A US woman has pleaded not guilty to causing a man's death with an injection of silicone he hoped would enlarge his penis.
Kasia Rivera, 35, could face up to ten years in prison if convicted of reckless manslaughter in the death of 22-year-old Justin Street.
Mr Street, a father of two, had gone to Rivera on May 5 seeking a penile enlargement procedure, which prosecutors say Ms Rivera advertised for in fliers posted at local businesses.
Ms Rivera, who performed the procedures in her apartment, allegedly with no medical license or training, administered a silicone shot to Mr Street's penis, according to prosecutors.
Mr Street died the next day. His death was ruled a homicide following an investigation and a medical examiner's determination that he died of a silicone embolism. Ms Rivera was indicted by a grand jury last month.
Investigators believe Ms Rivera may have conducted other similar unauthorised procedures out of her New Jersey apartment, but prosecutors said a search for witnesses, and a public plea for people to step forward, had not yielded any other clients to date.
Ms Rivera, who remains free on $US75,000 ($72,854) bail, declined to comment through her court-appointed lawyer on Tuesday.
Dr Daniel S Elliott, an associate professor of urology at the Mayo Clinic in Rochester, Minnesota, said it was the first case he'd heard of involving a silicone injection to the penis, but he's dealt with similar cases where patients had attempted to enlarge their penises with injections of fat or other substances.
None of it works, Dr Elliott emphasised, adding that there is no medical justification for the procedure."If there were a legitimate method for penile lengthening, Johnson & Johnson or Pfizer would have bought it up and made billions and billions of dollars worldwide," Dr Elliott said. "The fact that they don't means it does not exist."
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