TOPIC: Infections, Complications, Risks of PMMA?

Smartman, thanks for the link for the French Dr. In the future it may prove very useful for European patients, more likely for nodules than FBG.

Hi EP,
Its true the possibility of nodules formation is high if the PMMA were injected under thin skin e.g. the gap behind the glans ( thats why it is contraindicated or not recommended to inject PMMA in thin skin patients e.g. old people) beside the nodules you could have also blanching of your thin skin.
In my case I felt after the 2nd round my skin is closer to the new collagen i.e. a little space between them and at the base my skin is a bit thicker than the mid shaft, is it because of the conc. or the technique of the doctor ??? I think if I go for a touch-up there will be a possibility I could have an attachment of the beads to my skin. So only in my case I think 2 rounds are enough for me and only to go for a lower conc. for touch-up and to taper the area at the gap but NO MORE Girth.

fran_berlin wrote: Hello, please write me in private, and I will answer all your questions with pleasure, and describe my experience. Thanks (so nothing more in public)

I don\'t mean to make you uncomfortable with posting publicly, but you have already chosen to share with us your problems with complications openly. So please reconsider and share with us all that you know about your PMMA procedure(s) and complications. You will remain anonymous, but your information is vital to the forum.
I\'d also like to know if your mention of \"rejection\" was in relation to granuloma formation, or did you experience an actual rejection of the implanted PMMA extruding from your skin as Smartman had asked?
@ Forum,I will contact Dr. C\'s office and seek their opinion on this matter (i.e. granuloma formation)

@ smartman1 1st round, i could not have sex for functional reasons, not esthetic, it hurted2 Dr valter did not inject any steroid, only more PMMA at the top, but by going the same way, from the base of the penis with a canula3 yes, the granuloma were mobil under the skin, like ganglions there was a huge one in the middle/low part of the penis, like 2 cm wide, middle ones at the top and on the sides, and there are still small ones in many places, which are still here, but can not be seen, just felt by touching4 the skin was normal5 the Dermatologist adviced to remove them simply, the surgeon thought the same. they had never seen such situation and never mentioned injection of steroids. they were more precupied by risk of cancer. the analysis from the laboratory showed there was PMMA and some tissue which \"could\" lead to cancer

Thank you Fran for your update. I would really appreciate a detailed recap of your procedure and protocol. IE: how many cc\'s, what brand PMMA, technique, symptoms experienced pre and post FBG onset, etc. If that is possible, we are all indebted to you for sharing your unfortunate complication and it\'s subsequent resolution.

@ evil pnievelthanks. Yes, it is emotionally difficult to tell about what happened. I always respect privacy, and tries to protect mine. it is the first time of my life I write on a forum. I do not even know with whom I am communicated, but anyway I would have liked to be informed by people having had the experience. The 1st operation was 4 years ago. I have experience,

Here I paste the message I sent to ripple, to answer his questions.First of all, the dates:end 2007: first op, bad esthetic resultend 2008: second op, esthetic result okduring 2010, starts to change aspectaugust 2011, has completely changed aspect, I decide to see a doc and tell the truth3 operations, in november, december and january, now it looks ok
the opinion of the doctors: my body rejected the PMMA, this happens often after 2 or 3 yearswhat kind of PMMA? no idea, I just know it is white, as when the doc removed it, he showed meit was injected only with canula, from the base of the penisthere was one huge \"bowl\", around 2 cm wide, at the base, where there was more product, it looked like a tumor, much bigger that a ganglionthere were middle granulomas, big like twice or three grains of pepper : 5 were removedthere are still around 6 or seven small, and some deformation at teh base of the penisthe 6 or 7 small are too small to get operated, as the scarr could be biggerthe \"diformed\" place at the base is still some product, but it cannot be removed, or the doc shoud open everything, and he does not wish too, it looks today ok, even if I need to wait for the scarrs to curehow much PMMA? I do not know exactly neither, but they told me it was more than usual (as my penis is long)The granumas and bowls did not hurt, it is just unestehetic and impeached me to have sexas the granulas and bowls looked like tumors and were just under the skin, the doctors told me it could be easily removed, it was the casethe doctors I saw had never seen this before, so they did not advise anything else than just taking off the granulas and bowls
the fonction of the penis was always good, because it is under the skin, no risks herethe esthetic: it is today fast normal, so i feel relieved after what I went through,
after exctracting the granulomas and analysing in laboratories, they confirmed that my body rejected the \"foreign product\" and that it could cause cancer
I lost: 2 years of sexual relationships, a lot of money, stress, went through 5 operations, had to go through this alone (how can you tell friends?), scarrs, the risks of having new granulomas, and risk of cancer I won: one year with a bigger penis (honestly not so much bigger) before it started to be diformed
I had never written on forums before, as this is very privateBut the doctors NEVER mentionned these risks of rejections, they told me they have 70 years background on PMMA, it is 100 % sure, the body accepts it perfectly
if you have other questions....

Thank you so much for sharing. I am sure all our thoughts go out to you and I wish you a speedy and full recovery

@fran,
Vielen Dank fuer ihre Antworten Fran (thank you v much for your answers).
I am a bit confused Fran about something you have mentioned before that you had PMMA at the base and nothing at the top in the 1st rd and you couldn\'t have sex because it was hurting you ---> so that means the pain was where the PMMA was (i.e. at the base) so why he injected in the 2nd rd PMMA in the front ---> theoretically in your case you supposed to get pain too during sex but this time at the front and not at the base ??? And after this 2nd rd you said the result was ok and you were relieved so you meant you had no more pain during sex before the granulomas had developed .
I hope you did undertand my point (he treated your pain during sex after PMMA injection with a more PMMA mostly in another part of your penis (at the front) ) ??
1- Please, don\'t misunderstand me, I just really appreciate it if you can explain that to me more.
2- Were the nodules or the granulomas attached and fixed to your skin ?3- Were they tender when you squeeze them ?4- Your skin was not red over these granulomas, correct?
Again don\'t try to remove them surgically, 1st try Kenalog injection with 4 wks intervals, please, leave surgery the last option.
Good luck Fran
SM

Hi Frans, so the reason for the 2nd round was only for aesthetic issue and not because of the pain during sex from the old PMMA .

@smartmanthe product is only injected on the front side of the penisthe problem is that the product kept near the basethis means when the penis was not in Erection, it looked perfect, but when it was in Erection, the wider part stayed at the same size as the penis not in erectionYou have some pictures about this, a few messages before, someone asking me if me penis looked like the pics, teh answer is yes- the granulomas were not attached to the skin, the skin was totally normal (not red, soft)- the granulomas were hard when touching _ after extarcting them, the surgeon made the following analysis: the small or middle ones were only PMMA product, in small bowlsthe big bowl was a mix of tissue and PMMA
if it happens again, I will try the injections
thanks

Fran, where did the surgeon make the incisions to remove the granulomas?

Also how thick was your penis before and after PMMA? That will help us estimate how much you had injected.

@hoodle10the surgeon made small incisions directly at the place of the granulomas, so it is not like the injection of PMMA, which is made from the base of the penissorry, I cannot help you with the volume injected, but I do remember Dr valter saying it was much more (like the double) as usual, as my penis is pretty long

@hoodle10As you have experience on this forum, could you please tell me if others went through a similar experience?

@fran,
There is a paper where you can read about the best treatment for Foreign Body Granulomas :-
www.ncbi.nlm.nih.gov/pubmed/19483588
These FBGs are usually red firm nodules which are tender to pressure like in this pic. :-
archderm.ama-assn.org/cgi/content/full/139/1/17