Artificial Penile Nodules: a Case Series of Three Patients

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Abstract

Artificial penile nodules are inert objects inserted beneath the skin of the penis. Objects placed underneath the skin of the penile shaft may include plastic beads made from toothbrushes, silicon, metal pellets, glass, ivory, precious metals, marbles or pearls. The penile bead implantation is performed largely due to the belief that it will enhance sexual performance and pleasure of female or male sexual partners during intercourse. In this article, three cases with artificial penile nodules made of toothbrushes and dice are presented. All three men have implanted foreign bodies underneath the dorsal aspect of the penile skin during their prison stay and implantations were not followed by any side effects. However, insertion of foreign bodies may be followed by early and late complications and transmission of blood-borne viruses. Penile implants are important for dermatological consideration, because they make condom use more difficult and may represent a risk factor for sexually transmitted infections.

1. Fischer N, Hauser S, Brede O, Fisang C, Muller S. Implantation of artifi cial penile nodules - a review of literature. J Sex Med 2010;7:3565-71.

2. Wilcher G. Artifi cial penile nodules - a forensic pathosociology perspective: four case reports. Med Sci Law 2006;46:349-56.

3. Tsunenari S, Idaka T, Kanda M, Koga Y. Self-mutilation. Plastic spherules in penile skin in yakuza, Japan’s racketeers. Am J Forensic Med Pathol 1981;2:203-7.

4. Wolf P, Kerl H. Artifi cial penile nodules and secondary syphilis. Genitourin Med 1991;67:247-9.

5. Norton SA. Fijian penis marbles: an example of artifi cial penile nodules. Cutis 1993;51:295-7.

6. Serour F. Artifi cial nodules of the penis. Report of six cases among Russian immigrants in Israel. Sex Transm Dis 1993;20:192-3.

7. Rothschild MA, Ehrlich E, Klewno WA, Schneider V. Selfimplanted subcutaneous penile balls - a new phenomenon in Western Europe. Int J Legal Med 1997;110:88-91.

8. Hudak SJ, McGeady J, Shindel AW, Breyer BN. Subcutaneous penile insertion of domino fragments by incarcerated males in Southwest United States prisons: a report of three cases. J Sex Med 2012;9:632-4.

9. Tsunenari S, Yonemitsu K, Kanbe T, Kanda M. How to identify the Yakuza, Japanese racketeers-their sociology, criminology and physical characteristics. Ann Acad Med Singapore 1984;13:25-31.

10. Yap L, Butler T, Richters J, Malacova E, Wand H, Smith AM, et al. Penile implants among prisoners - a cause for concern? PLoS ONE 2013;8:e53065.

11. Lee TS. Penile bead implantation in relation to HIV infection in male heroin users in Taiwan. J AIDS Clin Res 2012;3(Suppl):1.

12. Th omson N, Sutcliff e CG, Sirirojn B, Sintupat K, Aramrattana A, Samuels A, et al. Penile modifi cation in young Th ai men: risk environments, procedures and widespread implications for HIV and sexually transmitted infections. Sex Transm Infect 2008;84:195-7.

13. Sundaravej K, Suchato C. Tancho’s nodules. Australas Radiol 1974;18:453-4.

14. Sugathan P. Bulleetus. Int J Dermatol 1987;26:51.

15. Stankov O, Ivanovski O, Popov Z. Artifi cial penile bodiesfrom Kama sutra to modern times. J Sex Med 2009;6:1543-8.

16. Loue S, Loarca LE, Ramirez ER, Ferman J. Penile marbles and potential risk of HIV transmission. J Immigr Health 2002;4:117-8.

17. Hull TH, Budiharsana M. Male circumcision and penis enhancement in Southeast Asia: matters of pain and pleasure. Reprod Health Matters 2001;9:60-7.

18. Kelly A, Kupul M, Nake Trumb R, Aeno H, Neo J, Fitzgerald L, et al. More than just a cut: A qualitative study of penile practices and their relationship to masculinity, sexuality and contagion and their implications for HIV prevention in Papua New Guinea. BMC Int Healh Hum Rights 2012;12:10.

19. Marzouk E. Implantation of beads into the penile skin and its complications. Scand J Urol Nephrol 1990;24:167-9.

20. Kakinuma H, Miyakawa K, Baba S, Suzuki H, Kawada N, Takimoto Y. Penile cancer associated with an artifi cial penile nodule. Acta Derm Venereol 1994;74:412-3.

21. Murty OP. Male genital ornaments: penis pearls. J Forensic Leg Med 2008;15:96-100.

Serbian Journal of Dermatology and Venereology

The Journal of Serbian Association of Dermatovenereologists (SAD)

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