TOPIC: Infections, Complications, Risks of PMMA?

@justabitmore - very well said!!

I\'m interested to hear from those of you that have researched this stuff extensivley about the long term changes in PMMA (5-10years and more). Does it change like most plastics do over times? Does it get hard over time? I haven\'t read much in the discourse about that aspect of PMMA.

@JBM
Removal? you don\'t mean penis Removal?

I don\'t think PMMA particles will get hard or change overtime (>10 years) to answer this (this is only my opinion) :-
1- PMMA has been used in bone cement for more than 50 years and they still use it .
2- PMMA has been used also as a tissue filler in human for 22 years e.g. Arteplast (the first worst PMMA generation---> has only 2.5% FBG) was first used in people in 1989 , so if there was any change or hardening of PMMA particles during this long period ----> I am sure FDA wouldn\'t give the Approval for Artefill if there was any serious complication of PMMA in general ( Artefill it contains the same PMMA microspheres but only the beads here have smooth surface with no electro-static charges and have < 1% in number of small particles (size < 20 nm) and thats why it has the lowest rate of FBG formation.
N.B. I am talking about the complication of the product per se and not of the technique of the doctor.
I think all of us looking for something (for Girth enhancement) which is more permanent and has a lower risk of complication , and the opposite is true (the worst product in my opinion is the one which has a high risk of complication and to a lesser extent if it is also not permanent).

Agree with brother smartman.

Does anyone know/heard of someone who has had PMMA in penis for two years or longer?I asked Wade if there has been any serious complications with penis on their patients and he said: No.
Great luck that there is honest folk with so much knowledge on this forum!!

Does anyone know a Doctor in the Uk that would treat granulomas in the penis from PMMA.

Either through Kenalog injections or some other method.

Asking because, would be greatly relieved if i would not need to travel to Mexico for treatment every time a complication occured.

The NHS would treat you.

Thanks Hoddle but the NHS are not noted for their speedy appointment\'s, although definitely an option.

I was thinking more of a private practitioner. Would prefer any possible issues resolved as quickly as possible.

Go to a plastic surgeon then. Kenalog is just a steroid and is used in plastic surgery all the time when scar tissue is too thich or swelling is bad. Mr Viel used Kenalog on me.

Thanks Hoddle

Veil sounds a good option.

Trying to get all the bases covered if i do get PMMA.

@ S.O.

It's very clear that the medical community certainly considers granulomas a very serious complication of permanent fillers (PMMA). Even the staunchest proponents of Artefill considers granulomas a serious complication, some like Alastair Carruters who were amongst the leaders in championing Artefill have since done a 180 based on the number, severity, and treatment efficacy of real world granulomas. www.entrepreneur.com/tradejournals/article/135215598.html Lemperle's propaganda has since been soundly discredited on this issue.It is important that we remember that a PMMA granuloma is not just a lump or lesion. It is a late-onset inflammatory response which typically occurs from 1 to 10+ years after injection. As such it can vary in intensity from mild to very severe and can be very painful. In severe cases it can become fluid filled (pus) and drain. In some cases it can become a chronic inflammatory condition meaning it may appear to resolve either from treatment or spontaneously but reappears at some future point in time.Sometimes a picture helps in these discussions. The following illustrates an example severe permanent filler granuloma and resulting surgical excision. It is not a PMMA triggered granuloma but the morphology is similar and provides a good visual that illustrates a filler triggered granuloma. www.ncbi.nlm.nih.gov/pubmed/21430829TreatmentWhile there are treatments options, typically with a corticosteroid and anti-mitotic combination, the reality is that some PMMA granulomas do not respond even after a year or more of treatment and have to be surgically removed.IncidencesThe initial Arfefill study (5 years) presented to the FDA had 2 cases of severe granulomas out of 145 people (1.4%). One partially responded to treatment the other had to be surgically removed. The FDA mandated follow-up had 6 cases out of 1008 at the 3 year mark (1 at the 1 year mark) (0.59%). phalloboards.websitetoolbox.com/post?id=5403442 If Sunvale Medical\'s (Artefill) commentary that Newplastic is similar to Arteplast is true then we should expect a 10 fold increase in adverse effects from Newplastic! It is reasonable to project that at the 5 year mark; for every 100 of us that have PMMA injections, 2 of us will get a granuloma, 1 of us will get it resolved after 4 months to a year of treatment, and 1 of us will need to have it surgically removed!

EQ reality checks are always welcome. More than that, reasonable people cannot do without.

The chances of having a chunk of our unit removed are to be factored in/estimated, within our decision making process.

Boys, how depressing is reality, sometimes.

@eqstudent

Thank you for your insightful research into unexplored territory. We all assume the associated risk when undertaking a new medical procedure. FBG can occur from a plethora of injectables in various parts of the body. Sometimes, our bodies just don\'t agree with our decisions. Good advice to all considering augmentation with PMMA. The pathology is similar, however, there are many variables as you well know. Some may experience serious adverse reactions long term; others may not have any. Some will be treatable. Some will require surgery. It is unwise to recommend such a procedure without acknowledging ALL associated risks. Thanks for shedding some light on this subject. Especially to some of the \"young guns\" that come on board and (due to their youth/ignorance) hop on board the PMMA proverbial wagon.

@eqstudent and others
I am glad that both sides of PMMA are being discussed here. The last thing I would want is some 18 year old kid thinking, \"hey, I can add 1.5 inches of Girth without any problem!\". It\'s important that we point out all the information. Ultimately, people can make the decisions themselves, but it is IMPERATIVE that they have access to all the information.
Some people will think, \"even if it is a 1 percent risk, I\'m still going forward because the day to day is depressing.\" In my opinion, that is fine as long as they are fully aware of the risks. Some people can bear a higher threshold of risk -- perhaps ten percent or even higher. The important thing that people need to know is that none of this is without risk, and that risk could be very serious.
Just my two cents.