TOPIC: Avanti Derma and My Legacy of Silicone

In 2019, after suffering from infection and Necrosis, I had all of the skin removed down to Bucks fascia, and then split thickness skin grafts were applied. The surgeon corrected the penoscrotal webbing, but left the silicone in my scrotum. I lost a few inches in penile length, and In the years since my penile reconstruction I have been obsessively trying to regain lost inches using stretching and chemical PE (PGE1) with some slow but steady success. In just the past 1-2 years though, my scrotum, which still contained some silicone that Dr. C injected in two separate rounds years ago has been growing again at a noticeable pace. I previously got 100 ml injected, in two 50 ml rounds, the last one in 2018. Now my scrotum looks like it has over 500 ml in it, judging from men who show pictures of 500 to 600 cc of silicone injected in their scrotum. There is no pain, but there is a lot of itching as layers of skin are shed and regrown at a fast pace. I think that if scrotal skin wasn't so fast growing and fast healing that I would have had the skin break down already as it did on the penile shaft years ago from the small amount of silicone injected there in the so-called "smooth finish." Of course I'm worried about cancer, but I'm also worried it will just keep growing uncontrollably. Obviously, a scan and manual examination of my scrotum will find lumps in it. But I've had lumps from the encapsulated silicone for years. I plan to get blood testing done, and very likely have a biopsy of the tissue to check for cancer. Even if it is a non-cancerous "tumor", I still don't want to grow a water melon in my pants. Admitting there's a problem is the first step. But I likely will be back in the OR for at least one more surgery due to my legacy of silicone.

Has anyone on this board had similar problems with past silicone injections? Do you know of any research papers describing similar cases?

I'm a little surprised at the lack of response. I remember reading your story. I don't have any advice but keep us posted.

Hey fatmike, read about your story a while back, I haven’t had any silicone but I hope it all works out for you

Thank you for the replies. I will keep you posted. I'm in Oahu now, so literally out on an island, so even fewer doctors to choose from. Hopefully I can find a Urologist with experience in a timely manner, and not waste too much time with useless appointments. I have a primary care doctor who can help with some things (e.g. lab work).

Hey there. First off I am so sorry this happened to you. I have many questions about how this happened but what’s important is fixing the issue. I’m not sure what the cause of your scrotum continuing to grow… to me that seems like possible fluid retention. I’m not sure of your other health conditions but I know people who struggle with fluid Retention can often have a build up in their scrotums. If that isn’t the case I wonder if your body is having a reaction to the filler… when you say doctor C you are talking about doctor Colorado from S-L-E? Have you contacted him regarding your case?
I have heard that doctor Solomon is a reputable doctor for reconstruction.

EricPig wrote: when you say doctor C you are talking about doctor Colorado from S-L-E?

I'll let him answer that but I will say moving forward that S-L-E is the only hard blacklisted Clinic on this forum and any discussion of them is forbidden. That's pretty bad when you consider the fact that Dr. Elist and Dr. Loria aren't blacklisted from the discussion. They are the kind of Clinic that give places like Mexico Medical tourism an unfairly bad reputation. S-L-E perform extremely unethical medicine, and the only reason I'm going to permit this inquiry is to allow FatMike to clarify. This isn't a knock on your account EricPig, you didn't know. Just clearing that up.

@FatMike
Since you're asking about Urologists, I'm assuming you've already reached out to Avanti Derma (assuming that's the Dr. C you were referring to?), because that's usually what I'd recommend as a first course of action. If you have and have decided to seek a different direction, as for Urologists, Dr. Carney is worth consideration. I know EricPig mentioned Dr. Solomon, he's definitely an option as well. Good luck.

O I didn’t know. I didn’t know what doctor C he was talking about. My bad!

Yes, I meant Dr. C at Avanti Derma. I thought he retired.

I am still waiting to get seen by a Urologist. My appointment is for September. I keep calling to ask if there were any cancellations, so they can get me in sooner. I've also called different practices. But they all wouldn't check their calendar and tell me their availability until I had a referral sent. So its a mystery box. You have to waste your PCP's time sending referrals to practices that may or may not have earlier openings. I've been to Dr. Carney in the past, after my reconstructive surgery. He was one I wished I went to sooner, so I didn't lose so much length during the reconstruction. But I'm out in Hawaii, so my options are limited or very expensive (if I had to fly to Atlanta or elsewhere). Medical care in Hawaii has been very poor quality, and they don't have enough doctors for most types of medicine out here, so the wait for many things has been painfully long. I demanded to have blood work to check for various tumor markers and cancer indicators and thankfully came up negative on those.