This reminds me of the Wikipedia article on cock and ball torture; the heavy metal-esc screaming fits perfectly with what this character is actually doing in the song, which makes it quite interesting to listen to. Unfortunately you do get knocked down for making me wince every time he says a word (lyric-wise), but the weird and creepy outro is so random and unexplained that I consider it to be a representation of the remains of this dude’s destroyed cock.