Healing is a matter of time, but it is sometimes also a matter of opportunity. ~ Hippocrates
"Nature performs the cure, the physician takes the fee."
Benjamin Franklin (1706 - 1790)
I can't fully say that my issues are completely resolved as of today. Cosmetically, Dr. Casavantes work was dismal & of poor craftsmanship [picture proof]. It was not until after 6 months, closer to 6.5 did the irregularities & discomfort start to fade. The pmma became less noticeable, and my penis became less disfigured looking. As a healthcare provider & molecular bio student, a question of mine became apparent, "Where did all the pmma go...?”
The burning sensation occurred around the base and around the circumference line, the pmma clumps & nodules mostly were around the circumference area. The deformed penis that i had can be summed up from the response of an attractive young woman i had sex with "COOLHAND it looks deformed, did you have work done on it". Those aren't the words i ever want to hear from a woman, i spent too much time & money for a response like that. Not to mention i spent 10 minutes coaching the woman that nothing was wrong with my penis.
This experience prompted me to seek a consultation with a recognized urologists here in California, he assured me that he could surgically remove the pmma completely by either degloving the foreskin or removing the nodules in the problematic areas and i could still retain significant sexual function after the surgery. The risk of infection (MRSA) would be great, but that goes without saying. Again during the visit i was experiencing pain, discomfort, and fashioned my disfigured penis. His recommendation was that i wait a full 6 months to a year, since he believed i was not experiencing atrophy, if i would have taken kenalog injections i would have developed atrophy & that would be a separate concern. I asked why wait the 6 months, since i was interested in an immediate approach, his response was that the immune system can absorb foreign body fillers (PMMA) into the lymphatic system, but if you insist on removing the pmma, we can do that, but i'm recommending we wait 6 months to see if your body resolves the issue by itself. Since you are likely experiencing a prolonged inflammatory/immune response (bruising pain, itching, icey hot discomfort) due to this foreign body filler you've subjected your penis too. Well, I took his recommendation and waited the prescribed time-frame, as it turned out, the pain went away on its own and the pmma clumps depressed just as the doc suggested. I LOST a considerable amount of girth waiting those 6 months (even though it was disfigured girth), loosing that girth leaves you feeling a psychological loss as well since having a heavy penis plays a positive role on your ego. Unfortunately now I'm experiencing problems with my lymphatic system. (Neves et al, 2012, see reference made to Lemperle et al in Neves report concerning Lymphatic route & Phagocytosis route)
I had an inguinal lymph node removed this last year, and come July, i'll need a CT scan in my groin region to determine if exploratory/biopsy surgery may be required. I won't know if pmma is causing me these painful lymph nodes or if its somehow indirectly responsible for my current condition. I don't like coming under the microscope of medically uneducated or even unapologetic forum members, since my case is unique to me and i'm still unsure about my current health situation. (see photos of inguinal lymph node anatomy & link: http://radiographics.rsna.org/content/31/1/135/F9.expansion.html )
Stress could trigger lymphoma, loosing my girlfriend & our unborn child could have done a number on my immune system, but the "unknowns" about the long terms of pmma can also be the culprit. The bottom line, CT scans & surgery, let alone anesthesia cost a shit load of money, I had an X Ray done earlier in the week, i'll being seeing my doc in several weeks for an evaluation & interpretation of the x ray. I want nothing to be wrong with me, i'd rather be depressed than depressed w/ lymphoma. Money is a tight spot right now with tuition concerns and shopping around for an inexpensive CT scan imaging center. Sure i can help out the friends of the forum by showing them pictures of the disfigured penis i had earlier this year under Casavantes care, but some even after seeing my photos or hearing my situation will prefer to play a blind eye or simply don’t want to take the time to understand in-depth medical issues that can have systemic implications since outcomes with penile pmma augmentation are still unknown. I hope our current forum continues to evolves in a way that continues to appreciate information concerning real patient outcomes. I won’t stop members who would rather glorify and praise the latest elective procedure before gathering the facts. I promised a fellow mod by the end of the weekend i'll post something up [and here it is], but in agreement in doing so i don't want a chatter box to evolve criticizing me. If that is going to be the outcome, my efforts here will be a waste of time, i don't need to be peer reviewed, i am a real patient, my experiences are simply more than an average experience, they're the telling tells of how my body responded to PMMA injections.
Keeping my wish honored of having the CoolHand Drudge Report locked would make me feel comfortable after i’m finally through writing this report, I’ll update again in early July, and once I have CT imaging or biopsy info i’ll share at my discretion, if the biopsy produces a negative outcome i’m sure mods & friends of the forum will understand that i’ll have more imminent concerns and i will not give regular updates. If this professional courtesy can not be extended to me i will resign my membership and face my medical problems without including the consensus of the forum, it would be no loss to me, but the lack of facts still show we do not know the long term outcomes of penile pmma augmentation for the majority of patients or even isolated cases from patient to patient. I have met a hand full of folks i value here, i’ve befriend many of you. Some call or text me regularly, and I’m encouraged that a forum like this can bring people closer together. A fellow mod friend reminded me several days ago to continue to banner my attitude of transparency, his genuine reminder prompted me to offer this latest update to the drudge report.
I’ve inclosed several (personal) photos disclosing my outcome with pmma. There are also several other photos and a clinical journal i’m citing here as sources to avoid plagiarism.
Nevel et al. Possible Migration and Histopathological Analysis of Injections of Polymethylmethacrylate in Wistar Rats. ISRN Dermatology (2012), Article ID 609158. doi:10.5402/2012/60915