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While penitential manuals listed what was prohibited, trial records documented what people were accused of. Artificial penile nodules are inert objects inserted beneath the skin of the penis to enhance the pleasure of female/male sexual partners during intercourse. Moreover, one of the first treatment options for erectile dysfunction (ED) was detailed in the Kama Sutra, detailing dildos and penis extensions made of wood or reeds tied to the waist. It is probably a representation of a courtesan or entertainer performing a sexually-explicit show.

At least a dozen models were available to the medical profession. Dr. Joseph Mortimer Granville patented the first electromechanical vibrator. Originally called a percussor or, more colloquially, "Granville’s hammer," the machine was manufactured and sold to physicians to relieve muscle aches.

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