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TOPIC: Infection after 2nd round PMMA

Infection after 2nd round PMMA 1 month 2 weeks ago #1308718089

  • VoltzZz
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I wanted to hold off on posting this because initially i felt it may be premature and I didn't want to sound like I was over reacting. A week and a half has passed and I now feel like it's a disservice to the men here contemplating going through with these types of procedures.

Infections happen, it could have been something minor during the procedure or it very well could have been something that happened post procedure who knows. In the end I want to make it clear that I am not blaming anyone.

To start I had my 2nd round of PMMA at AD 7/3/24. Trip went off without a hitch. Procedure went smoothly just like the first time. Ian and Dr M were great and my stay at the Grand was very good also.

Three of the four entry holes were closed before I left to go home. There were no signs of swelling, things looked absolutely perfect. It wasn't until the third day when I was home that I noticed a small amount of yellow type fluid coming from the last entry hole in the neck area. I immediately began the antibiotics I was given and sent Ian email. He replied back on Monday stating that it was a good call for me to start the antibiotics. Told me to keep the area clean and dry and let the area drain on its own.

After about 2 days the last entry hole closed and I thought everything was going to be fine. A day or so later that same area started to swell significantly. I kept in contact with Ian to let him know what was happening. He told me to continue ibuprofen and the antibiotics. Another day or two passed in the fluid migrated to the other side of the neck. I again took pictures and sent them to Ian. Again told me to continue with ibuprofen and antibiotics and to keep him posted.

Approximately a day or two after that The shaft swelled in additional Inch and I was starting to feel feverish, sensitive to the touch and I was getting headaches. I was now on my last day of antibiotics and it was a Friday. I decided to go to the ER so I wouldn't have to Wait to see my family doctor to get more antibiotics. They started me on two new antibiotics and prescribed naproxen. I told them AD recommended prednisone for the swelling but they denied me.

This timeline isn't exact to the t but roughly the next day or after due to the fact that the swelling wasn't getting better I asked if I could be put in contact with Dr C. Dr C sent me an email and I forwarded him video and pictures along with the timeline of progression. He has been very thorough with responding which has put me at ease.

I had noticed that the skin around my glands appear to be very dry and cracking. I began applying moisturizer for a couple of days and it didn't help. Last night I decide to slather my glands with Vaseline and cover them for a couple of hours. When I took the cover off , what I had thought was skin I now believe was a thin layer of discharge that dried and sealed the entry point shut. As soon as I started cleaning the Vaseline off the entry point started to weep milky type fluid. Approximately a tablespoons worth came out. It has been weeping throughout the day. Inflammation around the neck has decreased significantly along with the shaft by approximately 1/2 of an Inch. The area is not as red or as sensitive to the touch. I assume I'm going to have to continue antibiotics until the weeping of this milky type fluid has ended and the hole as closed. I have about 2 days left of the antibiotics the emergency room prescribed me so going to make an appointment to see my family doctor so I'm prepared to continue. Hopefully this is something that clears up quickly and doesn't end up escalating further than it is.

I want to thank Ian, Dr M, and Dr C for their attention and concern. Thank you too Skeptical one for promptly addressing my concern via pm also. My whole intent In writing this like I said is to reiterate what has been said here in the forum that there are risks involved as minimal
as they may be.
The following user(s) said Thank You: Majorgusto, richardgaines

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Last edit: by VoltzZz.

Infection after 2nd round PMMA 1 month 2 weeks ago #1308718091

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Are you at least happy with the size?

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Infection after 2nd round PMMA 1 month 2 weeks ago #1308718092

Hey @VoltzZz , thanks for sharing your experience. I do hope that things will start looking up for you.

As for the timing of the antibiotic prescribed by AD: you stated you started taking them on day 3. I don’t have my post care instructions sheet from AD in front of me but if I recall correctly, you are to start them on day 1, no?

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Infection after 2nd round PMMA 1 month 2 weeks ago #1308718093

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Very possible that is in the post care instructions. I chose not to because I'm on 13 other medications. The concern mainly being my antiarrhythmics and delay of QT interval. After I noticed the infection I called my pharmacy to verify whether or not the script they gave me would be a risk to QT interval and there were no warnings listed.... In the end I could have verified before the procedure so I could have started taking them immediately after.Lesson learned as far as prednisone goes too. Next and final finishing round I'm not leaving TJ without purchasing it from the pharmacy.

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Last edit: by VoltzZz.

Infection after 2nd round PMMA 1 month 2 weeks ago #1308718094

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richardgaines wrote: Hey @VoltzZz , thanks for sharing your experience. I do hope that things will start looking up for you.

As for the timing of the antibiotic prescribed by AD: you stated you started taking them on day 3. I don’t have my post care instructions sheet from AD in front of me but if I recall correctly, you are to start them on day 1, no?


I was there a month ago and Ian told me to take them immediately after I got back to the hotel room post-op.

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Infection after 2nd round PMMA 1 month 2 weeks ago #1308718099

Can confirm after looking at the labeling on my meds @Jung : immediately after then every 8 hours for the next 6 days.

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Infection after 2nd round PMMA 1 month 2 weeks ago #1308718100

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richardgaines wrote: Can confirm after looking at the labeling on my meds @Jung : immediately after then every 8 hours for the next 6 days.


It didn't go un discussed. Antibiotics were held the 1st round also.

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Infection after 2nd round PMMA 1 month 2 weeks ago #1308718102

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VoltzZz wrote:

richardgaines wrote: Can confirm after looking at the labeling on my meds @Jung : immediately after then every 8 hours for the next 6 days.


It didn't go un discussed. Antibiotics were held the 1st round also.


Wonder why you would get different instructions than we did. Curious to hear what AD says.

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Infection after 2nd round PMMA 1 month 2 weeks ago #1308718106

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Jung wrote:

VoltzZz wrote:

richardgaines wrote: Can confirm after looking at the labeling on my meds @Jung : immediately after then every 8 hours for the next 6 days.


It didn't go un discussed. Antibiotics were held the 1st round also.


Wonder why you would get different instructions than we did. Curious to hear what AD says.


They weren't necessarily different instructions. It was a conversation regarding my health condition and my concern about adding antibiotics into the equation. I've had 14 surgeries in the past 10 years. Only one or two that I could think of which were major surgeries included antibiotics post surgery so not including antibiotics as post aftercare with PMMA really didn't faze me

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Last edit: by VoltzZz.

Infection after 2nd round PMMA 1 month 2 weeks ago #1308718125

I just can't see how that would pass muster. Appreciate the cautionary tale but damn man you're walking around with open wounds, in a non-sterile environment! Once they close it's too late, Glad you're slowly but surely on the mend. I brought alcohol wipes for my hands for this very purpose

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