Figure 1: Schematic illustration of the surgical procedure. (a) Ligature of silk string is passed proximally through the metallic ring. (b) The silk was wound around the penis 10 to 15 times just below the metallic ring. Subcutaneous punctures were performed at three sites of the distal part penis foreskin with a 22-gauge needle. A glandular puncture was performed at the glans of penis. (c) The metallic ring is then pushed distally 2 to 3 mm down the penis.