title: A penal problem: the increasing incidence of implantation of penile foreign bodies.
abstract: Our objective is to describe a novel presentation of subcutaneous penile insertion of foreign bodies. This is a practice performed globally and mostly has been reported outside of the United States. We present three cases of incarcerated males that implanted sculpted dominos into the penile subcutaneous tissue. The patients presented with erosion of the foreign bodies through the skin without evidence of infection. We believe that insertion of foreign bodies into penile subcutaneous tissue by incarcerated American males for sexual enhancement is more widespread than previously reported. Erosion is a novel presentation.
authors.affiliation: Department of Urology, University of Toledo Medical Center, Toledo, Ohio, USA.
authors.forename: Ryan M
authors.initials: RM
authors.lastname: Flynn
authors.forename: Hesham I
authors.initials: HI
authors.lastname: Mostafa
authors.forename: Omar A
authors.initials: OA
authors.lastname: Khan
authors.forename: Gregory D
authors.initials: GD
authors.lastname: Haselhuhn
authors.forename: Samay
authors.initials: S
authors.lastname: Jain
mesh_terms: D000328:Adult; D005547:Foreign Bodies / Q000150:complications*; D006801:Humans; D015994:Incidence; D008297:Male; D010409:Penile Diseases / Q000453:epidemiology; D010413:Penis / Q000601:surgery; D011329:Prisoners; D019736:Prostheses and Implants; D012307:Risk Factors; D012725:Sexual Behavior; D040521:Subcutaneous Tissue / Q000601:surgery; D014481:United States / Q000453:epidemiology; D013521:Urologic Surgical Procedures, Male