TOPIC: At the PMMA start line.

UPDATE: Just a little over a year since my last touch up and today a bunch of small pea sized nodules have formed all over my penis. They are palpable when soft and both palpable and visible when Erect. I'm not sure why I am having this reaction. They are not painful or causing any other kind of sensation... besides stress.

Up till this point things have been very good. The unevenness and small nodules from my last touch up have smoothed out so this is a bit of a surprise.

I have emailed Wade to see what I should do. Anyone have a similar situation?

Not sure if there is a correlation but for the past few ( 4 or 5 ) days I have been having pretty crazy pain in my joints, ankles up to my wrists, everywhere. Thought it was cuz I haven't been stretching enough when at the gym but now starting to wonder if there is inflammation happening throughout my body from PMMA.


Thanks

Yikes!! Please keep us posted. And good luck.

Red1975 wrote: UPDATE: Just a little over a year since my last touch up and today a bunch of small pea sized nodules have formed all over my penis. They are palpable when soft and both palpable and visible when Erect. I'm not sure why I am having this reaction. They are not painful or causing any other kind of sensation... besides stress.

Up till this point things have been very good. The unevenness and small nodules from my last touch up have smoothed out so this is a bit of a surprise.

I have emailed Wade to see what I should do. Anyone have a similar situation?

Not sure if there is a correlation but for the past few ( 4 or 5 ) days I have been having pretty crazy pain in my joints, ankles up to my wrists, everywhere. Thought it was cuz I haven't been stretching enough when at the gym but now starting to wonder if there is inflammation happening throughout my body from PMMA.


Thanks

Interesting, if it's not STD related, then it seems like some kind of immune reaction to foreign body (just a guess), but I've personally never heard of them popping up all over - how many would you say there are and is there an area on the shaft they are concentrated in or is it all over randomly?

I wouldn't put too much stock in your joint pains, I'd try to figure out the Nodule situation first. Keep us posted.

Peas are quite large are they not? Good luck. No reason to surmise on what it is, please keep us up to date and again good luck, hopefully it's nothing.

Could you take some photos? Even if you can't currently post them, it would be really useful to see them once the storage limit issue's have been resolved.

Are the lumps literally everywhere? Roughly how many are there?

Thanks and good luck. I think the issue will resolve on it's own and can't imagine your aching joints are related or if they are, whatever has caused them will be causing the issue's with PMMA and not the other way around.

If you have the time, you could upload photos using a site like imgur.com. I understand if you are too stressed to do so though, but it would be so helpful if you could as things like this are rare, but obviously do happen, so we need to be able to see what to expect. The fact that you have no pain or discoloration is actually really good news and inline with the few other PMMA complications I've seen in the penis.

I think you should try to get a doctor's appointment - either plastic surgeons familiar w/ artefill or urologists... in my experience, urologists will be more helpful. Plastic surgeon's never see penises. With these symptoms, it might get worse by the time you are actually seen... or it might get better & you can cancel. Is it red around the Nodule areas? That would be a bigger problem. Most of the adverse immune responses show reddened skin. If you can see a doctor, they should check your ESR, ANA, and CRP to see what's going on w/ the inflammation in your body...if it's getting bad (again, plastic surgeons, in my experience, don't enjoy diagnostic medicine). A visual inspection is going to have limits, but blood tests can figure out what is going on somewhat better. PMMA really isn't supposed to travel anywhere in the body, but it's weird that you had that kind of joint pain. Were you sick? Or just had pain?

There is a storage limit situation at the moment so photo uploading wont work. If you would like you can either use free hosting like imgur or tumblr or something like that, or alternatively you can email me at This email address is being protected from spambots. You need JavaScript enabled to view it. and I can try to manually upload your file by getting rid of some excess files else where.

I've also noticed a small cluster of hard round nodules near my glans. They are palpable when Erect or soft. I will see if I can take a picture and add it to my thread. They don't hurt or bother me. So far they have not caused me much stress. I am wondering if it will resolve by itself.

buttercups wrote: I've also noticed a small cluster of hard round nodules near my glans. They are palpable when Erect or soft. I will see if I can take a picture and add it to my thread. They don't hurt or bother me. So far they have not caused me much stress. I am wondering if it will resolve by itself.

Those I'm not surprised by, I have a similar thing. Tighter, thinner skin near the glans, the product doesn't always settle well in that area and thus the clumping - No matter the intervention, Dr. C & company can only do so much to improve aesthetics, the problem rests with anatomy, not with procedure. At least this is what I gather from my experience. That said, I'm not sure if your situation is just like mine, I only suspect it is.

Update: I am currently in Tijuana after meeting with Dr C and Wade. The small pea sized lumps are not random but rather seem to follow a path from base to closer to the top, being much more prominent in the area where 30% Linnea Safe was used. There is a row up the centre, feels like a spinal chord, a row up the right side shaft and one lone Nodule top left ( the only one in an area where only 10% was used).

Dr C hasn't seen this happen before so late after procedure without other complications accompanying it. I have no pain, discomfort, itchiness or redness. My penis was a bit swollen but I think that was from vigorous massaging after I noticed them.

After discussing at length with Dc C and Wade I decided to have them go in with the cannula and break up the larger centre row of nodules and place a very light layer of 10% metacrill to smooth it out. He placed a very small layer at the base as well where there was some cosmetic issues. For the other nodules we did Kenalog injections. After the touch up, Wade put a silicone sleeve over my shaft and said to leave it alone. No massaging, no Cialis just lightly palpate the area couple times a day and make sure sleeve doesn't bunch. I remember him saying they used 3CC of 10% in total.

Dr C also mentioned that with Kenalog it's a "double edged sword" as sometimes you can go to little and have no softening of the bumps or sometimes inject too much and create to much tissue damage. Here's hoping for the sweet spot.

I'm happy so far with the centre being smoothed out and hopefully the Kenalog will soften the rest. If not in a month, then I will come back for another touch up.

I'm going to leave it as is for now and see how it develops over the next little while. I can say my diet and lifestyle have been very unhealthy lately and I was feeling a cold come on yesterday. Maybe my issues are only related in the sense that my body is saying " smarten the fuck up"!. And so I shall.

I had a couple of very stressful days there but in the end I'm glad I made the last minute trip to Tijuana because I feel so much better.

I'll finish off by saying that despite the stress that comes up from having things not go my way ( referring to my penis in this case ) I don't regret doing it for a second and so far the complications pale in comparison to the constant feeling of not measuring up.

PS - I tried to take pics for Dr C but I couldn't get them to show in pic. There only palpable when soft, more so when Erect and slightly visible. Sorry I can't provide that.

Thanks for the update. I think it's very positive there is no pain or redness, as it means that there is no rush to do anything drastic and you can take your time trying various options. Hopefully what Dr C has done will do the trick, but if it doesn't there doesn't seem to any reason not to keep going with less invasive solutions.

Were any other options discussed, such as removing the lumps with punch incisions?

Wow - you got to TJ fast. Did they have any idea what the cause of this was? It sounded so strange to have it happen out of nowhere - a year post. Good luck w the recovery.

It seems to be a side effect that can turn up years after being injected. Many people have had PMMA in the face have had turn into nodules / infections years later. This was brought up on the forum a while back but dismissed because it was another part of the body aka penis.

I don't believe Dr C or Wade saying that this was new to them / haven't seen it, when clearly other members have reported problems to them. Read a lot of stories of guys having problems with PMMA in Brazil. But seeing it here, brought it closer to home.

I know it has been said that the body doesn't react to PMMA, but the same thing was said about silicone implants, and a select few have suffered because it was said silicone is non reactive in the body. It seems some people immune systems can recognize a harmless foreign body and decide it doesn't want it in there.

I think it's clear that PMMA isn't the holy grail and people need to exercise more caution. Sad really, as I was planning to have it done with Dr N, but seeing some people can end up spending thousand trying to correct the problems that arise, it too risky for me I guess I am going to focus more on ADS.




Red, I hope the situation resolves it's self.

michael wrote: It seems to be a side effect that can turn up years after being injected. Many people have had PMMA in the face have had turn into nodules / infections years later. This was brought up on the forum a while back but dismissed because it was another part of the body aka penis.

I don't believe Dr C or Wade saying that this was new to them / haven't seen it, when clearly other members have reported problems to them. Read a lot of stories of guys having problems with PMMA in Brazil. But seeing it here, brought it closer to home.

I know it has been said that the body doesn't react to PMMA, but the same thing was said about silicone implants, and a select few have suffered because it was said silicone is non reactive in the body. It seems some people immune systems can recognize a harmless foreign body and decide it doesn't want it in there.

I think it's clear that PMMA isn't the holy grail and people need to exercise more caution. Sad really, as I was planning to have it done with Dr N, but seeing some people can end up spending thousand trying to correct the problems that arise, it too risky for me I guess I am going to focus more on ADS.




Red, I hope the situation resolves it's self.

It wasn't dismissed, but pointed out that having nodules in the penis is different to having nodules in the dermis of the face. In the skin there are more immune cells, so you often get more violent reactions that become red and sore. Also you can't really remove nodules from the face without cutting chunks away and leaving scarring. The penis is different as the PMMA is injected sub-dermally, into the dartos layer. In theory, if the worst comes to the worst and it has to be removed, then a good Urologist should be able to make an incision through the circ scar, peel back the skin and remove the PMMA. That is still a serious surgery and full of risks, but if no complications occur, there should be no real signs of deformation or scarring once the patient has recovered. In the face or pretty much anywhere else on the body, that isn't an option.

But you are definitely right, that most guys need to be a lot more cautious and only consider one of these procedures if they are really struggling in life due to penis size and I don't mean obsessed with being bigger, despite having a wife, GF or regular sex. I mean guys who are avoiding sexual relationships etc and are seriously depressed because of it and making their lives very difficult.

Another point is the amount of PMMA being injected. In my opinion far too much is being injected. If problems occur with guys who have lots, then degloving might not be an option. They might have to remove the shaft skin and create a flap. There was a case when that happened, which was posted here.

There are key difference between silicone and PMMA. PMMA is particulate for one thing. Also the types of granulomas and other reactions we see with silicone are far more fierce.