sex sent them to the er for this i needed a consultation from my good friend dr rena malek welcome to the channel thanks so much for having me are you excited to watch the show i'm so excited and i've heard you watched a couple episodes i watched one yeah it looks like your penis has sustained major trauma what is all of this it was like wearing a medieval torture device is probably not most people's idea of a good time but this man had been unfaithful before so this couple thought it was necessary i've not seen a patient who's been forced to wear one because they've been unfaithful yeah that's a punishment as opposed i mean maybe they want the punishment so like s m you gotta be open to that adult play after lovemaking this couple went through their bizarre ritual when she take the key and lock them up until they meet again the bit that hurts the parts make it work my favorite part i'm the only one with the kitty or what would happen if you were to get an erection trapped inside of a plastic case it would hurt it would hurt and you could possibly damage your penis right if the erection was bent in a different way you could create micro tears in the penis which over time could cause problems with erectile function oh my gosh my necklace the key i've lost it you what oh my god you're gonna break me free brace yourself oh no you know we do see things get stuck on penises and all the time uh people will use different things as [ __ ] rings and then they'll fall asleep they'll they'll be intoxicated or they will have an erection and then it gets swollen and then it gets stuck you have to use all sorts of different things like jiggly saws to cut them off but not a hammer fortunately it looks like just abrasions and contusions there's no role here for an ultrasound to check for hematomas i feel like well so you can get an mri to make sure there's no fracture but ultimately if there's just hematomas or you know essentially blood clots or you know blood forming underneath the foreskin there's really nothing you need to do but wait for some time please just get these things out of me okay things get what out of you the rocks okay the rocks [Music] hey let's use these pop rocks candy rock those the pop i was gonna say that but then i was like that's ridiculous raging yeast infection here and here they're burning okay oh it hurts there's lots of swelling and irritation use toys or devices aids that are used they're meant for sexual purposes they have you know flavored lube favorite condoms make sure you try them on your skin before you try them down there to make sure you're not having an allergic reaction or something but these some of these things can put you at higher risk for yeast infections like you talked about i better put it somewhere else i wonder what it'd feel like down there i tell her you know this isn't a good idea i probably shouldn't be doing this sugar is not meant to be in that area yeah generally speaking you know you want to keep sticky icky things away from the genitals good point after the popsicle melted this couple went to heat things up in the bedroom she was scruming around quite a bit more than normal so i kind of figured something was wrong there was some tenderness or something so i was hoping it was just an infection an infection that quickly is unreasonable i really don't want to tell the story so i was really vague with the doctor and we were using you know sort of a sex toy this is so common i'll just tell you that people never want to say exactly what they were doing very often they were like minding their own business or something else or you know they make up a story because they're super embarrassed what's the wildest story you've ever had like now while it's like the worst example where it's obviously unbelievable well so there was a guy who was cheating on his wife and he came in for a penile fracture which is where you um if you have vigorous intercourse and you break the penis essentially and you have to that's a surgical emergency so he came in he told his wife he was masturbating in the car and that's how it happened popsicle okay it was a popsicle that's what we used as a sex toy and after a while i just got numb to it you definitely gave yourself cold peniculitis that's a quick diagnosis yeah called tranniculitis cold peniculitis in my head is like kind of like frostbite is that yeah i think so i think that's reasonable i mean it's basically exposure to cold that leads to an eruption of the skin causing you know kind of a rash-like syndrome should clear up in a few days we'll get you some ointment to take care of the inflammation i'm assuming you're going to throw some corticosteroid on that problem you know what we learn in med school it's when it's dry it make it wet when it's wet make it dry a popsicle is not a sex toy just like how we say if you're icing an injured area you don't apply the ice directly to the skin because you could damage the skin that's essentially burning your skin with ice absolutely which is counterintuitive right burning with ice yeah my husband has a problem with his private parts it's my penis it's all red and swollen why when we talk about our bodies we get so uncomfortable what is what that happens often oh i think it starts when we're young right if your parents don't teach you the right words for vagina and penis you know you're like my hoo-ha my this my you know and it becomes like an embarrassing thing and it's part of culture that penis looked like a cabasa with speed bumps these bumps on your penis are they some kind of beads he said those are glass beads that have been implanted in the skin of my penis we like his penis the way it is that's all you need to know people have injected many things into their penis right there's a there's a big population in prisons that does a lot of injecting of fillers and actually these beads is penis pearling i believe it's called they um there it started in asia with this this uh this crime syndicate i think it's called camera name for every year they were in prison they would insert another pearl they were doing it as a punishment it was like a positive thing correct to show like how manly they are just use a ribbed condom exactly i think it's the same thing right the infection could spread and you could lose a lot more than just the bead it could be fatal get it out please so the procedure that we use is we numb the area then i make a small incision in this case over the bead and then pop the bead out gotcha gotcha gotcha gotcha okay we're done you did great and then you leave the rest of the beads in there well if they're not infected in theory you could leave them in there i saw a man's genitals swollen and slightly bluish discolored at the base of them was this large steel ring ring on the testicles maybe you look terrible this is all my fault oh hello hi how about a man's bringing home a new accessory from a sex toy party be a bad thing i don't think that's gonna fit around me it doesn't go around just that it goes around everything some people get pleasure from perineal stimulation right so when you're tugging on it the erectile bodies of the penis go down into the perineum but whenever using rings you want to use ones that are silicone that can stretch really easily or have some sort of release valve otherwise you'll end up in a situation like this i can't get it off oh my god danny i'm gonna go to the er damn looks like the only way we're gonna be able to get this ring off is by cutting it off what kind of saw you you said earlier what's a jiggly i never thought i'd ask that what's a jiggly you know i don't really know what it is we just know that's what we have to call for okay and sometimes we have to call the fire department if the er doesn't have one but then they bring that giant thing yeah this ring was bigger and thicker than most of the rings that i've seen before but i figure well let me see if we can cut through that yeah i've used one of those before and then i i feel like you could put like a a piece of metal to protect yes so you can get like a small malleable blade from the or and put it underneath so that it hits that we're going to need a bigger tool oh here we go he called the fire department why are they holding him like he's going to jump hold him still okay [Music] i was frankly a little worried you know could i pull this off all right here we go ready look at that and the ring is off that was a scary way of doing it this man had a close call so here's some advice for you ladies too just because you like it doesn't mean you should put a ring on she seemed to be having this fantastic orgasm it was as though we were still having sex even though we had stopped for some minutes it's almost 8 30. the meter maids are coming soon you're going to move your car it won't stop what are you still having an orgasm yes so i don't know about having long orgasms certainly usually don't last this long but you can have persistent genital arousal disorder which is a rare condition that happens in mostly women where they have persistent feelings of arousal and the same changes that happen in your body when you're aroused and having orgasms like blood flow to the area and sometimes sensitivity can continue to occur it can be very distressing and actually uncomfortable it's not like a pleasurable scenario coming in the door in a full orgasm let's give her some dyes about all right and run those tests so they went to dispensary to try and get the valium and while they were still writing up the paperwork i stopped that's got to be traumatizing if the next time you have sex you're like whoa what if that happens again yeah and usually so with these patients who have it persistently not in this short period it can be like extremely distressing and up to 54 of people like say they'll have suicidal ideation i mean it's really serious yeah it got to the point where i could just be like doing whatever watching tv walking down the street and i could have an orgasm out of the blue i would have as many as 12 spontaneous prolonged orgasms in one day at the end of the day after a lot of research was done they finally determined that i'm bipolar and they had to switch me from antidepressants to bipolar meds so i guess this was like the mania component of the bipolar i think it was probably pgad or persistent dental arousal syndrome or disorder and again they can be treated with antipsychotics so maybe she had other emotional symptoms as well but i think yeah i don't think you can make a diagnosis of bipolar disorder off of just that one symptom right so there have to be other things that they're not sharing right i have a very happy sex life and that's a really great feeling well that's great because i worry that by taking medications could you hurt your sex life could there be sexual dysfunction as a result of the medicine yeah so ssris have side effects of low libido very commonly if you do develop low libido on these medications they can either change medications or add medications to help with libido so if you're suffering from that talk to your psychiatrist or doctor whoever's prescribing it i'm sorry i didn't mean to hurt you baby he gave her a look at one point which said to me apparently there was something more going on the vacuum hose was attached to his penis and his left testicles trapped inside we use vacuum erection devices for men with erectile dysfunction but they're a controlled suction right so in this case you know it's uncontrolled suction when i examine his genital region i see swelling and bruising and disgrutal sack could be compromised and of course the pedis could be suffering injury as well i began cutting the vacuum hose with the saw did he need to bring this like why is there sparks it's not metal everyone heaves a great sigh of relief but our celebration is short-lived it's clear that his genitals are swollen they're bruised they really look to be in poor shape if you have something that's on there for a significant period of time yeah it's going to constrict and constrict and it's going to cause swelling beyond the constriction and then it will just start getting bigger and bigger and over time yes you can cause blood flow to decrease to the penis so you want to get it taken care of as quickly as possible because of the size of the tomato seal which is a collection of blood it was very likely that the circulation to the testicle was compromised is that bad surgical emergency immediately or else doors open income the paramedics with this lady you open your eyes let's get her to this bed non-verbal pale she's in shock she needs immediate intervention can you tell me exactly what happened you know my papa dying has been really stressful on everyone this had occurred after the death of a family member at the wake they snuck off for some alone seriously what are you doing i'm ovulating when this husband wasn't able to perform they broke into grandpa's prescription stash who has funerals in their own homes i don't know at the person who's deceased home especially i know she's ovulating but she's going to be ovulating doesn't have to happen during the funeral and also perfectly acceptable to not be in a sexual mood at a funeral absolutely like i think that's a big thing in in men's sexual health right it's okay that you are not always ready to perform and i think that adds so much anxiety and so much stress for men and women are like why can't you what i've seen pattern wise emerge is my female patients try to always look physically perfect to um their friends and family members the male patients always try and be mentally perfect yeah so they might not smell great in that but they always have to be tough and strong and aggressive what's this nitro paste it would open up how do they know physiology so well that they're like we know how nitro paste works i don't know like let's put this on your penis like what grandpa's heart mentioned gets the blood flowing right let's try it wow whoa that worked better than i expected would that work like i didn't even know if that's like a treatment anything that increases nitric oxide will increase blood flow to the penis and then cause an erection so potentially yes do not recommend okay okay sam oh my god sam what's the matter so she's basically experiencing systemic effects of the nitro where she's vasodilating so much so that it's dropping her blood pressure but i'm surprised he's not because yeah nitro pace is meant to be absorbed topically so why is he not getting any symptoms that she is and that's the last thing i remember dude you had sex in papua's house and uses madison at his wake that's crazy how was this show huge thank you to dr malek for coming over check out her channel and if you want to see some more tlc shows click here as always stay happy [Applause] [Music]