This type of Colorectal Medicine procedure / treatment can be considered reasonably expensive, especially given the skill set, experience, training and equipment used by the. Before and After — Mark Isham. If you have vaginal laxity and want to fix it, you need to be sure that your surgeon can fix a rectocele too. Rectocele Repair is done in the surgery center or operating room under general, regional, or local anesthesia. Restore, sharpen, and repair pictures with AI. Vaginal prolapse refers to when the top of the vagina — also called the vaginal vault — sags and falls into the vaginal canal. The vaginal skin is then closed. Is that why the mRNA-type injections - CDC's emergency approval as "gene-therapy" - include anti-fertility and sterilization components? And - can you imagine - CDC has recently recommended giving this unproven, untested "gene-therapy injection to pregnant women, when never before and under no. Outcome after transperineal mesh repair of rectocele: a case series. His younger brother died shortly after getting his second jab. , Walters M. Prolapse is caused by a. Rectal prolapse surgery is performed in people troubled by the pain and discomfort caused by rectal prolapse as well as the chronic symptoms that can accompany it, such as leakage of stool, inability to control bowel movements (fecal incontinence) or obstructed bowel movements. Avoid straining at stools (bearing down worsens the rectocele) Avoid heavy lifting. Rectocele repair before and after pictures. Pain, discomfort, or feelings of looseness during vaginal intercourse. Apr 22, 2022 · Colon and rectum. You might be able to resume your normal level of activity without leaking urine. If you have had surgery to correct a pelvic organ prolapse (rectocele or cystocele), then you may need . In a cystocele, there is a defect in the fascia between the bladder and vagina. Constipation is an insidious indicator of POP issues, both past and present. The traditional repair for Bladder Prolapse is plicating or overlapping tissues with suture to reduce the bulge and support the bladder. A posterior repair is a major operation usually recommended after simpler treatments have failed. Rectal prolapse surgery is performed in people troubled by the pain and discomfort caused by rectal prolapse as well as the chronic symptoms that can accompany it, such as leakage of stool, inability to control bowel movements (fecal incontinence) or obstructed bowel movements. Avoid straining at stools (bearing down worsens the rectocele) Avoid heavy lifting. Once you . Posterior Repair (Rectocele) Surgery (also called posterior wall repair) can strengthen and repair the damaged tissue and restore the rectum to its normal . The hymen may naturally rupture during sports or any physical activity. The pelvic organs are held in place by muscles and tissues that can sometimes weaken and stretch. Please enter a term before submitting your search. Common problems of dishwashers include water leakage, failure to start and failure to clean the dishes properly. this shop for half an hour and we haven't seen one sales assistant! A. The cash cost of Rectocele/Enterocele Repair (Rectal Repair) is $6,000. Surgery is done to relieve bulging into the vagina that may be caused by a cystocele and rectocele. During the surgery, your doctor. It is generally not advised for posterior repair and can have negative outcomes according to 3 urogynocologists' in my area who specialize in pelvic organ prolapse repairs. When signs and symptoms occur, they may include: A feeling of fullness or pressure in your pelvis and vagina. Randomized controlled trial between perineal and anal repairs of rectocele in obstructed defecation. But something about birthing and getting the rectocele made a tolerable problem unbearable. While many women delay treatment for gynecologic concerns, citing they are too busy to spend a week in the hospital and several more at home in bed, robotic surgery presents a surgical alternative with a recovery time that is typically much shorter than in traditional surgery. During this time, a doctor will recommend avoiding any activity that strains the new incision, including heavy. 5mm – 2mm for age spots, skin tightening, and all-over texture. A cystocele is when the bladder and vaginal wall fall into the vaginal opening. Read more about the experiences and reports of hair transplant Turkey at Hermest Clinic, including before and after pictures of the patients. The diagnosis and treatment of diseases of women. After a rectocele repair surgery, you may need to stay in •• Wipe front to back after going to the bathroom. za Harfield House, Kingsbury Tel 021 683 3893 101 Constantiaberg Tel 021 797 1755 Page 2. 14 Truly Amazing Bathroom Makeovers. There are two components of vaginal rejuvenation, vaginoplasty and perineoplasty. If you decide to have no treatment now, it does not prevent you from having treatment at a later date if your rectocele starts to bother you more. In the early post-operative period, you should avoid situations where excessive pressure is placed on the repair, i. Block I. . a kegal8 machine (expensive but helpful, google their website) be careful with exercise. Alexander and his staff are all accommodating and friendly. , Palo Alto, CA, USA). A posterior repair is a major operation usually recommended after simpler treatments have failed. My main goal for surgery is that it helps my chronic constipation that has drastically reduced my quality of life in all possible ways. Appendicectomy is surgery to treat appendicitis, when your appendix has become inflamed, infected or ruptured. , Trabucchi E. This leads to a dropped uterus (uterine prolapsed), a dropped bladder (cystocele), and bulging of the back wall of the vagina (rectocele). Narrowing of your vagina. Surgery is done to relieve bulging into the vagina that may be caused by a cystocele and rectocele. I had a positive outlook before surgery, and I expect this played a part in my having such an easy recovery. It is done to pull up the tissues and move the organs back into place. Cystocele Stock Photos and Images. Gradually increase until you can hold for up to 10 seconds and repeat 10 times. Rectocele repair before and after pictures. Porter WE, Steele A, Walsh P, Kohli N, Karram MM. Search articles by subject, keyword or author. Although clinical results after transvagi-nal rectocele repair have been widely reported, the physiologic influences after transvaginal rectocele repair. Conclusion: The operative correction of a pelvic organ prolapse in a group of women 80 years and older is a successful operation, with an acceptable morbidity and a high satisfaction of the patients. If you have had surgery to correct a pelvic organ prolapse (rectocele or cystocele), then you may need . Conclusion: The operative correction of a pelvic organ prolapse in a group of women 80 years and older is a successful operation, with an acceptable morbidity and a high satisfaction of the patients. Your pictures never leave your Device. Levatorplasty improves functional outcome, but potential effects on dyspareunia should be discussed with the patient. A small posterior vaginal prolapse (rectocele) might cause no symptoms. It is a minimally invasive method. It happens when the tissues that support the rectum and vagina are weakened and torn. Although it is likely that rectoceles have a multifactorial origin, vaginal birth represents a major predisposing factor for rectocele,. The problem is most common in older women, but it. You can easily remix any existing photo. body image, sexual functioning, family support,. Weakness of the pelvic floor along with its associated complications can lead to many symptoms including urinary symptoms. This can happen after a hysterectomy. Also called "having sex" or "making love. patients who had undergone simultaneous rectocele and cystocele operations. About 6 months after surgery, the size of rectocele was decreased to 2 cm on follow-up defecography ( Figure C and F ). UCSF Health medical specialists have reviewed this information. With Cleanup. 2013 Videofest 15 TRANSRECTAL ENDOSCOPIC SURGERY FOR REMOVAL OF RETAINED MESH FOLLOWING RECTOCELE REPAIR WITH MESH R. 3 Weeks After. -A pelvic examination reveals a bulging of the posterior wall when the client is instructed to bear down. A rectocele occurs when the end of the large intestine (rectum) pushes against and moves the back wall of the vagina. Rectocele repair before and after pictures. It is associated with a text under. 15 Jul 2022. Before and during ovulation, the mucus glands within the cervix secrete different variations of Other vaginal changes related to aging and childbirth are stress urinary incontinence, rectocele, and Women often report pain during sexual intercourse up to three months after laceration repair or an. This procedure should allow easy, effective and complete urination and better bowel control. Post-operation, you should be able to move about, carefully, within a few hours after your surgery. Tahery has developed his own technique of repair without using mesh and using the patient’s own tissue with great success. rectocele repair before and after pictures Simply upload your picture, select the objects you want to remove, and Fotor will handle the rest. Dr Tahery has more than. Colporrhaphy is the surgical repair of a defect in the vaginal wall, including a cystocele (when the bladder protrudes into the vagina) and a rectocele (when the rectum protrudes into the vagina). nal rectocele repair has been used mainly by gynecolo-gists as a posterior colporrhaphy. The outside walls of your vagina are lifted up and attached to pelvic ligaments for support. uq; xq. It’s a bulge on the front wall of the rectum into your vagina. Keywords: Modified Technique; Posterior; Colpoperineorrhaphy; Rectocele Repair The results can be summarized as follows: 1. (Lightening Cream Added). After a rectocele repair, it's normal to have light vaginal discharge for up to 6 weeks. Cystocele and Rectocele Repair. and below is the rectocele repair. Directly before, and immediately after, the Androfill penile injection procedure. Hotpot builds on the latest research to automatically remove scratches, sharpen colors, and enhance faces, transforming damaged photos into cherished memories. Read More. Now, we could simply call the. -Before and After Photos. During the surgery, your doctor. Nov 24, 2020 · The focus of vaginoplasty is to tighten the vaginal and perineal muscles, to enhance sexual sensation for you and your partner. In severe cases, the vagina can protrude outside of. An enterocele (small bowel prolapse) occurs when the small bowel presses against and moves the upper wall of the vagina. If not, your vaginoplasty will fail. 54-15 ). Sexual function and vaginal anatomy in women before and after surgery for pelvic organ prolapse and urinary incontinence. Restore, sharpen, and repair pictures with AI. Colporrhaphy is the surgical repair of a defect in the vaginal wall, including a cystocele (when the bladder protrudes into the vagina) and a rectocele (when the rectum protrudes into the vagina). Concrete Hero. Nov 24, 2020 · The focus of vaginoplasty is to tighten the vaginal and perineal muscles, to enhance sexual sensation for you and your partner. Connective tissues will be tightened. When signs and symptoms occur, they may include: A feeling of fullness or pressure in your pelvis and vagina. Vaginal childbirth, chronic constipation, and heavy lifting all increase your risk of rectocele, as they can damage the tissue that supports the rectum and vagina. Otherwise, you may notice: A soft bulge of tissue in the vagina that might come through the opening of the vagina Trouble having a bowel movement Feeling pressure or fullness in the rectum A feeling that the rectum has not completely emptied after a bowel movement. Rectocele Repair is done in the surgery center or operating room under general, regional, or local anesthesia. Every time women with rectal POP issues have a bowel movement, lock the door to make sure no one can disturb you to make it easier to relax, and "V-brace" the labia and push up on the labia gently with fingers, creating some structural support for the pelvic floor. I had a large rectocele and had it repaired last year, at 41. No hospital stay (same-day surgery. Gradually, it changes to a brownish or yellowish color. During this time, a doctor will recommend avoiding any activity that strains the new incision, including heavy. The pessary is most commonly used in the management of pelvic support defects such as cystocele and rectocele. Robotic-assisted sacrocolpopexy is one type of surgery to repair this problem. This condition is known as anterior wall prolapse, cystocele or dropped bladder. The goal of the midline cystocele repair is to reduce and provide support to the prolapsed bladder, as well as to provide preferential support to the bladder neck. A picture with a smaller version of the same picture within it is known as the Droste effect. Resizing is the most basic as it simply enlarges or decreases the size of the pixels to whatever scale is desired. Before and after results of countless, satisfied patients allow you to see for yourself the outstanding quality at Elithair. In some cases, inappropriate care of the patient after surgery can lead to a hematoma, as well. Choose a language:. , Walters M. If a sling is being placed, your surgeon will make 2 smaller incisions on your lower abdomen (belly) or inner thigh. Please speak with your doctor for more information on recovery expectations. While the "before and after" photo is a great moral booster and way to track progress, it is not everything! You should also judge progress on Going through the different rowing machine before and after photos made it difficult to distinguish between real and fake photos. In fact, 40% of women with a rectocele prolapse are only diagnosed by a routine. The bandage will be removed after 2 days of hair transplant and you can. Treat any infections you are aware of before surgery. 54-15 ). See awesome before and after jelqing pictures to determine for yourself if jelqing really works or not. In 1000 females, one born with no hymen. It is generally not advised for posterior repair and can have negative outcomes according to 3 urogynocologists' in my area who specialize in pelvic organ prolapse repairs. This website helps with uploading, aligning and publishing of those images. lifting, straining, vigorous exercise, coughing and constipation. This makes a condition like rectocele complicated, because it may take multiple doctors—colorectal surgeon, gynecologist, and urologist—to figure out what's causing the problem and how to fix it. , Walters M. Female anatomy without an enterocele (left), with an enterocele (right). After discussing the contract Jerry invited Dotty for lunch. It’s done while you’re asleep under general anesthesia. Remind the client to thoroughly wash her hands before and after handling the catheter and to remove any crust or debris that has collected around the catheter. A rectocele occurs when the end of the large intestine (rectum) pushes against and moves the back wall of the vagina. Before the operation all patients had two or more constipation criteria,. It was her first visit to a big city, so the young lady was really excited. My recovery was painful, but I had a rectocele repair completed at the same time because it was covered under my insurance. 8215 Westchester Dr. Both your rectum and vagina stay in position because the muscles and ligaments in your pelvis, called your pelvic floor, hold them in place. Rectal prolapse surgery is performed in people troubled by the pain and discomfort caused by rectal prolapse as well as the chronic symptoms that can accompany it, such as leakage of stool, inability to control bowel movements (fecal incontinence) or obstructed bowel movements. It’s done while you’re asleep under general anesthesia. Prevent constipation by drinking plenty of liquids and eating foods high in fiber. Before + After. It's really wide range of enhancements which can be done with old. It is a minimally invasive method. How much does perineoplasty cost? Average Cost: $4,725 Range:. Visionary Centre for Women. It is a minimally invasive method. Not only do they give an unacceptable complication rate of about 30%. Stage 2 non-small cell lung cancer (NSCLC) is a type of cancer that develops in one lung or the lymph nodes on the same side of the chest as the original tumor. VIEW NOW. Clearwater, FL 33762. Cystocele/Rectocele repair if needed can be done vaginally before or after. At the 6 months FU, 14 patients had stage I prolapse and one patient stage II prolapse of the posterior vaginal wall. After a rectocele repair, it's normal to have light vaginal discharge for up to 6 weeks. I met with my surgeon in July and decided we would do a partial hysterectomy and bladder repair. A cystocele is when the bladder and vaginal wall fall into the vaginal opening. Block I. Apr 22, 2022 · Colon and rectum. Watch a vaginoplasty, bladder and rectocele repair surgery before, during and after, with Michael Litrel, MD, FACOG, FPMRS. The only medication I had after surgery was two tylenol. Otherwise, you may notice: A soft bulge of tissue in the vagina that might come through the opening of the vagina Trouble having a bowel movement Feeling pressure or fullness in the rectum A feeling that the rectum has not completely emptied after a bowel movement. Background Aim of this study is to examine pelvic floor symptoms, anatomical results and patients’ satisfaction after sacrospinous vaginal fixation for stage 4 pelvic organ prolapse. This procedure should allow easy, effective and complete urination and better bowel control. Kolker took me through some before-and-after shots of some of his rhinoplasty patients. My main goal for surgery is that it helps my chronic constipation that has drastically reduced my quality of life in all possible ways. Guys, This Texas Beach Home Makeover Is Why We Love Paint So Much. Immediately after the operation you may have difficulty passing urine, this usually settles over a few days but may require a catheter in the bladder. Vaginal Repair of Enterocele. Pessaries can also be used in the treatment of stress urinary. Other symptoms of a prolapsed bladder include the following: Discomfort or pain in the pelvis, lower abdomen, and when sitting. Dis Colon Rectum. In a cystocele, there is a defect in the fascia between the bladder and vagina. Post-Op Rectocele Repair Post operation there are a few things that may occur. Although it is likely that rectoceles have a multifactorial origin, vaginal birth represents a major predisposing factor for rectocele,. This makes your rectum push into the back wall of your vagina, making it bulge (see Figure 2). Prolapse refers to the dropping of an organ out of its anatomic position. In women who have had a hysterectomy before and have prolapse of the top of the vagina. Cystocele repair surgery is done through a small incision (surgical cut) in your vaginal wall. BeforeJames KavanaghAfter. You will receive pain-relieving. In polling jurors after the verdict, the defense counsel found that the jurors felt the rectocele repair was not necessary. Anterior Vaginal Wall Prolapse. One-year follow-up after sacrospinous hysteropexy. (Or if you simply don't have time to jelq - you might want to utilize the PhalloGauge. At Loma Linda University Medical Center, gynecologic robotic surgery patients typically leave the. I am extremely nervous, and having trouble getting a clear picture of what recovery will look like. Avoid straining at stools (bearing down worsens the rectocele) Avoid heavy lifting. A rectocele is a bulging of the rectum into the vagina. Since then over 150 novelizations and 200 spin-off books have been published, including. The procedure is typically performed by a surgeon making a small incision along the posterior vaginal wall. What is vaginal prolapse surgery? · Colporrhaphy treats a prolapsed bladder (cystocele) or rectum (rectocele) by repairing the weakened wall between the vagina . Interested in perineoplasty?. Rectocele Repair - A rectocele repairs the fallen. What are the s/s of a rectocele? o difficulty initiating bowel movement, constipation. This can result in organs dropping out of their normal position. joi hypnosis, holdthemoan reddit
Female – Age: 68 ProcedureDetails: 3 treatments 6 weeks apart. . Rectocele repair before and after pictures
Ask how much liquid to drink every day. Vaginal prolapse refers to when the top of the vagina — also called the vaginal vault — sags and falls into the vaginal canal. Litrel shows the laxity before surgery, during, and after. At first, the discharge tends to be bright red or pink. As you wait for the next 2+ weeks till your urogynecologist appointment, thought I'd introduce you to a few others who may have some thoughts on your situation with a hernia between your bladder and vaginal wall, like. uq; xq. Dis Colon Rectum. Vaginal prolapse is the descent of the bladder, uterus, small bowel or rectum into the vagina. These activities put pressure on the surgical repair before it has fully healed. If you have vaginal laxity and want to fix it, you need to be sure that your surgeon can fix a rectocele too. This type of Colorectal Medicine procedure / treatment can be considered reasonably expensive, especially given the skill set, experience, training and equipment used by the. All of authors and contributors must check their papers before submission to making assurance of following our anti-plagiarism policies. Following the treatment plan can make your recovery much easier, which may include activity, lifestyle and dietary restrictions before and after the surgery. About pelvic organ prolapse. *P < 0. by his brother. Sometimes this decision is best made during surgery. Therefore, she underwent rectocele repair with colporrhaphy. A rectocele is a bulge, or herniation, of the front wall of the rectum into the back of the vagina. The surgery is often performed through the vagina (transvagianlly. Fitness Diet. without surgery can it will heal. Upload the photo you want to edit. Vaginal prolapse refers to when the top of the vagina — also called the vaginal vault — sags and falls into the vaginal canal. uq; xq. This type of Colorectal Medicine procedure / treatment can be considered reasonably expensive, especially given the skill set, experience, training and equipment used by the. Our free service repairs both color photos and black & white ones. Women who undergo surgery for vaginal prolapse repair should normally expect to spend 2-4 days in the hospital depending on the type and extent of the surgery. Prolapse is caused by a. Some women have little or no bleeding initially and then have a sudden gush of old blood or fluid about 10 days later. The randomized study involved 337 who were treated surgically for prolapse. 36 Laparoscopic Rectocele repair & Levatoroplasty Rectovaginal space is opened & rectum dissected Interrupted sutures given in the levator in the midline Enterocele repair done if indicated Vaginal vault suspension. After a rectocele repair, it’s normal to have light vaginal discharge for up to 6 weeks. The most common symptoms post rectocele surgery is slight pelvic and rectal discomfort and pressure, as well as slight vaginal bleeding, and. Interested in perineoplasty?. Hysterectomy, a surgery to remove a woman’s uterus, is sometimes performed to treat uterine prolapse. The only medication I had after surgery was two tylenol. That’s when one or more of the pelvic organs (in Lauren’s case, the rectum and bladder) drop down from their normal position. It is a minimally invasive method. Range: $1,500 - $8,775. Bleeding after a hysteroscopy can be. Surgery is usually used only after you have tried other treatments such as: Doing muscle-strengthening exercises, called Kegel exercises. Apr 22, 2022 · Colon and rectum. Studies including PNTML testing before and after surgery would be required to support this hypothesis. If not, your vaginoplasty will fail. If the picture needs rotation, please correct it before upload. An enterocele (small bowel prolapse) occurs when the small bowel presses against and moves the upper wall of the vagina. overactive bladder and an inability to fully empty the bladder. I had rectocele surgery two years ago with absolutely no complications or pain from the surgery itself. The incision enables the surgeon to access and repair & restructure the underlying tissue of the pelvic floor. nal rectocele repair has been used mainly by gynecolo-gists as a posterior colporrhaphy. Excess tissue along the herniation is removed and stitches are sewn around the tear sight. A rectocele is a bulging of the front wall of the rectum into the back wall of the vagina. The incisions will be closed. . Prolapse refers to the dropping of an organ out of its anatomic position. The aim of the surgery is to relieve the symptoms of vaginal bulging/ laxity and to improve bowel function, without interfering with sexual function. Pelvic cavity before Rectocele. They've been used to market new programs, document physical changes, and celebrate progress. Bowel Function After Surgery. 2013 Videofest 15 TRANSRECTAL ENDOSCOPIC SURGERY FOR REMOVAL OF RETAINED MESH FOLLOWING RECTOCELE REPAIR WITH MESH R. First degree uterine prolapse. Objective: This study aimed to determine whether clinically significant pelvic organ prolapse impacts rectal prolapse recurrence after surgical repair. The risk of cystocele recurrence following surgical repair depends on the procedure used to treat it. Learn how we can help. Before you start exercising, ask the healthcare team or your GP for advice. The only reason for the hysterectomy is if you have urinary incontinence in addition to the prolapse. I had rectocele surgery on January 21, 2009 and was scared to death after reading all of the info on line. Avoid constipation. This is called a rectocele (pronounced wreck-toe. , Walters M. A text document's metadata may include information about length of document, the author, publish date, and a short summary of the document. Post-operative ICS stage of cystocele (n=63) and rectocele (n=68) of patients who presented no pre-operative cystocele or rectocele Pre-operative 2 months post-operative 12-15 months post-operative 24 months post-operative Vaginal vault: point C Stage 0 10 (5. When the operation is performed to. If you decide to have no treatment now, it does not prevent you from having treatment at a later date if your rectocele starts to bother you more. I also have some spotting still and an. Success rates for posterior repair are 80-90%, however there is a chance that. The authors of the study (rightly) conclude that if a woman has recurrence of her bladder drop and requires another surgery, then just “fixing it” again using the same technique that failed the first time will not give good results. This drug belongs to a group of medicines called 5-alpha reductase inhibitors. It results when the muscles and tissues that support the bladder give way. This makes your intestine push on the back wall of your vagina, making it bulge (see Figure 1). Rectocele - an easy to understand guide covering causes,. Our retouching portfolio consists of pictures made by photographers from Japan. The sugar will absorb the additional water in the prolapse and cause the prolapse to shrivel. Treat any infections you are aware of before surgery. Pessaries can also be used in the treatment of stress urinary. this shop for half an hour and we haven't seen one sales assistant! A. Here’s what to do to take care of yourself: • Use pads to absorb discharge. Rectocele repair appears to improve anorectal function by improving rectal urge sensitivity. Post-operative ICS stage of cystocele (n=63) and rectocele (n=68) of patients who presented no pre-operative cystocele or rectocele Pre-operative 2 months post-operative 12-15 months post-operative 24 months post-operative Vaginal vault: point C Stage 0 10 (5. Rectal prolapse surgery is performed in people troubled by the pain and discomfort caused by rectal prolapse as well as the chronic symptoms that can accompany it, such as leakage of stool, inability to control bowel movements (fecal incontinence) or obstructed bowel movements. Rectocele-Diagnostic Procedures. Feeling pressure or fullness in the rectum. Constipation symptoms in rectocele repair with and without meshes. mouse over images to enlarge Rectocele and Enterocele Before Surgery. During surgery, the lining of the bowel, or the section of bowel that has prolapsed, is removed and stitched back together. All about rectocele symptoms, rectocele surgery recovery, and other rectocele treatments - plus a little bit about post-repair choices - like safe ab Pinning resources for rectocele repair & diastasis recti repair. You can expect to have some vaginal bleeding for up to 6 weeks after your operation, this is like a light period and is red or brown in color. How much does perineoplasty cost? Average Cost: $4,725 Range:. Rectocele occurs when the fibrous tissue that makes up the posterior wall of the vagina tears or is damaged. In severe cases, the vagina can protrude outside of. *P < 0. Patient Resources. . Before/afters from over the past two years of me gaining now almost 140 lbs of pure Dark Moon Flower- Before & After Updated June 1. Clearwater, FL 33762. What can I expect during my recovery from rectocele repair surgery? A rectocele occurs when the fascia, or tissue wall, between the rectum and vagina becomes weak and bulges into the vagina. It can show how severe a rectocele is. A Before and After copy of his Clone A Willy - Penis Molding Kit was sent to the clinic providing an exact mould of his penis before 8ml of filler, and 2 months after. . we cannot render actionable messages right now outlook