M. from Canada asked:
Q: “Dear Dr. Elist,
I had PMMA injected and now have open wounds on my penis. The largest is 1×2 inches. I am keeping them clean, and have been using hydrocolloid dressings, but they seem to be slowly getting worse rather than better. I know this is not your problem or procedure, but I’d greatly appreciate any advice you can give me on how to take care of this complication? Is there any chance my skin will heal over these wounds?
Your expertise is greatly appreciated.
Thank you very much for contacting us with this rather serious problem.
Unfortunately, most men are not aware in how far a wrong decision regarding the choice of procedure might affect the outcome and severely damage the penis.
One of the reasons why we do not perform PMMA, besides not being approved and thus only available across the borders, is the severe internal and skin damages PMMA does to the penile skin.
We have had many patients who were treated for fat removal, AlloDerm removal, and PMMA removal, which had left them with more or less severe conditions.
Usually, and based on our experience, the only way to close the skin wounds is a complete removal of any remaining PMMA, and trial of primary closure IF sufficient skin remains available. Sine a partial removal of the necrotic edges of damaged skin is needed for wound closure, the remaining skin might not be sufficient for a primary wound closure and require skin graft transplantation.
If you would like to receive a more thorough consultation, please answer to the above questions and submit your pictures. We can continue our e-mail correspondence, or you are more than welcome to contact us at the office number: 310-652-2600. Furthermore, you are also more than welcome to come and see us in Beverly Hills / Los Angeles for a complimentary and free of charge personal consultation which would make a definite assessment possible.
Regardless of your decision, it is highly recommended that you proceed with appropriate medical and surgical care in order to prevent further damages to the penis.
James Elist, MD