The device is actually designed to not pierce the skin of the penis. Here is a statement quoted from the device's creator: “It hurts, he cannot pee and walk when it's on,” she said. “If he tries to remove it, it will clasp even tighter… however, it doesn't break the skin, and there's no danger of fluid exposure.” Article source: http://www.cnn.com/2010/WORLD/africa/06/20/south.africa.female.condom/index.html