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January 1976

Penile Petechiae

Author Affiliations

Toledo, Ohio

Arch Dermatol. 1976;112(1):121-122. doi:10.1001/archderm.1976.01630250065023

To the Editor.—  In the book Human Sexual Inadequacy, Masters and Johnson discuss the prevention of premature ejaculation.1 This is performed by a "squeeze technique" on the head of the penis prior to the sensation of impending ejaculation. The following is a report of an adverse effect of this technique.

Report of a Case.—  A 27-year-old man had had dark spots on the head of his penis for one day. Examination showed a nonblanching, flat, petechial eruption localized entirely to the glans penis. There were no other clinical abnormalities. Results of the following laboratory studies were within normal limits: complete blood cell count, platelet count, plasma prothrombin time, erythrocyte sedimentation rate, and urinalysis. The patient takes no medications. Questioning disclosed that he had vigorously squeezed the head of his penis during intercourse the previous day. He subsequently felt pain in the head of the penis; the next morning, he