Background: Artificial penile nodules are foreign bodies implanted under the skin of the penis to enhance sexual pleasure. It is frequently encountered in Asian countries, but rarely in western countries. Most of the subjects are soldiers, drug addicts, sailors, prisoners, or members of low economic groups. Goal of the study: Our experience and review of the literature are reported. Study design: During a circumcision program among Russian adult immigrants in Israel, such plastic nodules were encoun tered. Results: The nodules were found in six men, for a prevalence of 0.64%. Conclusion: Physicians should be familiar with this practice in certain groups of men, and especially Asian men. This report suggests that it may be widespread elsewhere in the world.