# When the Battle for Optimal Penile Tumescence Ends Up in the Emergency Room: Erectile Boost or Dysfunction?

## TL;DR

Two men ended up in the ER after trying to compete to see who could maintain penile tumescence longer using objects like a metal ring and a plastic bottle.

## Contribution

Reports a novel case of penile injury due to a competitive attempt to prolong tumescence using non-medical objects.

## Key findings

- Penile injuries occurred due to the use of a metal ring and a plastic bottle to test tumescence duration.
- Emergency intervention was required to remove the objects before professional help arrived.
- The incident highlights unusual causes of penile trauma and the risks of non-medical interventions.

## Abstract

We report two cases of penile injuries among two patients as they presented to the emergency department simultaneously. The medical history revealed that they decided to run a contest to determine whose tumescence would be more long-lasting. For this purpose, the first patient used a metal ring and the second the neck of a plastic bottle. The metal ring was cut with a Dremel® cutting wheel (Racine, WI, USA) after the local fire department was called for assistance. We managed to remove the bottleneck with bone cutter forceps minutes before the arrival of the rescue team.