TOPIC: Infections, Complications, Risks of PMMA?

A couple of observations, even though I am an infrequent poster.

I don\'t think it is fair or realistic to expect those who are experiencing serious medical problems to post commentary of those problems on a website. Quite rightly, they are focused on getting better.

If the moderators are aware of such people, I think it is their responsibility to bring those complications to the attention of the forum. There has been innuendo and vague reference to members who have suffered complications from PMMA but have bot shared those with the forum, but there has been no suggestion of anything as severe as CHL\'s complications.

If moderators have known of those issues for the last several months, in my view they should have posted about them in a separate thread which should have been stuck to the top of the general discussion page, in neon flashing lights if necessary, obviously not attributing the complications to CHL.

I\'ve followed this forum closely for over a year and have a lot of respect for the way the moderators have tried to create a balanced and open forum. I just don\'t understand why due prominence was not given to something so serious.

Like everyone on this forum, I wish CHL a full and speedy recovery.

blank550 wrote: A couple of observations, even though I am an infrequent poster.

I don\'t think it is fair or realistic to expect those who are experiencing serious medical problems to post commentary of those problems on a website. Quite rightly, they are focused on getting better.

If the moderators are aware of such people, I think it is their responsibility to bring those complications to the attention of the forum. There has been innuendo and vague reference to members who have suffered complications from PMMA but have bot shared those with the forum, but there has been no suggestion of anything as severe as CHL\'s complications.

If moderators have known of those issues for the last several months, in my view they should have posted about them in a separate thread which should have been stuck to the top of the general discussion page, in neon flashing lights if necessary, obviously not attributing the complications to CHL.

I\'ve followed this forum closely for over a year and have a lot of respect for the way the moderators have tried to create a balanced and open forum. I just don\'t understand why due prominence was not given to something so serious.

Like everyone on this forum, I wish CHL a full and speedy recovery.

It\'s quite simple. Some members request confidentiality. It is not our responsibility to copy & paste emails, or to cite aliases and the nature of their complications against the wishes of our members. To what extent are Members & Moderators expected to disclose the details of a patient\'s situation? For the most part, having simply stated that there are known complications is the best we could do. At the very least, we remind forum members & lurkers that complications are real. Anything beyond that can jeopardize our relationship and trust with certain members in question.
Not sure what more you want. This Infections, Complications, etc thread is at the very top of the main forum of this website. The Moderators pleaded with CHL to post, and we\'ve been begging for a balance from members & lurkers alike.
I disagree with your opening statement. If those patients originally used (and spent ample time using) this forum to learn about, and eventually share their experiences, it\'s not a lot to ask of them to follow-up. It seems like you suggest that spending a few minutes out of their day is somehow in conflict with their need to heal. Sharing their ordeal so that other men can pay heed can go hand-in-hand with the healing process.
This isn\'t a burden or responsibility any Moderator has. We aren\'t here to divulge to you things that were asked of us to remain private. We\'re here to moderate a discussion so that the free flow of information (by those who choose to contribute) can proceed without the shackles of spam & shills. We aren\'t even being paid. It\'s remarkable what\'s expected of this forum from members & lurkers who have the luxury of (mostly) free access to a vast amount of info & experiences regarding PE. And even with those expectations, I feel that we\'ve hit them with the highest marks.
And I don\'t understand your last statement \"I just don\'t understand why due prominence was not given to something so serious,\" but I have a feeling I addressed it somewhere here in this post.
Again, I find that we are teetering off the actual topic of this thread. If you wish to resume these commentaries, feel free to private message (or email) me.
Thanks.

And with my 1400th post, let me remind everyone the topic of this thread.
This thread was opened to highlight the real risks of PMMA (and in an extension: the risks of PE in general).
For those who may be new to this scene, Phalloplasty has had a long history, inconsistent at best, horrific at worst. It isn\'t some kind of well-established practice, and quite frankly, you are a guinea pig with whichever method you choose to undergo. This is why I\'m baffled when men of healthy endowment proceed, but I stop short of passing judgment because I\'m not in their shoes. We all have our reasons. We just need to be sure they are sound, healthy, and rational reasons.
Furthermore, we need to be prepared with the reality that risk of complication is high \"in general\" with PE procedures. So going into it thinking that you will come out without a single issue, and with a Cock that looks 100% natural is delusional at best.
PMMA has actually been rather mild (relative to other procedures) with what complications we\'ve had reported here. That being said, we are at the mercy of those who choose to report, and we\'re at the mercy of short-term reporting, since long-term reporting will take years to develop.
It\'s important that you really examine your own reasons for contemplating any procedure. If you are of a healthy endowment, I\'d suggest to reexamine your goals. I\'ve long advocated these procedures for those who are genuinely suffering from under-average (or under developed) phalli. Those men, in my opinion, have a higher risk threshold.
And furthermore, this forum is just that... a forum. The information here is only as good as those who contribute. Moderators are here to keep \"order,\" not to educate. Fortunately, many Moderators take time out of their day to share with us their experiences, and have ultimately educated thousands of men free of charge. But they aren\'t responsible for anything more than the smooth flow of information here at PhalloBoards. Since the information here is limited (because not everyone chooses to post), I ask all members to take this into account. This forum is one of many tools you should be using to determine your candidacy for Phalloplasty.
It is no one\'s responsibility but your own to acquire information, determine which is and which isn\'t credible, and make a rational decision based on your situation. Expecting this forum to hold your hand is simply indicative of the fact that you should not be entertaining such a decision at all. You must know that complications are real, and that Phalloplasty isn\'t some kind of nose job. Is it a surprise that we\'re the ONLY English-speaking forum on the matter of Phalloplasty? It must say a lot about the supply of quality phallo-docs. Complications are real...and it\'s your responsibility to assume the risks.
Now lets resume the topic and discuss just that...the risks.

blank550 wrote: There has been innuendo and vague reference to members who have suffered complications from PMMA but have bot shared those with the forum, but there has been no suggestion of anything as severe as CHL\'s complications.

So as a good way to resume to the topic, I think it would be good to discuss the most recent posting regarding complications.
I personally am not sure I would characterize CHL\'s complications as severe. Nodules, which it appears he has, has long been reported as a complication, but severe is a bit of a stretch. When I think of severe, I think of permanent retraction, persistent infections, tissue Necrosis, loss of function and/or sensitivity. Unless the nodules are diagnosed as FBGs, these \"nodules\" are oft-reported complications.
As for the affects of PMMA on the lymphatic system, it appears entirely speculative at this point. As far as we know, his doctor didn\'t make any sort of definitive diagnosis in this regard, nor did CHL actually state that it was indeed what was happening. So until we learn more about this, it would be premature to say his lymphatic system is being harmed by the presence of PMMA.
His posting does highlight the risk of cosmetic/aesthetic irregularity, which is much more common with fillers (including FFTs).

blank550 wrote: If the moderators are aware of such people, I think it is their responsibility to bring those complications to the attention of the forum. There has been innuendo and vague reference to members who have suffered complications from PMMA but have bot shared those with the forum, but there has been no suggestion of anything as severe as CHL\'s complications.

If moderators have known of those issues for the last several months, in my view they should have posted about them in a separate thread which should have been stuck to the top of the general discussion page, in neon flashing lights if necessary, obviously not attributing the complications to CHL.

I\'ve followed this forum closely for over a year and have a lot of respect for the way the moderators have tried to create a balanced and open forum. I just don\'t understand why due prominence was not given to something so serious.

Like everyone on this forum, I wish CHL a full and speedy recovery.

Firstly, this really doesn\'t seem that serious. Secondly the only reason you are hearing about it now is due to pressure put on CHL by SO and particularly M7.
Most importantly, none of the moderation team knew what CHL\'s complications were until he posted yesterday, so how on earth do you expect us to make people aware of them? SO even went to the extent of giving CHL his own thread so that he could detail his experiences, but sadly he neglected it, despite efforts by the moderation team to encourage him to update.
You say you have a lot of respect for the moderators but you haven\'t really shown much in your post. Please don\'t be of the incorrect opinion that CHL suddenly decided to post an update off his own back, as I assure you he didn\'t. He was given more than a gentle nudge by one of the \"irresponsible\" moderation team.

I can not comment on his Lymph disease although the fact that he does not have a diagnosis I am sure is causing anxiety. My prayers go out to him..

Personally I found the pictures disturbing.. Among other things you can clearly see where a heavy gauge needle over-injected PMMA too close to the glans. So this is not a \"complication\" per say but rather just poor technique by the doctor. Also it begs the question why a cannula was not used. The protrusions are so striking they could not have formed like this spontaneously.

Buyer Beware.

Bigben wrote: I can not comment on his Lymph disease although the fact that he does not have a diagnosis I am sure is causing anxiety. My prayers go out to him..

Personally I found the pictures disturbing.. You can clearly see where a heavy gauge needle over-inject PMMA too close to the glans. So this is not a \"complication\" per say but rather just poor technique by the doctor. Also it begs the question why a cannula was not used. The protrusions are so striking they could not have formed like this spontaneously.

Buyer Beware.

I have similar small nodules underneath my glans (upper end of the shaft), in the \"neck\" area if that makes any sense. It has long been suspected that neck-entry injections have had a higher incidence of this kind of result. It would be wise to ask CHL whether he had this form of injection when his thread (eventually) opens up for discussion (later down the road).
I had neck entry injections but I admittedly failed in a quality post-op protocol (aggressive massaging) which could have possibly increased my chances of forming these nodules. *Note to anyone getting PMMA - make sure to give yourself at least 48 hours of rest and post-op protocol before traveling back home, it may ensure a better aesthetic outcome.*
I was told they could be treated by either injection (Kenalog, etc) treatment, and/or Removal by small incisions at the Nodule site. As time has gone on, they have diminished in size, but they are still present. I was not alarmed when I saw them, because after all, I knew going 1.5\" + in EG could have consequences. Fortunately, they are the type of complications that are conceivably treatable, and aren\'t pronounced enough to warrant concern (nor does it affect form or function) at this time. That\'s my personal take from my own personal experience. I may be singing a different tune if, when I make a trip for Round 4 later this year, things remain the same. But for the most part I\'m satisfied with the good majority of the work done on me. Who wouldn\'t, if you went from 3.5 to 5.0 with a quality taper ??
Due to these neck-area nodules, Dr. C\'s team has discontinued the technique of neck-entry, but from my understanding will still use them for special circumstances. This alone shows that the method is being refined, primarily for aesthetic improvement. When Dr. was doing them before it got big here at PB\'s, he would do at most a few per month, with much less quantities injected at a time. With the increased demand, he\'s learned many new things he didn\'t practice prior. For example, he\'s originally preferred 10-12 cc\'s, now it\'s not unusual he does 20cc\'s. He\'s still a rather conservative doctor and I\'d be surprised if he exceeded 25cc\'s often (again, special circumstances). He may have also had early success with neck-entry injections, but came to realize how much variation there is between penis-to-penis, and some \"take\" better than others. It\'s been a rapidly evolving technique, one should be aware of this fact.

@SO

Thanks for explanation but to me it is very clear he was injected from the base and the sharp points around the circumference of the neck area is where the needle infiltrated the dermis and over-injected PMMA.

As I mentioned earlier it begs the question why a needle was used instead of a cannula and why we have not seen any pictures like this previously from other patients. Clearly the nodules stick right out of the skin, and other nodules in the past have been much less protrusive. If they were easily treated with Kenalog or punch incision I think he would have had them removed by now..

Bigben wrote: @SO

Thanks for explanation but to me it is very clear he was injected from the base and the sharp points around the circumference of the neck area is where the needle infiltrated the dermis and over-injected PMMA.

As I mentioned earlier it begs the question why a needle was used instead of a cannula and why we have not seen any pictures like this previously from other patients. Clearly the nodules stick right out of the skin, and other nodules in the past have been much less protrusive. If they were easily treated with Kenalog or punch incision I think he would have had them removed by now..

That\'s the thing, though..nodules are not easily treatable. I read on here that people are so easy to say, \'I\'ll just get a kenelog shot,\' without having the slightest care. A kenelog shot DESTROYS tissue. Imagine the consequences of that should something go wrong.

I\'ll get a lot of heat about what I\'m about to say, mainly because a lot of people who have PMMA are sensitive about it...but, PMMA will end up like the Elist implant, I guarantee it. It seems that 5-7 years down the road many people experience serious inflammation in areas where PMMA was injected. Because of that, many people have to have the PMMA removed, which is NOT easy to do. I\'ve talked to a few surgeons and plastic surgeons, and they each said that it would take at least 5 surgeries to remove PMMA. Think about that... That\'s thousands of dollars per surgery. Plus, the fact that someone will need 5 or more flippin\' surgeries to have it removed. Plus, women who had PMMA injected into their buttocks and had to have it removed, also had to remove a huge portion of their buttocks. Imagine having to remove a huge portion of your Dick. Scary.

Bigben wrote: @SO

Thanks for explanation but to me it is very clear he was injected from the base and the sharp points around the circumference of the neck area is where the needle infiltrated the dermis and over-injected PMMA.

As I mentioned earlier it begs the question why a needle was used instead of a cannula and why we have not seen any pictures like this previously from other patients. Clearly the nodules stick right out of the skin, and other nodules in the past have been much less protrusive. If they were easily treated with Kenalog or punch incision I think he would have had them removed by now..

I\'m not sure how you can be so certain, as my nodules look very similar to his. So similar in fact, that I\'m surprised you\'d draw such a confident conclusion. To me it appears to be neck-entry, almost without a doubt (though we\'d still need CHL\'s input on this).

For better or worse PMMA is a lifetime commitment. People should read about it on other forums as well since it had a longer history being injected in the face and butt to get a better of idea of what can go wrong.

I hope CHL updates his thread at some point so we learn more about the nodules and his progress.

Hopefully your fear will not become reality. I don\'t think long term complications are guaranteed in everyone though by any means. But the percentage could be troublesome, just like other areas of the body. Only time will tell.

Quantum wrote: I\'ll get a lot of heat about what I\'m about to say, mainly because a lot of people who have PMMA are sensitive about it...but, PMMA will end up like the Elist implant, I guarantee it.

No offense, but that\'s incredibly presumptuous, make guarantees where there are grounds to make guarantees. Bioplasty has been performed for years in many parts of the body, so we know what kind of issues can present themselves. Will a percentage of current patients today who have gotten PMMA experience complications like FBGs down the road? Most likely. But there isn\'t any data that suggests a significant number of patients will.
Here\'s some breaking news: You are fucked, whichever method you pick, so how about you just walk away from Phalloplasty altogether unless you are seriously impacted by your size (e.g. in the 4x4 realm). I\'m serious. I can save you hours, if not days/weeks of reading by summing it all up like this: If you aren\'t negatively impacted by the size of your penis (justifiably so, as in being well below-average), then stop reading, and find some new areas of your life to allocate your focus to. Phalloplasty as it currently stands poses too many risks for the average man to entertain. Period. For fuck\'s sake people.

And just for the record, I don\'t mean to have offended any of our Pioneers who came from all walks of phallic-size, those brave men stomached the risks and are here today to share with all the freeloaders the kind of information that\'s invaluable.

To clarify my post, I had made an assumption based on various references to members with complications over the last few months that the moderators knew of the extent of CHL\'s problems but were not shariing with the forum, even on an anonymous basis, because he had asked them not to.

I apologise for drawing that conclusion as it seems the extent of these complications were not known until CHL posted. My point was just that if there is information that is known to anyone that could materially affect someone\'s decision as to whether to undergo a particulat procedure, I think that information should in all circumstances be shared. I honestly meant no disrespect to the moderators and I really do appreciate the valuable information on this forum.

Bigben wrote: @SO

Thanks for explanation but to me it is very clear he was injected from the base and the sharp points around the circumference of the neck area is where the needle infiltrated the dermis and over-injected PMMA.

As I mentioned earlier it begs the question why a needle was used instead of a cannula and why we have not seen any pictures like this previously from other patients. Clearly the nodules stick right out of the skin, and other nodules in the past have been much less protrusive. If they were easily treated with Kenalog or punch incision I think he would have had them removed by now..

I think you are wrong about that, as the needle was/is injected at the neck going downwards. Also the PMMA is injected as the needle is being pulled out, so both of these things make your explanation seem incorrect.
I don\'t know why a needle was used, we\'d need to ask CHL.