TOPIC: Coolhand's DRUDGE REPORT ***Reserved to CHL***

(sneak peak to what\'s to come when god give me the time) my tid bit on absorption of PMMA filler, along with nodule formation, and deformities (hardening around the circumference area in my case). The idea of research arose because of the number of patients arriving with complications from the use of PMMA Pedro Ernesto University Hospital, where Castro is a professor. With a team of Amparo and Research Foundation of Rio de Janeiro, the surgeon met 21 patients with cosmetic defects in the ears, who agreed to have the substance injected into the lobe.
This feature facilitates the extraction of material for analysis. Six months later he began the study and analysis found that in all cases there was PMMA absorption by the body. In addition, 20 had infiltration and formation of nodules in 19 of them.
The use of PMMA is so widespread and indiscriminate use in cosmetic procedures so that some scholars describe as \"epidemic.\" The immediate result is fascinating in most cases and, in a small percentage, the initial result has no solution. But what this research confirmed the long-term outcome of polymethylmethacrylate use in cosmetic filler, hardening of the treated area, migration and cyclical and incurable inflammatory process.
The absorbance of the tissues shows that the filling is not permanent and that migration occurs with PMMA is equivalent to that of liquid silicone. While manufacturers say that the complications are caused by poor placement of the substance, the research found that the problems are unique to it. Therefore, the president of the Brazilian Society of Plastic Surgery, Jose Yoshikazu Tariki, recommended to their colleagues in small procedures only use up to 2 or 3 millimeters in parts of the face. In some cases, the PMMA is injected in doses up to 400 mm, such as the buttocks. Therefore, Tariki warned that the use of PMMA should be unique to the doctor and not be used for aesthetic purposes. He further stated that there are some areas of the body where there are more complications such as peri-oral area (near the nose and lips). Writen by Dr. Gustavo April (Argentine Plastic Surgeon) www.misionesonline.net/noticias/23/08/20...n-rellenos-esteticos www.larevistadecirugiaestetica.com/2009/...-infiltraciones.html www.drgustavoabrile.com.ar/ Per this physician\'s clinical/professional opinion, this pmma stuff gets absorbed & is not a permenant filler! The deformities i\'ll share with including photos will be posted in another thread I\'m in the process of working on at a later date, i have other time sensitive obligations to school at the moment, but i want current gents to be aware that some of your bioplasty bros have been busy with obligations to life, but in the mean time have been experiencing unwanted complications with the pmma filler (Newplastic). Everybody has been tooting their horns, fellow friends like EP have voiced concern about the complications associated with this procedure and the reflective practice of it practitioners, and his humble efforts seem to not center everyone. The praises seem to go unnoticed in the fundamentalist crowd of pmma believers, but Coolhand, having always been a friend to everyone here on the forum, hopes to bring some personal transparency to the argument in the coming weeks, centering our fundamentalist friends as it were. We are gents, like-minded men, we wanted some new-age treatment to improve our sex lives and trust me i know what sex feels like with a pmma penis, after procedure 1 it felt \"AWESOME!\" as my spanish sweetheart told me after making love to her the first time:\"Papi eres incre'ble!\"But now, the product & randomly evolving technique that\'s practically experimental for the penile patient are both in question for your\'s truely, SKEPTIC TWO AKA Coolhand. After procedure 1 i had good cosmetic results, but the outcomes of procedure 2 were unnatural and less than desired, and time consuming to say the least. In between my obligations to family and school i\'ve shared personal progress notes with respected friends i\'ve made here on the forum, mod-friends and nonmod-friends alike. i was embarrassed with the outcomes of my 2nd procedure & i hope my respected physician felt/feels the same, it wasn\'t ARTFUL* work, it actually feels like my ego has taken a bullet with the unnatural look of things & the money, and time, and mild pain i\'ve experienced inorder to try recover a decent looking unit. I just want to call attention to TRANSPARENCY, and whatever else i get i\'ll count them as extra fries or onion rings in the bottom of the bag. Cheers old & new friends this is for you, CHL

TO BE CONTINUED...

to the forum i\'ll be back in a few weeks, i have a research paper to write. Thanks

my research mentor wants my 1st lab report turned in by sunday via email so i\'ll be MIA until then, but i\'ll fret & work on this forum entry(s) being next monday\'s pseudo-homework assignment =) cheers gents it make take a few days to some up this after i get started. i\'ll let you know when its finished. CHL

For the purpose of creating a seamless report, CHL has requested a non-interrupted thread which has been approved. All previous posts in this thread have been removed.
I ask all Members & Moderators to refrain from posting in this thread until CHL has announced that he\'s complete with the progress report. Any posts in the interim will be deleted. Once CHL is complete with his report, an announcement will be made by either myself or CHL and this thread will be opened up for discussion.
If you wish to learn more about some of the things CHL shares here, you can private message him in the meantime. I will delete this specific post when the thread is complete.

Healing is a matter of time, but it is sometimes also a matter of opportunity. ~ Hippocrates \"Nature performs the cure, the physician takes the fee.\" Benjamin Franklin (1706 - 1790) I can\'t fully say that my issues are completely resolved as of today. Cosmetically, Dr. Casavantes work was dismal & of poor craftsmanship [picture proof]. It was not until after 6 months, closer to 6.5 did the irregularities & discomfort start to fade. The pmma became less noticeable, and my penis became less disfigured looking. As a healthcare provider & molecular bio student, a question of mine became apparent, \"Where did all the pmma go...?'
The burning sensation occurred around the base and around the circumference line, the pmma clumps & nodules mostly were around the circumference area. The deformed penis that i had can be summed up from the response of an attractive young woman i had sex with \"COOLHAND it looks deformed, did you have work done on it\". Those aren\'t the words i ever want to hear from a woman, i spent too much time & money for a response like that. Not to mention i spent 10 minutes coaching the woman that nothing was wrong with my penis.
This experience prompted me to seek a consultation with a recognized urologists here in California, he assured me that he could surgically remove the pmma completely by either degloving the foreskin or removing the nodules in the problematic areas and i could still retain significant sexual function after the surgery. The risk of infection (MRSA) would be great, but that goes without saying. Again during the visit i was experiencing pain, discomfort, and fashioned my disfigured penis. His recommendation was that i wait a full 6 months to a year, since he believed i was not experiencing atrophy, if i would have taken kenalog injections i would have developed atrophy & that would be a separate concern. I asked why wait the 6 months, since i was interested in an immediate approach, his response was that the immune system can absorb foreign body fillers (PMMA) into the lymphatic system, but if you insist on removing the pmma, we can do that, but i\'m recommending we wait 6 months to see if your body resolves the issue by itself. Since you are likely experiencing a prolonged inflammatory/immune response (bruising pain, itching, icey hot discomfort) due to this foreign body filler you\'ve subjected your penis too. Well, I took his recommendation and waited the prescribed time-frame, as it turned out, the pain went away on its own and the pmma clumps depressed just as the doc suggested. I LOST a considerable amount of girth waiting those 6 months (even though it was disfigured girth), loosing that girth leaves you feeling a psychological loss as well since having a heavy penis plays a positive role on your ego. Unfortunately now I\'m experiencing problems with my lymphatic system. (Neves et al, 2012, see reference made to Lemperle et al in Neves report concerning Lymphatic route & Phagocytosis route)
I had an inguinal lymph node removed this last year, and come July, i\'ll need a CT scan in my groin region to determine if exploratory/biopsy surgery may be required. I won\'t know if pmma is causing me these painful lymph nodes or if its somehow indirectly responsible for my current condition. I don\'t like coming under the microscope of medically uneducated or even unapologetic forum members, since my case is unique to me and i\'m still unsure about my current health situation. (see photos of inguinal lymph node anatomy & link: radiographics.rsna.org/content/31/1/135/F9.expansion.html )
Stress could trigger lymphoma, loosing my girlfriend & our unborn child could have done a number on my immune system, but the \"unknowns\" about the long terms of pmma can also be the culprit. The bottom line, CT scans & surgery, let alone anesthesia cost a shit load of money, I had an X Ray done earlier in the week, i\'ll being seeing my doc in several weeks for an evaluation & interpretation of the x ray. I want nothing to be wrong with me, i\'d rather be depressed than depressed w/ lymphoma. Money is a tight spot right now with tuition concerns and shopping around for an inexpensive CT scan imaging center. Sure i can help out the friends of the forum by showing them pictures of the disfigured penis i had earlier this year under Casavantes care, but some even after seeing my photos or hearing my situation will prefer to play a blind eye or simply don't want to take the time to understand in-depth medical issues that can have systemic implications since outcomes with penile pmma augmentation are still unknown. I hope our current forum continues to evolves in a way that continues to appreciate information concerning real patient outcomes. I won't stop members who would rather glorify and praise the latest elective procedure before gathering the facts. I promised a fellow mod by the end of the weekend i\'ll post something up [and here it is], but in agreement in doing so i don\'t want a chatter box to evolve criticizing me. If that is going to be the outcome, my efforts here will be a waste of time, i don\'t need to be peer reviewed, i am a real patient, my experiences are simply more than an average experience, they\'re the telling tells of how my body responded to PMMA injections.
Keeping my wish honored of having the CoolHand Drudge Report locked would make me feel comfortable after i'm finally through writing this report, I'll update again in early July, and once I have CT imaging or biopsy info i'll share at my discretion, if the biopsy produces a negative outcome i'm sure mods & friends of the forum will understand that i'll have more imminent concerns and i will not give regular updates. If this professional courtesy can not be extended to me i will resign my membership and face my medical problems without including the consensus of the forum, it would be no loss to me, but the lack of facts still show we do not know the long term outcomes of penile pmma augmentation for the majority of patients or even isolated cases from patient to patient. I have met a hand full of folks i value here, i've befriend many of you. Some call or text me regularly, and I'm encouraged that a forum like this can bring people closer together. A fellow mod friend reminded me several days ago to continue to banner my attitude of transparency, his genuine reminder prompted me to offer this latest update to the drudge report. I've inclosed several (personal) photos disclosing my outcome with pmma. There are also several other photos and a clinical journal i'm citing here as sources to avoid plagiarism.
Nevel et al. Possible Migration and Histopathological Analysis of Injections of Polymethylmethacrylate in Wistar Rats. ISRN Dermatology (2012), Article ID 609158. doi:10.5402/2012/60915
Link: www.isrn.com/journals/dermatology/2012/609158/
CHL

“There is no medicine like hope, no incentive so great, and no tonic so powerful as expectation of something better tomorrow”~Orison
Lemperle et al. [6] describe three mechanisms by which PMMA microspheres can migrate.(i)Hematogenic route, by inadvertent injection in a blood vessel, which can carry microspheres to the circulatory system. The most probable location of the final destination is the pulmonary capillaries.(ii)Lymphatic route, by injection in thick lymphatic vessels. The local lymph nodes and the lungs would be the most probable final destinations. These two routes, when directly touched by the product, can serve as an argument for the presence of microspheres in the lymphatic system and in organs such as the lungs or any other that serves to filter blood or the lymphatic system.(iii)Phagocytosis route microspheres phagocytized by macrophages can be absorbed at the location of the implant, later migrating to the local lymph nodes.Capella [13], in an experimental study with intramuscular injections of Metacrill in the rear right leg of Wistar rats, observed alterations in local lymph nodes with histiocytes containing basophile granulocyte material in cytoplasm. In this study, the PMMA was identified in the histological sections from all of the 16 rats analyzed.Cited Source: www.isrn.com/journals/dermatology/2012/609158/ Hello Crew,Phagocytosis of pmma would be an immunogenic response, in which macrophages act as a vehicle for pmma migration into the local inguinal lymph nodes, resulting in inguinal lymphadenopathy (swollen lymph glands in the groin). Other than swelling, symptoms of lymphadenopathy include fever, weakness and fatigue. Ironically these are identical symptoms of lymphoma, included with those symptoms patients often sweat profusely. Recently my primary ordered a CT scan noting on the order DX INGUINAL LYMPHADENOPATHY. I am currently awaiting the CT results. Honestly i would prefer a benign diagnosis, but a biopsy is the only conclusive way of ruling anything out. Secondly i would prefer a diagnosis of pmma migration over a diagnosis of lymphoma. Pmma spheres or mutated lymphocytes, you take your pick? I’m at peace with either three of the diagnosis, its known that viruses, bacteria, and fungi, poisons (organic pesticides) have a influence on cellular mutations that can trigger lymphomas, but i’m curious to know if foreign body fillers like pmma can trigger cellular mutations to a surrounding cell, the science to evaluate this is here, but i’m not confident anyone in the research field has drawn such speculation publicly. Anyways to the faithful i could use your prays, despite the fact i subjected myself to this enhancement procedure (of which i’m 50/50 about). I really do hope pmma is a god send, and the future of the material is deemed safe, and my condition and others like it are just experiencing something benign. Again I already had a lymph node removed after procedure 1, the thought occurred to me that pmma migration resulted in the removed lymph node, i never informed the enhancement procedure to my physicians because i wasn’t absolutely sure myself (and the enhancement i wanted to keep private). The pathology report was rather inconclusive, further evaluation was recommended. Benign lymphoid hyperplasia was a floating term the surgeon mentioned. I’m no longer playing a blind-eye to any details as some members might choose too, i offer little bias, turning a blind eye to our bodies immunogenic responses is an uneducated decision of which i was guilty of, I will continue to inform the friends of the forum at my discretion, i’ve received alot of support from pm’s to phone calls, i’m remaining optimistic even though this journey is annoying & alot more than i wanted.

~CHL

Thanks for your update CHL, and I hope you get some conclusive diagnoses in the near future. I certainly pray no one has to deal with lymphoma, and sincerely hope your circumstances are the most \"benign\" of all possibilities. Time will tell and we\'ll look forward to any & all future updates.

[Edit: In accordance with CHL\'s request, no further posts will be added to this thread other than the ones CHL posts himself. He will issue a post when he wishes to this thread to be open for discussion. If you find your post deleted, it was probably because of this. If you wish to contact CHL regarding his progress, your best bet at this time would be to Private Message him, thanks.]

It was over a year ago, when i was troubled with worries of a deformed penis that had lumps & uneven areas. Let alone the biopsy & expensive pre & post CT scans. The BIG question is would I, CHL, not you, but would I do it all over again knowing the extra money involved & worries I would encounter. Yes, finally I can say yes. Some of you know that I lost a major person in my life sometime ago, and i believe death changed me. It made me more screwed, rude, critical of others, kind of like Charlie Sheen on a really really bad day, but instead of one day imagine 365 days x2! Because its taken that long for me to feel like I want to live again. Your mood, attitude, quality of sleep, depression will greatly affect the PMMA journey. If your mental self is intact, and you have positive feelings toward your life, when you encounter a PMMA related problem, you may tend to be less critical, less anxious. Not compliant with the problem, just less anxious. Because what i\'ve noticed in myself, and among old and current forum members who encounter a problem with less than satisfactory outcomes, they tend to be very hard on the PMMA enhancement procedure and rush to solve the problem (The Gelman Effect). Hell if my significant other didn\'t die, she would be my daily encouragement, and i probably wouldn\'t even think twice about writing a Drudge Report. I know i could be the self righteous Libertarian sometimes, \"cough cough\" the Libertarian movement is the only way to go these days, pun intended! The uneven areas are gone, lumps smoothed out. Some have asked for current pics, mind you i just popped a viagra a few hours ago, and blood flow is still GOOD, so here are some current snap shots curtesy of my smart phone. Those of you who have lumps, uneven areas, post treatment inflammation, stay positive, and most if not all the negative symptoms should decrease with time. I\'ll update from time to time, but i\'m the fool who said he\'d do it again. You really can\'t replace the facial expression that a PMMA Cock can give to a beautiful horny woman! The words that i\'ve heard over the years are \"is that gonna fit?\" \"that was great Cock!\" \"Can i take a picture to masterbate?\" \"will i see you again\" \"do you like me?\"... Hearing that so many times isn\'t like hearing it for the first time. Precious time is slipping away, you only live like a King for a day, those are probably my favorite lyrics to a Van Morrison song. An enhanced Cock can make you feel like a King for a day, but sleeping around gets tiring, and you don\'t come closer to finding your replacement Queen. At least that\'s been my journey, and i haven\'t been taking my own advice. If this conclusion doesn\'t sell the procedure I don\'t know what does.

Salud PB Crew,

CHL

FYI- The photos are a comparison of the old CHL vs the current CHL + the blue pill effect

I never do bone pressed anymore, for me that\'s like searching for an extra 1/2 Inch. What i measure is what a woman can measure with her eyes. I know that isn\'t the standard, but... that just my rationale. Mind you viagra can give you a horse like Erection!

What is your Girth at now? Looks massive!

CL, or other members, I take it that the biopsy and the CT scan came back negative? The other stufies were you said PMMA can migrate via macrophages ( or whatver it called). Surprising after reading all thread, just read this?

I take it PMMA is still safe to use right?

those last pictures look like you went back for another procedure? If so did that help cover any of the left over nods and clumps.

I am going on 3 years after my last visit to dr C (2 visits total and ring issue never totally fixed) and I still have bumps below my glands on the circum line in the Circumcision skin area. During my last visit dr C attempted to fill in the gap area and I received keno for the ring. In the last two months I have noticed a red lesion on the underside of my gland\'s ridge near the circum line. No pain and all tests for std\'s neg. I am seeing a Dermatologist tomorrow but my personal belief is that the newly formed Foreskin from the procedure to fill in the gap has made the contact area to my glands tighter and maybe slightly abrasive with the hard nods and maybe preventing the skin from healing after my biweekly romp with the wife. sometimes certain positions can apply more friction to the ridge of the glands. Has anyone else experienced anything like this? Its kinda freaking me out and im really preying its not cancer. The idea of a biopsy in that area freaks me out too. my inguinal lymph nodes seem normal and no pain. I also have developed a fairly large lump at the base under the connective tissue where I had asked for extra product be added to reduce retraction. which actually helped quit a bit.

haven\'t measured in a while I will try to dig up my old posts from 3 years ago and see how much I have lost in gains. probably around 25% from the 6 months post op too present

@ssft24 I had the same thing happen for about 6-9 months. It eventually stopped doing it. I want to believe the skin stretched enough to stop it.

Hey Coolhand, just wondering if you happen to pop on here again could you give us an update?

Have those spots cleared up? You penis looked a bit bruised in the last Erect pics. Has that gotten better? Is everything good?