Mad Doctor Miss Beth Bedlam has her 'patient' secured to her bench.

Both she starts the operation she fits a catheter - he whinces in pain as the long tube is pushed down is penis and into his bladder.

Then, the procedure can begin.

Miss Bedlam gets a stapler and starts stapling together the skin from his ball sacks to took away the penis, to create him a mangina.

Each staple going in causes another eek of pain - there is nothing to numb the pain from this procedure.