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Fibrosis detection

Posted: Wed Mar 19, 2025 6:22 pm
by CanGetItUpButNotOff
I'm fairly new to injections - 4 months - regularly every 3 or 4 days. Is a 30/3/20 Tri-Mix. I do all the recommended procedures of varying the injection site, cleanly inserting the needle at a 90° angle, compressing the site, etc. Only very infrequent bruising so I think I'm doing a pretty good job. But I am paranoid about scarring.

I regularly - quarterly - have my urologist check for any signs of problems and see nothing so far. But, then again, I'm only 4 months into it. My question is about early detection of scarring. If fibrosis is occurring, will a trained urologist be able to detect it in time for me to enact preventive measures? Or is it more like, "Oops, you've got peyronies! Too late."

Re: Fibrosis detection

Posted: Wed Mar 19, 2025 7:48 pm
by RJ_in_Pa
I noticed and my Uro confirmed that I have fibrosis. Feels like a vein running along the left side of my penis, but it’s definitely not a vein. My Uro said it is not uncommon for those that had an RP to have fibrosis due to the trauma from the surgery.

I have never heard that there is a connection between fibrosis and PD. I was under the impression that PD was caused by scarring, but not sure how Pd is caused by injections.

Can anyone give us some insight on this?

Thanks,
RJ

Re: Fibrosis detection

Posted: Wed Mar 19, 2025 8:25 pm
by wolfpacker
RJ_in_Pa wrote:I noticed and my Uro confirmed that I have fibrosis. Feels like a vein running along the left side of my penis, but it’s definitely not a vein. My Uro said it is not uncommon for those that had an RP to have fibrosis due to the trauma from the surgery.

I have never heard that there is a connection between fibrosis and PD. I was under the impression that PD was caused by scarring, but not sure how Pd is caused by injections.

Can anyone give us some insight on this?

Thanks,
RJ


Fibrosis=scarring

Re: Fibrosis detection

Posted: Wed Mar 19, 2025 10:09 pm
by Bambino09
wolfpacker wrote:
RJ_in_Pa wrote:I noticed and my Uro confirmed that I have fibrosis. Feels like a vein running along the left side of my penis, but it’s definitely not a vein. My Uro said it is not uncommon for those that had an RP to have fibrosis due to the trauma from the surgery.

I have never heard that there is a connection between fibrosis and PD. I was under the impression that PD was caused by scarring, but not sure how Pd is caused by injections.

Can anyone give us some insight on this?

Thanks,
RJ


Fibrosis=scarring


Can you speck me? I have 32 years old!!

Re: Fibrosis detection

Posted: Wed Mar 19, 2025 10:26 pm
by misterecz
If you want to be proactive about scarring. I recommend that you pump every day (not necessarily the day after an injection) this allows your penis to stay healthy and helps make sure that scarring does not form.

Re: Fibrosis detection

Posted: Thu Mar 20, 2025 7:14 am
by wolfpacker
Bambino09 wrote:
wolfpacker wrote:
RJ_in_Pa wrote:I noticed and my Uro confirmed that I have fibrosis. Feels like a vein running along the left side of my penis, but it’s definitely not a vein. My Uro said it is not uncommon for those that had an RP to have fibrosis due to the trauma from the surgery.

I have never heard that there is a connection between fibrosis and PD. I was under the impression that PD was caused by scarring, but not sure how Pd is caused by injections.

Can anyone give us some insight on this?

Thanks,
RJ


Fibrosis=scarring


Can you speck me? I have 32 years old!!


Speck you? I'm not sure what you mean.

Re: Fibrosis detection

Posted: Thu Mar 20, 2025 8:04 am
by CanGetItUpButNotOff
misterecz wrote:If you want to be proactive about scarring. I recommend that you pump every day (not necessarily the day after an injection) this allows your penis to stay healthy and helps make sure that scarring does not form.


I do pump pretty regularly, probably 4 or 5 days each week.

As a further data point, I note that different urologists have different opinions on the cause of scarring. I personally see two different urologists and each one of them says that the chemicals are not likely to cause scarring but just poor injection technique that causes trauma to the tunica. OTOH, there are reports here (frequently quoting Dr. Eid) that implant patients usually, or often, present with scarring from Past ICI with Tri-Mix, but not so much from just Alprostadil mono-mix. Separately, I wrote another doctor who performs a lot of implants and asked the question; his response:
Corporal fibrosis from a history of ICI use is extremely common. I attribute it to the compounds being used rather than the mechanical action of the needle itself.


I can't think of any topic that has such widely diverse opinions from the experts.