Hi there!
I am very strongly thinking about getting PMMA (http://phalloboards.websitetoolbox.com/post/planning-pmma-procedure-journal-dr-ivana-nemeckova-prague-8368135?pid=1294527032).
Because of this i have to research about aftercare after the operation, it seems to be very critical to the success of the whole endevour.
So in an attempt to make this clear for me i will automatically make 'one big thread' about PMMA aftercare. All the info is already on this forum, the info about aftercare just seems to be in bits and pieces in eg the progress threads. Comments and points to other threads appreciated. I will edit this main first post with the feedback from the comments below, so this first post shall form into something nice. (Suggestions for formating also welcome)
Before operation:
- Buy an all day stretcher like ESL-40 and bring it
- Ideas for supplements to help Collagen Production in the body: (guess should look up what scientifically helps collagen production)
Bromelain 500 mg 1 twice a day,
Arnica montana dose 30C (take 4 small tablets sublingually, 4 times a day),
Vitamin C 500 mg (3 times a day)
hydraulic acid 30mg a day, joint care supps, hydrolysed collagen, Anavar 25mg a day for my collagen building stage (alwan)
“vitamins a, c & e”
collagen supplement
starting 1 week before Surgery
- Get all other stuff that I need for post-op care
- Bring bandages and tape for wrapping?
- Take some pain medication with me
At operation:
Probably nothing
olafspo 11/24/14
https://phalloboards.websitetoolbox.com/post/show_single_post?pid=1285181482
After operation:
- The idea is to spread Pmma evenly, because when it clumps up it forms Nodules, and you can only prevent Nodules that formed in the 72 hours after the operation
- Wrapping from her after the thing
- Penis should ideally probably free-hang
Meaning when you have a trouser on that carrying it left or right it could make irregularities? (Sherger speculation)
So.. driving home is a nono, sitting in train for 3 hours and going home is a nono?
A jogging-trouser is much better than jeans?
- Stay in the city of operation for 3 days, let it check up by doctor on 2nd and 3rd day? (1st being day of operation)
I guess Dr C Tijuana does this, don't know about Dr N Prague. How did you guys do it?
- Take 3 days for really checking on your penis, if there is some irregularities massage till it's regular again
- Eventually even wake up every 3 hours and take a look?
I guess sleep is the most dangerous time, eg when you lie on your penis with your body?
- The entry points are most often problematic, look at that extra
- Stretch for 2 weeks with ESL-40 (or all 6 weeks in which collagen is forming); tom kat writes some people lose ~0.3 inches temporarily and this is against it
(- don’t pump)
- Don't jelq or clamp anymore after pmma (sizemic, tom kat)
- Dr N wrote no sex or jerking off (sexual activities? no physical pressing the penis) for 10 days
Here 9_in_Richard writes that he made himself a big nodule or something by jerking off lightly at day 10: https://phalloboards.websitetoolbox.com/post/does-pmma-move-about-8342718?pid=1294226334
-> so, no sex or jerking for 14 days i would say
- Slight irregularities at first become bigger with time
- Use roller instead of massaging with your hands:
Read it’s 100 times better than with a hand (‘Method of the koreans’). But what roller to buy?
Miracle8x7 on 07/19/13
https://phalloboards.websitetoolbox.com/post/miracle8x7s-pmma-progress-report-5391236?&trail=820
Smartman on 07/20/13 same thread, about Korean technique
What to expect after the operation:
- Leaking from the entry points (what to do there - ok, wrap)
- Swelling and pain, redness and itching
- I am uncircumcised, so more chance of complications (https://avantiderma.com/wp-content/uploads/2016/09/girth-enhancement-journal-sexual-medicine.pdf says it, but i don't know why exactly)
- Size going down first (after first week eg it looks like you never did anything), then later after some weeks it getting bigger again
- Small irregularities become bigger with time
- You can feel the pmma under the skin a bit
- It changes a bit over the years
- You perhaps now worry if people 'find out' because it looks a bit weird
Between sessions:
- take 3-6 months between sessions.
(question down below)
When irregular:
- Touch-up session with 10% pmma
- Or silicone dripplets (don’t know advantages/disadvantages). I guess only Dr C Tijuana does this, not Dr N in Prague
Questions:
- Is getting hard often good or does it not matter? (If it matters could take Cialis)
- When do nodules start to exist? Stupid question, but when do they form – in the 72 hours after the procedure? 1 month after the procedure? Any time? After sleeping in a bad position?
I guess the penis is swollen after the operation. But best case you already superlightly touch your penis, find irregularities and massage (press?) lightly till the irregularities are gone -> well, don't touch with hands, but do it with roller!
Also: I guess don't sleep on your tummy? But you turn around in sleep.. I normally always sleep on tummy.. is sleep *the* time that irregularities are formed, eg when body lies on penis?
After operation i get penis wrapped up and should leave it like this for 48 hours!?
I guess if you are in a hotel room or at home again and you have time to be careful you should do the wrap away and instead inspect - and roll with roller if necessary.
- How can i imagine the aftercare in real life?
eg what about the leaking - just do it away with paper towel?
And testing for nodules and stuff: do i carefully lightly touch the penis, find anything i don't like (visually or extra hardness) and massage superlight so long till it's ok again?
And if i don't feel and see something i don't like of course don't roll/massage.
And just do this every hour?
Dr N and Dr Cho from South Korea both say not to massage (and Cho says just leave the wrap on for 7 days and only take off for shower; Dr C says to keep it on for 48 hours)
Entry points are most problematic, they get hard often - i guess massage softly there
-> no, probably never massage, but always use a roller
(massaging hard seems to me to be dangerous in actually making nodules)
- How long to wait ideally between sessions?
Make pmaa-injections like only after 6 months after the last one? Idea being that after 6 months the penis is finally done changing from the injection and in best state for touchup? And: You see if Nodules come up + if they resolve again on their own. So I can make the ‘corrections’ and ‘next session’ in one?
(Todo now:
- look through these: http://phalloboards.websitetoolbox.com/search?searchid=48869962&trail=25)
I am very strongly thinking about getting PMMA (http://phalloboards.websitetoolbox.com/post/planning-pmma-procedure-journal-dr-ivana-nemeckova-prague-8368135?pid=1294527032).
Because of this i have to research about aftercare after the operation, it seems to be very critical to the success of the whole endevour.
So in an attempt to make this clear for me i will automatically make 'one big thread' about PMMA aftercare. All the info is already on this forum, the info about aftercare just seems to be in bits and pieces in eg the progress threads. Comments and points to other threads appreciated. I will edit this main first post with the feedback from the comments below, so this first post shall form into something nice. (Suggestions for formating also welcome)
Before operation:
- Buy an all day stretcher like ESL-40 and bring it
- Ideas for supplements to help Collagen Production in the body: (guess should look up what scientifically helps collagen production)
Bromelain 500 mg 1 twice a day,
Arnica montana dose 30C (take 4 small tablets sublingually, 4 times a day),
Vitamin C 500 mg (3 times a day)
hydraulic acid 30mg a day, joint care supps, hydrolysed collagen, Anavar 25mg a day for my collagen building stage (alwan)
“vitamins a, c & e”
collagen supplement
starting 1 week before Surgery
- Get all other stuff that I need for post-op care
- Bring bandages and tape for wrapping?
- Take some pain medication with me
At operation:
Probably nothing
olafspo 11/24/14
https://phalloboards.websitetoolbox.com/post/show_single_post?pid=1285181482
Quote:
"I wore the cup of the penimaster plus. First of all, it´s much easier for her to have a good grip as she does not need to pull on the glans / skin (as she only injects when your unit is stretched ). Afterwards it is much easier to do a nice wrapping. The penis can not turtle as the base of the penimaster cup will push against the thick wrapping. Just use the cup and wrapping material and you will be able to wear a comfy all day stretcher. Use it for 10 days."
After operation:
- The idea is to spread Pmma evenly, because when it clumps up it forms Nodules, and you can only prevent Nodules that formed in the 72 hours after the operation
- Wrapping from her after the thing
- Penis should ideally probably free-hang
Meaning when you have a trouser on that carrying it left or right it could make irregularities? (Sherger speculation)
So.. driving home is a nono, sitting in train for 3 hours and going home is a nono?
A jogging-trouser is much better than jeans?
- Stay in the city of operation for 3 days, let it check up by doctor on 2nd and 3rd day? (1st being day of operation)
I guess Dr C Tijuana does this, don't know about Dr N Prague. How did you guys do it?
- Take 3 days for really checking on your penis, if there is some irregularities massage till it's regular again
- Eventually even wake up every 3 hours and take a look?
I guess sleep is the most dangerous time, eg when you lie on your penis with your body?
- The entry points are most often problematic, look at that extra
- Stretch for 2 weeks with ESL-40 (or all 6 weeks in which collagen is forming); tom kat writes some people lose ~0.3 inches temporarily and this is against it
(- don’t pump)
- Don't jelq or clamp anymore after pmma (sizemic, tom kat)
- Dr N wrote no sex or jerking off (sexual activities? no physical pressing the penis) for 10 days
Here 9_in_Richard writes that he made himself a big nodule or something by jerking off lightly at day 10: https://phalloboards.websitetoolbox.com/post/does-pmma-move-about-8342718?pid=1294226334
-> so, no sex or jerking for 14 days i would say
- Slight irregularities at first become bigger with time
- Use roller instead of massaging with your hands:
Read it’s 100 times better than with a hand (‘Method of the koreans’). But what roller to buy?
Miracle8x7 on 07/19/13
https://phalloboards.websitetoolbox.com/post/miracle8x7s-pmma-progress-report-5391236?&trail=820
Quote:
“I used a stainless steel bar 1/2" diameter, covered it in the antiseptic gel and rolled (like dough) the top part of my shaft
…
after scouring the web for the ideal roller (in my estimation 3" wide by 1/4" - 3/8" diameter) I came up empty handed. I've viewed probably 400+ carpet seam rollers but none that are perfectly suited for the task at hand. I've recruited Smartman to help locate such a roller.
…
Guess what? The top part of my shaft is as smooth as a baby's butt. No bumps, lumps, hard areas... it is PERFECT.
…
I personally believe that placing the penis on a flat surgical tray and stretching it out by pulling on the glans and rolling with even pressure along the length of the shaft will yield near perfect results; homogenizing the filler. I am still in awe of just how smooth the portion I rolled is. “
…
after scouring the web for the ideal roller (in my estimation 3" wide by 1/4" - 3/8" diameter) I came up empty handed. I've viewed probably 400+ carpet seam rollers but none that are perfectly suited for the task at hand. I've recruited Smartman to help locate such a roller.
…
Guess what? The top part of my shaft is as smooth as a baby's butt. No bumps, lumps, hard areas... it is PERFECT.
…
I personally believe that placing the penis on a flat surgical tray and stretching it out by pulling on the glans and rolling with even pressure along the length of the shaft will yield near perfect results; homogenizing the filler. I am still in awe of just how smooth the portion I rolled is. “
Smartman on 07/20/13 same thread, about Korean technique
Quote:
“So they have changed their technique (directly post-injection) by using a roller (which will provide equal forces over the shaft but in the other hand hand manipulation or massaging will provide unequal forces over the shaft) with a light force to homogenize the product ; and in their article if you see the pictures (dorsal and lateral views - before and after 18 months) they had smooth and v. good esthetic results after 18 months.
…
Btw these korean use a compressive dressing with an elastic bandage directly after the usage of a roller.“
…
Btw these korean use a compressive dressing with an elastic bandage directly after the usage of a roller.“
What to expect after the operation:
- Leaking from the entry points (what to do there - ok, wrap)
- Swelling and pain, redness and itching
- I am uncircumcised, so more chance of complications (https://avantiderma.com/wp-content/uploads/2016/09/girth-enhancement-journal-sexual-medicine.pdf says it, but i don't know why exactly)
- Size going down first (after first week eg it looks like you never did anything), then later after some weeks it getting bigger again
- Small irregularities become bigger with time
- You can feel the pmma under the skin a bit
- It changes a bit over the years
- You perhaps now worry if people 'find out' because it looks a bit weird
Between sessions:
- take 3-6 months between sessions.
(question down below)
When irregular:
- Touch-up session with 10% pmma
- Or silicone dripplets (don’t know advantages/disadvantages). I guess only Dr C Tijuana does this, not Dr N in Prague
Questions:
- Is getting hard often good or does it not matter? (If it matters could take Cialis)
- When do nodules start to exist? Stupid question, but when do they form – in the 72 hours after the procedure? 1 month after the procedure? Any time? After sleeping in a bad position?
I guess the penis is swollen after the operation. But best case you already superlightly touch your penis, find irregularities and massage (press?) lightly till the irregularities are gone -> well, don't touch with hands, but do it with roller!
Also: I guess don't sleep on your tummy? But you turn around in sleep.. I normally always sleep on tummy.. is sleep *the* time that irregularities are formed, eg when body lies on penis?
After operation i get penis wrapped up and should leave it like this for 48 hours!?
I guess if you are in a hotel room or at home again and you have time to be careful you should do the wrap away and instead inspect - and roll with roller if necessary.
- How can i imagine the aftercare in real life?
eg what about the leaking - just do it away with paper towel?
And testing for nodules and stuff: do i carefully lightly touch the penis, find anything i don't like (visually or extra hardness) and massage superlight so long till it's ok again?
And if i don't feel and see something i don't like of course don't roll/massage.
And just do this every hour?
Dr N and Dr Cho from South Korea both say not to massage (and Cho says just leave the wrap on for 7 days and only take off for shower; Dr C says to keep it on for 48 hours)
Entry points are most problematic, they get hard often - i guess massage softly there
-> no, probably never massage, but always use a roller
(massaging hard seems to me to be dangerous in actually making nodules)
- How long to wait ideally between sessions?
Make pmaa-injections like only after 6 months after the last one? Idea being that after 6 months the penis is finally done changing from the injection and in best state for touchup? And: You see if Nodules come up + if they resolve again on their own. So I can make the ‘corrections’ and ‘next session’ in one?
(Todo now:
- look through these: http://phalloboards.websitetoolbox.com/search?searchid=48869962&trail=25)
Category: General Phalloplasty Discussion