title: Penile nodules in the penal system.
abstract: The insertion of inert spherical objects under the skin of the penile shaft with the intent of enhancing the sexual experience of one's partner has been reported mostly among Southeast Asian men. This practice is gaining popularity among the Hispanic jail population and prison inmates in southern California. We present a case series of 4 inmate patients with genital modifications (artificial penis nodules [APNs]), including one patient with vitiligo that was induced by his APN. Additionally, we review the literature pertaining to this practice and the relevant clinical implications.
authors: Department of Dermatology, Western University of Health Sciences, Pacific Hospital of Long Beach, Skypark Bldg 1, 23550 Hawthorne Blvd, Ste 200, Torrance, CA 90505, USA. griffith@westernu.edu
authors: Jack
authors: J
authors: Griffith
authors: David
authors: D
authors: Horowitz
mesh_terms: D046289:Body Modification, Non-Therapeutic; D002140:California; D005547:Foreign Bodies; D006801:Humans; D008297:Male; D010413:Penis / Q000601:surgery*; D011329:Prisoners; D012725:Sexual Behavior