TOPIC: Total removal of PMMA....

Sorry to hear about your health problems darkstaff but, after reading your post as I said in your thread I really think your problems are STRESS, diet & exercise related.

The mind is powerful & can have serious effects on your body. You'd be surprised how this can effect your health. The best relief of stress is vigorous exercise, it helps release your inner stress & anxieties. Its tough when your actually doing it, it will feel like your suffering while your exercising but, after you recover from each training session, after a hot shower you'll be much more relaxed you'll feel better little by little in no time.

Like I said in the other post, I had the same problems that started when I was around 38yrs old feeling issues, felt my beating hard & irregularly often. I was drinking a lot & eating way too much wheat, meat & sugar products. And I was stressing a lot about everything. After I got some straight talk from my friend who's a progressive doctor & he told me I need to get serious about my health or else.. One of the main things he told me was get rid of the STRESS.

Vigorous exercise, eat & juice vegetables like your life depends on it, you'll be surprised how fast your body will turn around for the better.

darkstaff wrote: Has anyone ever gotten PMMA removed --- and posted results on this board?

I've been going mental with my medical problems, and at this point, If I can get it removed, I want it removed ... just not sure.

CHL said he had a Urologist who would unfold his penis and clean it up --- is this something that can really be done? ...

Dark

DO NOT GET IT REMOVED


This must be a really tough time for you, but as much as possible you need to try and stay as rational as possible. It's a real shame our other members who have freaked out post PMMA didn't keep consistently updated progress threads, as I'm sure they would be of great help to you now. I'd be amazed if your issues had anything to do with PMMA. In fact they don't, but it's not my place to tell you that as I'm not a Dr. The trouble you face is that no Dr is going to feel comfortable ruling something out, when they' don't know much about it. Maybe you should email Prof Lemperle. From reading previous correspondence of his, I'm sure he'd tell you straight it isn't PMMA causing your issues.

Thanks for the support guys.

I'm concerned that my doctor has no idea what PMMA is, and has no capacity to include a related cause within the scope of his diagnosis.

The good news is that I have no issue with my penis ... it seems to be fine... so I'm hoping there is no relation... and instead is just a crazy coincidence that my health went south a few months after my procedure in June.

I had a CT scan with contrast about a week and half ago ... the complaint was pain in my abdomen, and pain when I took a full breath of air (pain on my left chest wall) ... it came back clean.

I got a copy of the CT scan, and it showed the penile area, and guess what ... I didn't see anything that would indicate PMMA ... is this normal? .. does PMMA not show up on CT scans? (Anyone know?)

Thanks!
Dark

Hoddle, your memory serves me better than mine lol. Although I think it was the way he spoke about it (as if he's done it or prescribed it) then it was knowledge of the Allopurinol that impressed me.

Speaking of memory, I might have to get my head checked because I've read virtually every thread on this forum, why something so specific as Allopurinol didn't ring a bell is alarming... I'm not that old!

darkstaff wrote: Thanks for the support guys.

I'm concerned that my doctor has no idea what PMMA is, and has no capacity to include a related cause within the scope of his diagnosis.

The good news is that I have no issue with my penis ... it seems to be fine... so I'm hoping there is no relation... and instead is just a crazy coincidence that my health went south a few months after my procedure in June.

I had a CT scan with contrast about a week and half ago ... the complaint was pain in my abdomen, and pain when I took a full breath of air (pain on my left chest wall) ... it came back clean.

I got a copy of the CT scan, and it showed the penile area, and guess what ... I didn't see anything that would indicate PMMA ... is this normal? .. does PMMA not show up on CT scans? (Anyone know?)

Thanks!
Dark

The actual beads are a small percentage of the new tissue. It's not like silicone or other fillers. PMMA is particulate, so it probably wont show up.

But don't go getting this stuff removed. It will be a nightmare to cut out and even then I doubt they'll remove it all.

Also, given that only 3% of the beads are even smaller enough to theoretically migrate, then that means at the very most, 0.06 cc of PMMA could have migrated. Obviously that wont be the case, as not all that could have would have. In fact it's unlikely any has. When you consider all the other particles that get moved around the human body, I still don't get the worry of PMMA migrating. Obviously if it's injected directly into vessels at the point of injection, then we've seen this can have tragic consequences, but the chances of this are close to zero when using a micro cannula. I just can't imagine the CIA have PMMA beads in their arsenal for assassinations.

darkstaff wrote: Has anyone ever gotten PMMA removed --- and posted results on this board?

No one has posted here about their own personal experience with complete PMMA Removal (e.g. de-gloving).

Hi Guys,
While there may be valid cause to be more cautious when referring to PMMA directly injected under the skin in the face we must reflect on the safer use of Canulas to inject it in large size in the penis. I don't know that Dr Cassuto has done his research possibly thinking a blanket warning carries no risks. "Don't cross the street, and nobody can get run over." To me this is a medical cop out for not having a valid response.
HC

FBG in general is not dangerous and can be treated if it did persist for a longer time , it is only a localized issue and it doesn't cause severe generalized inflammation , in the other hand a systemic infection in our body can trigger FBG formation .
I think the worst thing if a person who has overcorrection of PMMA (--->PMMA Removal for aesthetic reason) then I am sure he will think about removing PMMA (partially or totally), so I advise everyone who decide for PMMA injection go for small volume and wait for a longer interval between each sessions (you are not doing any harm to your penis if you wait longer) and go for few sessions only and never be addict for more+more Girth.
I have just heard one elderly HIV-patient who had > 6 sessions of PMMA 20%+30% 2 years ago--> he has now a very big penile Girth, his Flaccid penis is like a big sack full of irregular lumps of grain to pea sizes and he is looking for a doctor to remove his PMMA.
BTW he has loose penile skin and uncircumcised which can worsen his case

IMO most of the plastic surgeons and urologists will refuse to do any penile enhancement procedures ( injection with temporary or permanent products OR phalloplasty with other girth material ) even penile exercises they will tell you don't play with such a dear part of your body ( they are right it is better to have a healthy, functional, thin and short penis than to have a non-functional thick long penis ).
So Dr. D. Cassuto's reason for not having a permanent fillers injected into our penis is because of Foreign Body Granuloma formation and it's management.
The most important Q. is :- Is FBG a serious complication or NOT ?? If the answer is yes ---> it means also the other temporary fillers he listed them are also dangerous and they shouldn't be used in the body and not only in the penis , I would like to know why did he treat the temporary fillers ( e.g. collagen, Puragen-HA and Matridex) (some of them as we know will be absorbed completely within 6-8 months) with the laser which is painful and can cause permanent scarring, that was his words????
He might say that these are temporary fillers are safer than the permanent ones but he still used the same treatment (Laser with its complications) for both types ???
In fft injection you can have also FBG which if local treatment ( antibiotics and steroids) has failed, it has to be removed surgically ( they have mentioned also in this paper :- The fat has to be refined and the technique is very important (as in pmma) )
bjo.bmj.com/content/early/2010/11/01/bjo.2010.180547.abstract
BTW Dr. S. Cohen said the best treatment for FBG is just leave it it will resolve spontaneously.
The chance of having FBG in the worst pmma generation (Arteplast) was high (2.5 %) and since 1994 they stopped producing it. In (Artecoll) the 2nd generation the chance of having FBG is around (1:5000).
I think the worst thing about PMMA is if you decide to remove it totally for any reason (which can be only by surgery) ---> the chance of skin necrosis is high.
So anyone who decide to go for PMMA penile injection ---> he shouldn't go for a big volume.

If darkstaff is indeed have health problems due to migration of PMMA in the blood stream or lymph system this should not be classified as a mental health issue. His response is appropriate and very understandable. Right now he does not have a diagnosis, so we should not jump to conclusions.

Hang in there. I am sure by working with the right medical professionals they can get a better idea of what is going on with your body. Right now, you don't have answers so its challenging, but I am sure with time they will be able to get a better grasp on things. Also do not rely on internet posters to diagnose yourself, this is your doctors job. I think things will change for the better soon. Be patient and you will get through this.

I have received the full article from Dr. Daniel Cassuto :-
He used two types of lasers :-
1- LBO 532 laser :- to clear hyper-vascular reaction of the skin and for evacuation of material ( e.g. pus) from infectious or cystic lesions by creating drainage holes ( 0.5-1mm ).
2- 808 nm diode laser (Intralesional laser Treatment "ILT") through 200 micro-meter optic microfiber introduced percutaneously (1-8 mm depth) into the granuloma lesion with this microfiber it drills multiple small holes (the heat used 65-70C) the tip of this microfiber will be inserted into the Granuloma , the heat will any micro-organisms and will melt and liquify the micro-particles (only in the granuloma lesion).
He treated 21 patients ( 20 women and 1 man) all had facial injection :-
7 patients with Dermalive.5 patients with Artecoll (PMMA).4 patients with Bio-Alcamid.1 patient with Acrylate.1 patient with Sculptra.1 patient with Matridex.1 patient with Puragen- HA.1 patient with Collagen.
He mentioned also :- Until now, treatment of granulomas or infectious or cystic lesions from injected gels has primarily been medical--- antibiotics (before biofilm formation), steroids, fluorouracil, or hyaluronidase locally and systemically. From there, treating physicians have jumped to incision, but surgery with local anesthesia can be imprecise in an inflamed area. There is bleeding during the proce- dure, and some scarring is inevitable.
Therefore, if invasive or intralesional laser-assisted treatment proved to be 100% effective, surgery could be completely avoided.
In conclusion :- His method of treatment is only for localized (e.g Granuloma or infectious or cystic) lesion and not for total Removal of PMMA .
So the treatment of PMMA granuloma will be in this order :-
1- Antibiotic ( before the formation of bio-film).2- Kenalog / 5 FU intra-lesion injection (you might need multiple sessions) if failed3- 808 nm diode laser (you might need more than one session).4- surgery for Removal of the Granuloma ( the last option ).

...

This post right here is probably the scariest on the forum, hopefully in the years to come they come up with a better way to remove it if for some reason it needs to be removed!

A few lumps in the penis might be desirable for some Some men even go so far as to have beads inserted to create a lumpy penis, apparently the women love it !
wiki.bmezine.com/index.php/Genital_beading

Hi

If anyone has been to see Dr Cassuto in Italy please contact me. This email address is being protected from spambots. You need JavaScript enabled to view it. as I am due to see him shortly