Case Report

A Complication of an Unusual Sexual Practice

Authors: Jeffrey A. Summers, MD


A patient presented with scrotal cellulitis as a complication of infusing 900 ml saline into his scrotum. He had obtained a kit along with explicit instructions for performing the infusion through the Internet. This practice may be more widespread than expected. An Internet search revealed many references to this procedure, but a MEDLINE search showed virtually no information in the medical literature. Patients who are considering scrotal inflation, as it is called in the lay literature, should be warned of the potential complications of this procedure.

This content is limited to qualifying members.

Existing members, please login first.

If you have an existing account please login now to access this article or view your purchase options.

Purchase only this article ($15)

Create a free account, then purchase this article to download or access it online for 24 hours.

Purchase an SMJ online subscription ($75)

Create a free account, then purchase a subscription to get complete access to all articles for a full year.

Purchase a membership plan (fees vary)

Premium members can access all articles plus recieve many more benefits. View all membership plans and benefit packages.


1. Chase Union web site: Accessed May 13, 2003.
2. Xapp's Dungeon web site: Accessed December 30, 2002. (Note: This Internet address is no longer correct. The URL of this web site changes frequently.)
3. Vogels J. At the back. See Magazine, vol 427, Feb 7, 2002.
4. Savage D. Savage love. Philadelphia Weekly 31(8), Feb 20, 2002.
5. Savage D. Savage love. Village VoiceFeb 20–26, 2002.
6. Love B. The Encyclopedia of Unusual Sex Practices. Fort Lee, NJ, Barricade Books, 1992.
7. Sharma TC, Kagan HN. Scrotal emphysema. Am Surg 1980; 46: 652–653.
8. Bush G, Nixon RK. Scrotal inflation: A new cause for subcutaneous, mediastinal and retroperitoneal emphysema. Henry Ford Hosp Med J 1969; 17: 225–226.
9. Hussain NA, Warshaw G. Utility of clysis for hydration in nursing home residents. J Am Geriatr Soc 1996; 44: 969–973.

Character is much easier kept than recovered. - —Thomas Paine