TOPIC: PMMA Nodule Removal Tool

The good thing is that the penis doesn\'t have bone in it so the ultrasonic waves won\'t do any significant damage to the tissue.

A way we could move forward is for someone to donate a lump of PMMA and have a cooperating doctor zap it with a suitable device. One thing to note though, PMMA bone cement is a homogeneous mass of the stuff, but PMMA nodules coming out of our dicks does have at lest some collagen/fibrotic tissue encapsulating the beads, so I\'m guessing the ultrasound waves won\'t be able to totally break down the Nodule into a consistent smooth paste. You\'ll probably land up with a few smaller chunks, some sand like particles and some paste.

Dr,

Wouldn\'t \'poping\' these nodules out leave a small depression (crater) that would need to be re-filled?

Smalljay,

There are surgical instruments like you describe - I will post some pictures. Depends on how many nodules. I would have thought that if just 1 or 2 then a direct incision over and \'popping\' them out would help.
Collaginase sounds great - but expensive.
We have a extracorporeal shock wave machine in Perth. We are just about to set up some trials for ED. It helps but not cures Peryronies.
I have just seen, today, my first PMMA patient. He had a great result. I have not seen/felt nodules.

I\'m fairly certain Collagenase would work, but it is difficult to control how far it will burn through the tissue. It might go too far or not far enough. It\'s $3000 for 1 injection of 1/2 a cc. My uro won\'t inject it bc he thinks the PMMA will prevent the scar tissue from breaking down, but he doesn\'t really understand PMMA or the fact that most of the tissue is collagen, not PMMA. The PMMA might reorganize and trigger more collagen again, but maybe next time it won\'t be as nodular since there won\'t be big leaking entry holes (where all my nodules were).

kind of what i was thinking, but even though they\'re \"rock hard\" they aren\'t really rocks.

Unlike crystalized minerals, the PMMA nodules are still vascularized, have living tissue/ moisture/ plastic as their main component. I don\'t know how well sonic vibrations could disrupt and shatter the molecular structure of something malleable like PMMA + tissue.

It\'s worth considering though.

Since solidified PMMA+collagen is hard as a rock, perhaps those ultrasound machines used for breaking up kidney/bladder stones may work?

I think it\'s a good thing to promote ideas for custom tools to deal with these problems.

Personally I wondered my they couldn\'t use a micro blender type apparatus on a cannula (maybe what restoration posted in that picture, not sure what that is) or sonic shockwave therapy needle to pulverize or crush the nodules and then liposuction the remains out.

It\'s worth rational discussion, and I think there\'s little crazy about it.

smalljay, restoration, hoddle - though I think the tools part is crazy, this is the best thread I\'ve read in ths forum due to your posts!!! They are \"scientific\", mature, very revealing and deeply human. I wish I could afford it (and guys allow it) to come over, look you up and give you each a hug.

Science is someplace where there are suddenly \"breakthroughs\". Guys were \"impotent\" before but not anymore. Soon there will be remedies for these \"complications\". Although I have termed it crazy, it\'s ideas like smalljay\'s that spark off the little breakthroughs.

Good luck guys ...

The problem with cutting off the hard edges of nodules is that 4 weeks later, the new outside edge turns hard again.

This doesn\'t apply to your mound, but it applied to a Nodule that i had shaved down. It would have been better to open the area up and shave the underside of the Nodule down - but I wanted the hardness to go away. It came back, just a tiny bit smaller. Scar tissue is rarely predictable. Removing the whole thing would have been better, but then i would have had a dent in that spot.

I agree with hoddle that alter should be able to cut this all out...and the sooner you take care of it, the better bc you are driving yourself more crazy than I did after round 3.

I cant remember where I read the thing about dr. N... maybe in the Nodule info thread I started...someone else posted... i forgot.

You wont lose length. You are massively over thinking this. Do you suffer from anxiety? I do and I\'ve come to learn that it can make it very hard to think rationally about something that causes me real concern. I\'ve made the wrong choice too often as I\'m so keen to fix issues to get rid of the mental anguish it is causing me.

Even if you aren\'t aware that you are an anxiety sufferer it\'s something you should consider. Your posts often sound like someone who has just totally freaked out. Darkstaff was the same. Reklaw seems to be. I am, but don\'t post what I\'m thinking most of the time.

I\'d imagine Dr Alter would make a small incision above the mound, flip the skin and shave it down. I don\'t see your issue as a big deal o be honest. I just thought you wanted to avoid the cost of surgery.

You haven\'t gone about it being stuck to the ligs in your email to Alter have you?

smalljay wrote:

Restoration wrote: It sounds like Dr. N basically did this to a patient (via cannula manipulation) and he had success..

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Hoddle, a good start, but that thing looks scary! It\'s in the right direciton though - problem is I don\'t see being able to safely do anything but stab the chunk head on with that...trying to then cut off pieces could be dangrous. *Edit* on second thought, if all I wanted to do was shave some height off of a hard imperfection, something similar might be handy

I thought it could be used to effectively cut the lump up. I\'ve used a nokor needle on my penis. I bought some emla cream and then just shoved it into the scar tissue. The trouble is self surgery with one hand is virtually impossible. But obviously things would be totally different in a clinical setting. I can\'t see why the lump can\'t be pinched and pulled up (by Wade or whoever assists), so Dr C can really hack through the tissue. We often hear about him trying to break lumps up with the cannula. With Nokor needle I imagine he\'d be able to totally detach it from the root and cut right through it. Then finish off with some Kenalog.

Nokor needle

We need this - minus 100x the size. I\'m not even joking!




It sounds like Dr. N basically did this to a patient (via cannula manipulation) and he had success..but he did not have a huge mound like you do. It would\'ve helped me 9 months ago if it existed when I had the monster lumps...some of which I still have actually.

The penis is very small compared to the abdomen, so small incisions / laproscopic techniques might not be possible. I don\'t have a clue...I just want the mini hand blender to grind up all the nodules I have and maybe even them out.

Don\'t play doctor, any home made device is not autoclaved or EtO sterilized, remember the UCLA super bug deaths this past year. Unless you are itching to get an infection then go ahead and play doctor. I would only play surgery if I was a licensed RNFA, PA-C, NP, or MD.