TOPIC: Infections, Complications, Risks of PMMA?

aestheticgirth wrote: @ smartman
1. I dont get why you even ask the first question...

I had the same thoughts on the purpose of those questions. Asking a victim of a serious complication why some doctor Fran proberly has never heard of why that doctor is allowed to advertise PMMA on a web site??What is the point?

I disagree. If you put enough faith and trust into a doctor to do a medical procedure on your one and only penis, you would at least solicit an opinion. I think most of the members on this site who have had PMMA would contact DR. C or''Wade if they were to notice a complication (minor or major)'I definitely would do this. Especially considering that PMMA (in the penis) is a very rare procedure and few doctors have ever seen, much less treated a PMMA complication. I think this is the 'common sense' move.I think it is a legitimate question to ask'I certainly was wondering this after reading Fran's story'Like Smartman, I would also very much like to see a picture of Frans's penis with the complications before it was treated, if possible. I'm not doubting Fran's story (at all), but feel such a picture would 'illuminate what exactly the complications were.'''''''''''''' '''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''Messageman'

Completely agree with Messageman.

What I meant is :-
Fran and myself too read about PMMA penile injection through the internet advertising this PMMA injection e.g. Dr.Valter (in my case was in the beginning of 2008) may be I was lucky to have some contact to get more information about the PMMA and who is the most experience in this field. Fran had a bad luck with this Dr. (in regard his injection\'s technique and the treatment of PMMA\'s complications and what Dr.V. did in the 2nd consultation he injected more PMMA may be to camouflage the whole area without the usage of Kenalog injections) and sadly Fran was a victim of internet advertisement .
So the point I have mentioned about Dr. Aref El-Sweifi (we shouldn\'t always trust the ministries of health in our countries), he also advertising PMMA injection in the glans and in his technique he is injecting the PMMA deeper than 3 mm which can be dangerous (fatal) for his patients, so the ministries of health in our countries shouldn\'t allow these doctors advertising these products used in an incorrect fields (which can be fatal) without knowing the risks of these products if they were injected into blood channels, follow-ups and inspect these advertisement and to control it. Because there is a possibility of more victims or even death if it was injected incorrectly and esp. in a great amount (pulmonary emboli) in the Glans (more dangerous than injecting PMMA in the shaft with a blunt micro-cannula).
We have learned from Fran\'s story (I am very grateful for his bravery to post his story and we shouldn\'t forget it) and from the other\'s stories too and I would encourage Fran to continue and post more information which can help us more and also the same for everyone here to post all the negative issues about PMMA penile injection and not only the positive ones.
Also I think our forum did and will help Fran in both issues psychologically and clinically ( that if he gets (and I hope not) in the future any more nodules or lumps or granulomas i.e. there are non-invasive interventions e.g. Kenalog before going for a surgery and I have posted one of the best in Europe who has great experience in treating nodules, lumps and granulomas).
We are all here to help each other and I respect everyone here in the forum and please, don\'t take these issues personally.
N.B. As all of you know that my english language is not my 1st language so it will be so hard for me to write and express what I want to say.

I see no reason for any party involved to feel disrespected. You are certainly an asset to the forum SM and so are those that share their experience, in particular, those with complications such as Fran Berlin. We are indeed all here together to educate and support one another. Any malevolent act or deliberate disrespect of another member is a violation of forum rules and will result in suspension or banishment. I hope to continue to learn from smartman, fran berlin and others. While it is perfectly okay to disagree, disrespect is unnecessary and not conducive to progress. Progress is what we need and what we should all strive for.

Hi Fran
If you read this (or maybe AestheiticGirth could relay this message),
I personally would be very appreciative of a picture of your penis with the PMMA complications (before the corrective surgery). This would go a long way in confirming what your issues were.
I know this is a lot to ask but thought I would I be so bold to ask (once again).

I wish you the best of luck in your continued healing.

For any patients who has esp. a penile graft before and decides to get PMMA (or even any other procedures), the treating doctor should take the following precautions just to lower the chance of old graft infection :-1- The injections should be under sterile conditions they call it \"NO-TOUCH SURGERY\" i.e. to avoid touching the skin esp. the tip of the cannula i.e. after the doctor makes the small opining with a big gauge sharp needle which should not be used again and use another one for another site and the tip of the cannula should not touch the skin only inserted directly into the entry hole you will be always worried from skin bacteria e.g. staphylococcus attacking the deep tissues.
2- I.V. antibiotic 30-60 min. before the injection should be given e.g. Ancef.
3- Oral antibiotics for 14 days afterwards e.g. Augmentin 1 gram.
4- The doctor should close the entry holes directly after the procedure with a small stitch and never allow the entry holes to be opened for few hours - 48 hrs.
5- No water coming near to the wounds for at least few days.
6- Try to reduce the no. of rounds as much as you can.

My peyronie\'s graft is completely remodeled into my own tissue. I think having augmentation with Belladerm' or Alloderm' is radically different but would advise those with previous surgeries to follow smartman\'s advice and exercise additional precaution.

has anybody yet requested an iv of antibiotics pre-procedure yet? does the doctor have that available? I specifically requested it prior to my round 1- I\'m not kidding when I say the doctor laughed.. and said that was ridiculous..? I\'m sure his \'nervous\' reaction was because he had none to give and had not considered the notion regarding previous graft infection. Not implying negligence or ignorance.. just sayin. I would like to request it for a second round if no one else has breached this subject yet.

If you ask any surgeon is there any danger if a doctor inserts even only a needle near to an old graft, he will tell you there is a very high risk of an infection, and he will say it is better to avoid that or at least take some precautions.
If you ask most of the doctors who are doing PMMA injections they will tell you, you don\'t need antibiotics before or after the injection ( e.g. Dr. S. Cohen and Prof. Lemperle) and they don\'t agree with Dr.C. in regard an oral antibiotic after the injection. But this goes only with patients who didn\'t have any surgeries in the same area before (e.g. alloderm or Belladerm).
The reason why I have mentioned these precautions many times before :-
My best friend had a severe penile infection of his old alloderm after his PMMA injection in 2008.
So these above precautions are for a person who had a graft in his penis before.

Posted by smartman:

6- Try to reduce the no. of rounds as much as you can.

Maybe I should opt for 45cc\'s of 30% and then only a touch up round?

LOOOOL, but you might face one problem in the future after the 45cc\'s ---> no space in your penis for a touch up.

Smartman- Do you think the IV antibiotic would \'interfere\' with the PMMA or resulting collagen production process? is the IV injected directly into the penis, or in the arm/hand? Are you going for a \'touch up round with Dr.C (or have you already)? I believe you had allo- did you ever have an iv anti-biotic (are we talking a drip here)? please advise or pm me so we can talk more thoroughly about this subject. I appreciate your advise on the subject.

Miracle, My current situation aside, I would think hard about going for the higher concentration. My experience so far tell me that Dr C is wary for good reason, and the 30% he put in the base (mostly under \"normal\" pubic skin, not the non fat penis skin) has very different characteristics than lower concentration (different in my case = worse). Also, I\'m pretty sure I\'ll end up with a greater gain from my second than the first round with the 20% concentration and have experienced a good aesthetic so far (still dealing with swelling and possible infection so grain of salt advised).

Hi Rondo,Do you think the IV antibiotic would \'interfere\' with the PMMA or resulting collagen production process?
A- No.
is the IV injected directly into the penis, or in the arm/hand?
A- In the vein of your arm.
Are you going for a \'touch up round with Dr.C (or have you already)?
A- Yes I need to have a touch-up rd and I will go to Dr.C., may be in July or August.
I believe you had allo- did you ever have an iv anti-biotic (are we talking a drip here)?
A- Yes I did have alloderm 2007, and in regard of my PMMA injections I took oral antibiotic Augmentin one day before the surgery and 10 days afterwards (unfortunately also Dr.S. said no need for antibiotic but I didn\'t listen to him), thank god I didn\'t have any complication afterwards, it could be I was only lucky and not due to the oral antibiotics, also it could be because I lost almost all of my alloderm before my PMMA.
I have a good medical knowledge in regard of prevention of infections esp. after surgeries, for every surgery it is advised one shot of i.v. antibiotic around 30-60 min. before surgery just to avoid any infection during surgery and then an oral antibiotic afterwards.
I am not saying every patient who had a graft before he will have definitely an infection after PMMA if he didn\'t take the precautions the ones I have mentioned before, no some or more than 50% they could be lucky but there will be at least few patients (???) can have a severe infection of their grafts.
You can ask your previous surgeon that Q. about the risk of infection of your old graft if someone introduce a needle or a cannula near to your old graft esp. without taking strict precautions before and after the injection.
So it is better to be safe than to regret the whole thing.