Home > Journals > Journal of Clinical Forensic Sciences

Journal of Clinical Forensic Sciences

Submit your article Read this Journals View all journals
Full Text (PDF)
Case Report

Bullet Shaped Artificial Penile Implant in an Alleged Case of DeathDue to Firearm Injuries: A Rare Autopsy Case Report of Fang Muk like Genital Pearling

Ishwer Tayal, Shilekh Mittal, Hussanpreet Singh Gera, Parul Garg, Rohit Deora

Author Information

Licence:

Attribution 4.0 International (CC BY 4.0)

This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.

Journal of Clinical Forensic Sciences 03(02):p 101-105, July-December 2025. | DOI: https://doi.org/10.21088/jcfs.3107.6874.3225.5

How Cite This Article:

Ishwer Tayal, Shilekh Mittal, Hussanpreet Singh Gera, et al. Bullet Shaped Artificial Penile Implant in anAlleged Case of Death Due to Firearm Injuries: A Rare Autopsy Case Report of Fang Muk like Genital Pearling. Jr of Clinical Forensic Sci. 2025; 3(2): 101–105

Timeline

Received : October 30, 2025         Accepted : December 25, 2025          Published : December 30, 2025

Abstract

Road accidents pose a significant challenge in both developed and developing Artificial penile nodules are inert objects inserted beneath the skin of the penis like plastic beads made from toothbrushes, silicon, metal pellets, glass, ivory, precious metals, marbles or pearls1 due to the belief that it will enhance sexual performance and pleasure of female or male sexual partners during intercourse. In this article, one such case with artificial penile nodule made is being presented. The deceased was having a cylindrical shaped small foreign body implanted underneath the dorsal aspect of the penile skin which was presented for Postmortem examination in Mortuary as alleged case of death due to Bullet Injuries by the Investigating Police officer but on external Postmortem examination mismatch between no. Of Entry wounds and Exit wounds contrary to the presence of one Bullet inside Penile shaft created confusion to the Autopsy surgeons as Radiological examination also proved to be inconclusive. Subsequent on dissection, Internal examination revealed the object to be an artificial penile nodule, a rarely encountered form of body modification during Medico-legal examinations, Hence this case report.

References

  • 1.   Fischer N., Hauser S., Brede O., Fisang C, Muller S. Implantation of artificial penile nodules – A review of literature. J Sex Med 2010; 7: 3565-71.
  • 2.   Wilcher G. Artificial 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. Selfmutilation. Plastic Professional Article Serbian Journal of Dermatology and Venereology 2013; 5 (4): 165-170.
  • 4.   Wolf P., Kerl H. Artificial penile nodules and secondary syphilis. Genitourin Med 1991; 67: 247-9.105 JCFS/Volume 3 Issue 2 / July–December 2025
  • 5.   Norton S.A. Fijian penis marbles: An example of artificial penile nodules. Cutis 1993; 51: 295-7.
  • 6.   Serour F. Artificial nodules of the penis. Report of six cases among Russian immigrants in Israel. Sex Transm Dis 1993; 20: 192-3.
  • 7.   Rothschild M.A., Ehrlich E., Klewno W.A., Schneider V. Selfimplanted subcutaneous penile balls – A new phenomenon in Western Europe. Int J Legal Med 1997; 110: 88-91.
  • 8.   Hudak S.J., McGeady J., Shindel A.W., 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 A.M., et al. Penile implants among prisoners – a cause for concern? PLoS ONE 2013; 8: e53065.
  • 11.   Lee T.S. 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., Sutcliffe C.G., 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. Artificial penile bodiesfrom Kama sutra to modern times. J Sex Med 2009; 6: 1543-8.
  • 16.   Loue S., Loarca L.E., Ramirez E.R., Ferman J. Penile marbles and potential risk of HIV transmission. J Immigr Health 2002; 4: 117-8.
  • 17.   Hull T.H., 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
  • 1.   Fischer N., Hauser S., Brede O., Fisang C, Muller S. Implantation of artificial penile nodules – A review of literature. J Sex Med 2010; 7: 3565-71.
  • 2.   Wilcher G. Artificial 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. Selfmutilation. Plastic Professional Article Serbian Journal of Dermatology and Venereology 2013; 5 (4): 165-170.
  • 4.   Wolf P., Kerl H. Artificial penile nodules and secondary syphilis. Genitourin Med 1991; 67:247-9
  • 5.   Norton S.A. Fijian penis marbles: An example of artificial penile nodules. Cutis 1993; 51: 295-7.
  • 6.   Serour F. Artificial nodules of the penis. Report of six cases among Russian immigrants in Israel. Sex Transm Dis 1993; 20: 192-3.
  • 7.   Rothschild M.A., Ehrlich E., Klewno W.A., Schneider V. Selfimplanted subcutaneous penile balls – A new phenomenon in Western Europe. Int J Legal Med 1997; 110: 88-91.
  • 8.   Hudak S.J., McGeady J., Shindel A.W., 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 A.M., et al. Penile implants among prisoners – a cause for concern? PLoS ONE 2013; 8: e53065.
  • 11.   Lee T.S. 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., Sutcliffe C.G., 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. Artificial penile bodiesfrom Kama sutra to modern times. J Sex Med 2009; 6: 1543-8.
  • 16.   Loue S., Loarca L.E., Ramirez E.R., Ferman J. Penile marbles and potential risk of HIV transmission. J Immigr Health 2002; 4: 117-8.
  • 17.   Hull T.H., 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

Data Sharing Statement

There are no additional data available. All raw data and code are available upon request.

Funding

This research received no funding.

Author Contributions

Whether all authors contributed significantly to the work and approve its publication.

Ethics Declaration

his article does not involve any human or animal subjects, and therefore does not require ethics approval.

Acknowledgements

We would like to express our gratitude to the patients, their families, and all those who have contributed to this study.

Conflicts of Interest

The authors report no conflicts of interest in this work.

About this article

Cite this article

Ishwer Tayal, Shilekh Mittal, Hussanpreet Singh Gera, et al. Bullet Shaped Artificial Penile Implant in anAlleged Case of Death Due to Firearm Injuries: A Rare Autopsy Case Report of Fang Muk like Genital Pearling. Jr of Clinical Forensic Sci. 2025; 3(2): 101–105

Licence:

Attribution 4.0 International (CC BY 4.0)

This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.

Received Accepted Published
October 30, 2025 December 25, 2025 December 30, 2025
DOI: https://doi.org/10.21088/jcfs.3107.6874.3225.5

Keywords

Penile artefactSexual BehaviorPostmortemFirearm Injuries

Article Level Metrics

Last Updated

Tuesday 16 June 2026, 22:06:34 (IST)

1444

Accesses

8
256
00

Citations


NA
NA
NA

Download citation


Article Keywords

Keyword Highlighting

Highlight selected keywords in the article text.


Timeline

Received October 30, 2025
Accepted December 25, 2025
Published December 30, 2025

licence

Attribution 4.0 International (CC BY 4.0)

This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.


Access this article

Reprint Order Form
Buy this Article
Institutional Subscriptions

Share