Abstract
INTRODUCTION: Self-insertion of penile foreign bodies is performed worldwide, largely due to a perception that it will enhance sexual performance and virility. There are relatively few cases reported in the United States. AIM: We report three cases of Hispanic men incarcerated in separate southwest United States prisons who utilized a similar technique to insert foreign bodies fabricated out of dominos into the subcutaneous tissues of the penis. METHODS: Details of the three cases were retrospectively reviewed. MAIN OUTCOME MEASURE: Resolution of the case. RESULTS: In each case, an incarcerated Hispanic male or fellow inmate filed a domino into a unique shape for placement under the penile skin. Utilizing the tip of a ballpoint pen or a sharpened shard of plastic to create a puncture wound, each man inserted the domino fragment into the subcutaneous tissue of the penis. All three men presented with infection requiring operative removal. CONCLUSIONS: Incarcerated males put themselves at risk for injury and infection when attempting penile enhancement with improvised equipment.