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♥♥♥♥ and ball torture (CBT), penis torture or ♥♥♥♥ torture is a sexual activity involving application of pain or constriction to the penis or testicles. This may involve directly painful activities, such as genital piercing, wax play, genital spanking, squeezing, ball-busting, genital flogging, urethral play, tickle torture, erotic electrostimulation, kneeing or kicking.[1] The recipient of such activities may receive direct physical pleasure via masochism, or emotional pleasure through erotic humiliation, or knowledge that the play is pleasing to a sadistic dominant. Many of these practices carry significant health risks.[2]