The guy must work in medicine. He used a special type of needle that is used with vacuum test tubes to collect specimens for the lab. He was able to needle the head of his cock twice and not bleed until he was ready with a full erection and almost ready to cum. The guy is a master at this. The tourniquet at the base of the cock restricts the exit of venous blood from the penis. This way the arterial inflow is enough to keep him hard despite the loss of blood. The bleeding is very real. He made sure to wave his cock so that everybody can see the blood shooting from the needle holes. No fake tubing here. I would love to see a big dicked masochist white boy do this. No aspirin or other blood thinners before doing it. Releasing the tourniquet and a little pressure on the cock head should quickly stop the bleeding.