Warning: This post is to educate, not to titillate.
Recently I put up a clinical case and two students with very keen eyes noticed an opaque shadow in the area overlying the penile shadow. One of them thought it was a calcification or something like that.
When I revealed the answers late last Friday night, I mentioned that the shadows are actually ball bearings inserted under the skin of the penis; a practice quite prevalent among intravenous drug users (IVDUs) in this country. The purpose, of course, was to enhance pleasure during coitus.
I tried googling for a picture of it (I was too embarrassed to ask the patient if I could snap a pic of his pee-pee even though I think he’d probably not refuse me, if I did ask him). It took me a long time googling (you try and see and you will see a lot of OTHER stuff!) and I finally managed to land one!
It’s a bit X-rated, so I will not post it here. Okay, it’s ALOT X-RATED, so I will just leave a link here for those who are interested to see what it looks like. Be forewarned that you might gag or vomit out last night’s supper and dinner.
Here’s the link: More balls than others.
Don’t say I didn’t warn you.
This reminds me of my experience with my fellow colleague back when we were house officers together in Hospital Kuala Lumpur. The hospital, being in close proximity to the infamous Chow Kit road and Lorong Haji Taib, is naturally a hot bed for admissions of IVDUs and vagabonds. I have seen my fair share of these insertions into the penile skin in these people. However, not so with my colleague. She was fresh and naive. Once, after examining an IVDU who was just admitted to the ward, she came running to me, her facial expression a mixture of concern, horror and utter mortification.
She told me this: “Jimbo, I think we better refer that patient to the urologist because he has multiple small tumors growing out of his penis!”
LOL!!! 
Tues, 150408 @ 0700
