space between Dartos\' (in the skin) and Buck's fascia (on the corpora), which has no name, unfortunately. Dartos\' runs above the suspensory ligaments, Buck's below with the corpora.
You may be right: time heals many wounds - and I would wait a few months with a decision.\'

So it appears that the PMMA is injected into the same pocket where the suspensory ligament is located. Given the mass\'s location (at the very base, behind the pubic fat pad when Flaccid), I think there is a decent chance that this stuff is surrounding/enveloping my ligaments and restricting them to an extent (If i\'m deciphering Lemperle\'s email correctly).

Thats a bit worrying I think. Hopefully streching over long time can loosen it up.

smalljay wrote: Hoddle: Erect I have always had an upward pointing angle - I\'m pushing it down 90 degrees in that picture. While I don\'t feel a significant stretch in that specific area, Lemperle\'s response to me makes me think that there may be at least some hindering of the ligament\'s ability to expand. Perhaps the mass enveloping the ligaments, combined with the mass being fused to the fascia (or one or the other) is causing this length loss.

Ligs don\'t as much expand, but stretch and don\'t effect the Erect length, unless something is restricting the ligs. If the was the case, you\'d feel the restriction when pulling BTC as I advised.

Basically the ligs hold the penis \"up\" not \"in.\" It\'s a common misconception that the ligs hold the penis back, but really what they do is attach it to the pubic bone. Hence when they are cut, the penis drops down and becomes longer in the Flaccid state, yet not when Erect.

If PMMA was preventing your ligs from stretching then the area would feel very tight when stretched. The stretch I advised you do, really isolates the ligs and you\'d have certainly felt it.

I suspect your issue is more likely to with a skin adhesion in the base area. This could potentially restrict the length, but would be hard to spot at the base. If the skin is stuck to the PMMA in the mound area, it would mean you already limited shaft skin (i\'ve pointed that out to you before), would be even tighter and could prevent the penis from fully stretching out. Basically limited skin compliancy would be doing the exact same thing that you are concerned is happening with ligs.