TOPIC: Penile Foreign Body Granuloma Removal from PMMA (With Operative Photo)

Thank you for the detailed report restoration. Over time that scar will heal and loosen probably to the point where you no longer notice it. I commend you for your honesty and non-biased factual reporting.

Personally, I am disgusted to see that Dr C cuts off communication with patients after they seek consultation for PMMA complications outside of his office. Someone else mentioned this before and it sends a clear message he is fearful of being confronted by his peers since his PMMA penile augmentation is clearly a high risk, rogue procedure. He lacks ethics and should be avoided.

Also sorry to hear the insurance does not pay for surgery related to cosmetic complications. Please keep us posted on your recovery and best of luck.

But in the past I've highlighted the fact you don't always speak truthfully. That is why I think you have an agenda. The other day we had a member who rejoined having previously been banned. One of the many reasons we banned him is because he told another member that he hadn't really had a procedure he claimed to have had with Dr Loria and was in fact planning one with Dr C, but just wanted to troll the forum. But he told our informant that he'd shared this info with a few members, including you. Now I don't know if this is true and it comes to me third hand, but it did again make me wonder about you, as you'd been damaged by a PE surgery, yet didn't mind this guy advocating a rogue Dr and trolling the forum when we are here to help people. It seems contradictory to the posts you often make on the forum.

Openess is welcome and in fact encouraged, hence we are having this discussion! It seems like you are responding by saying you are under attack for being open, when the whole point of this exchange is because I feel you are the one who has some issues with us and you aren't being open about it. I'm not offering conspiracy theories. I'm telling you what I've heard and asking if it's true.

Yeah, I think what happens is that your body just encapsulates all the particles into the "fibroconnective tissue" and then those can be pulled out somewhat easily as a mass. The Nodule you see in the photo required about 5 min of dissection (off the existing PMMA and the fascia). The other one I put in the thread about fat grafting required about 10 seconds of dissection. So, I don't think there would be much damage even if you had the whole thing out, unless it stuck to the fascia more.

The word "granuloma" is sort of broad, I think. I am going to find out more next week, but my understanding now is that there are different degrees of inflammation that granulomas can have & different kinds of white blood cells that can make them worse. We've seen journal articles posted here with some scary PMMA stuff in the face (like the woman who was given interferon 10 years after PMMA) who got highly inflamed, nodular FBGs (way worse than what I had by 100x). But, like you'e said - and what has been discussed here - is that the face is more immuno-sensitive and also it is very hard to treat because of the nerves and muscles.

This doctor I have is very relaxed about things, and I think part of it is just to keep me calmed down about having big lumps come out of my penis...and his future plan is just to see how this heals and then he doesn't want to inject anything anymore. He thinks he can excise the 2 remaining nodules that are visible when Erect if this heals ok (the other 10 aren't visible Erect, so we both decided there's no point in messing with it) For now, he doesn't like injections of 5fu (risk of Necrosis) or Kenalog (risk of Atrophy) or breaking it up with a cannula (risk of embolism or blood vessel damage - though I think that's just because he hasn't used this stuff or dealt with the penis as much as dr. c).

Thanks Mustang. The costs are still pending. It's a very big practice with many offices, and a friend of mine is one of the doctors in the practice - but I'm not sure how much she can lower the price yet.

Ok - they got back to me. It's $400 each...technically, but they said I can pay $600. Injections were around $200-300...normally would've been more. Insurance doesn't cover it since it is a complication from a cosmetic procedure, though the pathology might be covered (separate bill TBD). Some insurers might cover this if the doctor submits it as unspecified neoplasm... though others reject that code. It all depends.

The slides just came. I'll post a pic if I can get access to a slide scanner & when I have a better description. It's just a pink splotch with hundreds of tiny white holes. I think those are PMMA, but i'm not sure yet - will know more next week.

Thanks guys - i ended up not needing to have it sutured back. He thinks it's healing okay - it just is a slow process. My deglove scar was stitched much differently and for much longer...and this actually was placed in that scar - so it can be hard for former scar tissue to re-attach...though it does, I think a lot of plastic surgeons try to use old scars to go in to instead of creating new ones, like breast implants and stuff.

Edit - actually the opposite happened (day 20) - the old deglove scar healed very fast by now, and the other one is taking it's time...looking kinda gross.

Hey Restoration, as requested I'm posting this in the relevant thread. Like you, I have had some some post-op issues with the PMMA procedure. I have a two nodules of concern. One is located next to and on top of the urethra near the top of the shaft. While it's not painful and not very visible it is quite obvious to the touch when Erect and while I can't confirm it's the cause, I've been having some issues with urination since my last procedure. The other Nodule I have is very hard/solid and near the base on the left side. It's not visibly noticeable when Flaccid or Erect but it is irritating and on occasion, mildly painful. Both areas have been treated with Kenalog multiple times, by Doctor C and a local Dermatologist, but there have been no noticeable changes. I've been looking to get them surgically removed but I've been having a hard time finding a doctor willing to perform the procedure in my local area. I understand you had the same issue before finally locating a doctor to perform the procedure. I just wanted to ask who your treating physician(s) was. Thanks in advance.

Bigben wrote: his PMMA penile augmentation is clearly a high risk, rogue procedure.

Given that Bigben is the leading authority & expert on all-things Phalloplasty, please listen to his wise words carefully.

A rogue procedure? Filler injections into the penis, dermal, fat, etc, are not uncommon and are hardly "rogue." High risk? Perhaps for the common man (even then "high risk" is debatable), but the genuinely under-endowed, noodle-thin, and micro-penis men of this world consider it a life-changing option. Even men of healthy endowment have enjoyed this "rogue" procedure's benefits.

Sure, larger volumes and higher concentrations may have a correlation with more complications, but thank the Heavens that talk of complications are limited to aesthetic irregularities as opposed to loss-of-sensation, impotence, and significant size loss. The much newer generation of members probably have no idea how shitty things got when the older procedure-types (e.g. tissue grafts, silicone implants, etc) didn't go their way. I'm in no way trying to diminish the issues that arise from PMMA, instead I'm trying to highlight what "rogue" and "high risk" truly mean in the world of Phalloplasty.

I personally think Dr. Casavantes has demonstrated strong ethics in light of facing more scrutiny and magnification than any other doctor in the history of Phalloplasty. Virtually anything that happens before, during, and after a visit with Dr. C can be shared here, and given what men have had reported from these experiences, Dr. C holds strong ethical credibility. He's not without faults, but to suggest he's unethical based on what we know is diving into the deep end.

Maybe I'm old school, but Dr. C is a breath of fresh air when you start to toss out names of some of the most notorious phallo-docs. Despite any disagreement we may have with his approach, volumes & concentrations, he isn't disfiguring penises on a mass scale, and on the contrary, has actually given men with misfortune some sense of normalcy.

And yes, I have a bias. There is no financial incentive, nor do I know Dr. C that well on a personal level, I just can't help but to think that in my lifetime a solution was afforded to me by a guy who is good at what he does. He didn't shill my forum, photoshop before & afters, or promise crazy gains, much like the doctors of old would do. And as long as I've been following the Phalloplasty scene online (this forum and others), I have never seen this inordinate frequency of praise given to a physician by his patients. He took up elective medicine and has done so with the highest ethical marks I've seen from a physician performing Phalloplasty since Dr. Gary Alter.

I've come to a point where I see the big picture with Phalloplasty. Where it is today, where it's going, what works, what doesn't. What I don't get, however, is why someone like you, Big Ben, would search, find, and post on a forum devoted to surgically enlarging your penis when your only intent is to bash every viable option. That's largely what the majority of your "contribution" has been here at PhalloBoards. It's usually non-substantive fear mongering. Contrarians can bring balance to the discussion, and are sometimes needed. Members like sparticus, eqstudent, and CoolHandLuke have always brought much needed alternative perspectives, even when it was controversial. But then there are posts that make me scratch my head. We get it, as stated a million times, getting a knife or needle into your Dick isn't without risk. Some doctors are more unscrupulous than others. Money plays a role. Sure, we get it. But if you have no interest in pursuing a procedure, what are you getting out of this forum, if you don't mind me asking?

Restoration, I'm one of the most cautious people in the real world when is comes to opportunistic infections like MRSA. Many under developed nations don't have the same resistant strands of MRSA, the mecA gene being one of them, there's a recent Texas & Ciudad Juarez study that is alarming how how we have a higher rate of community acquired MRSA than the neighboring mexican border city. Point being, you're hygiene is critical, you have a couple of options keep it clean and dry, I'd wipe it with 91% isopropanol which is first aid alcohol, and wear clean boxers. If it was my Cock, i would do what was previously mentioned, and apply new skin antiseptic (a thin light coat over the suture site), or lightly apply eugenol (which is clove oil), i'm not sure if you can obtain a prescription for eugenol since its usually a surgical or dental antiseptic. Clove oil has a high eugenol content, but most studies on its clinical use have been in vitro. So use good hygiene, keep it cool and dry, 91% alcohol, and clean boxers. I'm not convinced there is a correlation between new skin antiseptic and scaring, because i've never experienced scaring when i use it.

CHL

Hoddle for whatever reason it appears you have taken personal offense to my presence on the forum and want me to justify my existence ? Sorry but I see no reason to explain myself. I speak truthfully but at the same time see no point in responding to your personal attack.

I think the forum is an excellent resource for men considering surgery and I harbor zero resentment toward it. You are free to offer conspiracy theories about my agenda but I see no need to reply at this point as I have said everything I need to say regarding my so called ulterior motives.

Certainly I would prefer to bury the hatchet. I think the time and energy would be much better spent helping guys with real issues like the gentlemen who started this thread.

I think diversity and openess for varying points of view should be allowed, if not welcome. But as I mentioned earlier, if the forum as a whole if unhappy with my posts, I will simply stop commenting.

Your scar will not be noticeable in a month. I put Tamanu Oil on mine and it really helped make it disappear.

Thanks for the info Restoration

SO you are correct in that there are numerous instances I have outlined the risk of PMMA and other types of Phalloplasty. I recognize everyone wants to read about the great results but the forum should also be a safe place to discuss complications, risks, and yes a doctor's integrity, good or bad.

If you find this level of openness uncomfortable or confusing I would suggest simply not reading my posts as it is not my intention to have an adversarial relationship.

If others find my posts offensive I will stop commenting because as you alluded to, I have nothing to gain here.

Bigben wrote: SO you are correct in that there are numerous instances I have outlined the risk of PMMA and other types of Phalloplasty. I recognize everyone wants to read about the great results but the forum should also be a safe place to discuss complications, risks, and yes a doctor's integrity, good or bad.

If you find this level of openness uncomfortable or confusing I would suggest simply not reading my posts as it is not my intention to have an adversarial relationship.

If others find my posts offensive I will stop commenting because as you alluded to, I have nothing to gain here.

If I didn't want you posting, I would have simply banned you. You haven't really broken any forum rules, although occasionally some of your comments do more to induce anxiety than they do to enlighten or educate. I'm not looking for an adversarial relationship either, but I'm very curious as to what your intents & goals are with this forum if it isn't Phalloplasty you seek. I don't understand why someone would frequent a forum if they don't intend on getting anything out of it. Maybe I'm missing something?

You know what, it doesn't matter. I just found your membership & posting confusing, that's all. You admitted you have nothing to gain here, so I guess that's that. This exchange will only derail the topic so I ask everyone to resume the original convo. If you wish to continue chatting, you're more than welcome to send a PM. Otherwise, let's move on.

Bigben wrote: SO you are correct in that there are numerous instances I have outlined the risk of PMMA and other types of Phalloplasty. I recognize everyone wants to read about the great results but the forum should also be a safe place to discuss complications, risks, and yes a doctor's integrity, good or bad.

If you find this level of openness uncomfortable or confusing I would suggest simply not reading my posts as it is not my intention to have an adversarial relationship.

If others find my posts offensive I will stop commenting because as you alluded to, I have nothing to gain here.

But you aren't open! I challenged you to be so a couple of years ago, but you've never really explained your agenda and you do seem to have one.

A couple of times I've been told about PM's or IM's you've sent to people and it does sound like you have a problem with the forum. Obviously it's just hear say, but I don't see why people would make up what they'd heard.

For example, was it you that told DCpimpin that one of the Mods quit the forum after revelations concerning Dr C's practice? Because as soon as he said that had happened, 2 separate members told me they thought it was you saying it.

They want me to come back in...and might have to stitch it again.

never ends.