Beaded Penis
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People Are Shoving Beads into Their Penis Skin for Better Sex
Google image "pearling" at your own risk.
ORIGINAL REPORTING ON EVERYTHING THAT MATTERS IN YOUR INBOX.
Recently, my girlfriend told me about a sexual experience she’d had long ago with a Yakuza—a member of a number of transnational organized crime syndicates originating in Japan. Up until that point, the only two things I knew about the Yakuza were that the name derived from the unluckiest hand you can be dealt when playing the Japanese card game of Oicho-Kabu (Ya-ku-za literally means “eight-nine-three”) and that tattoos are so synonymous with the Yakuza that literally anyone with any conspicuous ink can be denied admittance to a public baths or onsen in Japan.
My girlfriend told me that she didn’t remember the guy having any tattoos but she did recall the pearls in his penis. I rewound and reviewed the sentence in my head to see if I should know what she was talking about. I didn’t. “Yakuza put pearls in their dicks to make sex better for their partners,” she said, explaining that it’s intended to provide more vaginal or anal stimulation. When I asked her if it worked, she matter-of-factly explained that she was more focused on the unnerving realities of having sexual encounter with a bona fide gangster than the way anything felt.
I was so gripped by the other aspects of her story that I didn’t look into what putting pearls in one’s penis would actually entail until some days later. Based on her brief description, I originally thought that the procedure involved shoving pearls into the penis via the urethral opening as though loading a miniature musket. A 2010 review of the literature concerning the “implantation of artificial penile nodules” published in the Journal of Sexual Medicine, however, gave a comprehensive overview that both confirmed this odd bod mod with organized crime, and gave me a clearer picture of what the procedure entails. Allow me to explain.
Known as pearling or beading, this sort of body modification requires an incision to be made on the shaft of the penis into which a spherical or sometimes rib-shaped object is placed. Originally pearls were used—hence “pearling”—but implants are also made of silicone, nylon, Teflon, stainless steel, or titanium. Often, a single object is implanted on the dorsal aspect (top side) of the penile shaft though they can be placed in rows or arranged randomly around the circumference and length of the shaft. As you might expect, having pearls installed isn’t without its risks.
“Those undergoing pearling must remember that a foreign body is being implanted into the body.” says New York City-based plastic surgeon Neil Tanna, who adds that placing any implant in the body has the potential to result in bleeding, infection, foreign body migration, and loss of sensation. “In addition, severe inflammation can result if an unsuitable material is inserted under the skin.”
A knobbly and possibly infected penis might not strike you as aesthetically pleasing—a little too wabi-sabi, to borrow the Japanese phrase that roughly means "the beauty in the imperfect, impermanent, and asymmetrical." But then, increasing sexual pleasure—not the look—is pearling’s primary purpose. I find it fascinating, almost charming, that macho, gang members of patriarchal crime syndicates would care enough about eliciting partners’ sexual pleasure that they’d retrofit their genitals to that end. Then again, it’s worth noting that amongst themselves, Yakuza refer to to various syndicates they belong to as "ninkyō dantai” or "chivalrous organizations.”
Interestingly, pearling among the Yakuza primarily goes down in prison, each pearl placed under the skin symbolizing a year spent in the big house. Somehow pearling behind bars caught on in the US, too, with inmates using the sharpened end of a plastic spoon to make the incision and stuffing dominos, marbles, and broken-off heads of chess pieces under the skin of their penises. Two summers ago, Vice got four prison inmates to open up about their experiences with pearling in the Hooskow. Somehow, they weren’t pressed on the paradox of making one’s penis ostensibly more pleasurable to female partners when there are none around.
In that piece, one inmate talks about an ex-prostitute friend of his who reported that sex workers hated the implants as they tend to hurt. Still, the idea that having your penis pearled will make have you wringing orgasms out of your partner by the dozen seems to have taken root. It’s popular in Cuba despite the practice having led to tetanus, balanitis (an inflammation of the head or glans of the penis), and gangrene that ultimately resulted in more than a few penile amputations. It’s also popular among and Filipino sailors. According to one 1999 survey, 57 percent of 314 randomly selected Filipino seafarers were sporting bolitas or little balls, many believing that this actually made them more popular with prostitutes, particularly those in Rio De Janeiro.
Cuban sex therapist Almudena López of Móstoles University Hospital highly doubts that the pearls work as intended. "For it to really stimulate the clitoris, the pearl should be placed at the very base of the penis, which never happens,” she told VICE in 2016. “As for the G-spot, that's something you can easily reach with a finger, but it's much more complicated to reach directly with the penis. Of course eroticism is for a big part a psychological affair, and given that the famous pearl has some mysteries to it, it might actually tickle the brain more than any other part of the body."
If you’re somehow still interested in recontouring your penis, you may have a hard time finding a practitioner outside of the prison system—it doesn’t seem be be something that’s advertised. If, however, you see a guy with devil horns subdermally implanted into his forehead, it would be a safe bet that he knows a guy.
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A sexually active 45-year-old Hispanic male presented after falling out of a moving vehicle. The patient appeared to be in no acute distress, had a Glasgow Coma Score of 14, and smelled of alcohol. The primary survey did not reveal any obvious life-threatening injuries.
The patient was complaining of occipital, right shoulder, and left lower leg pain. Visual examination of the genitourinary system revealed multiple 1-cm subcutaneous nodules diffusely spread around the circumference of the penile shaft ( Figure 1 ). The lesions were hard, nontender, and fixed to the underlying tissue. A Foley catheter was inserted to allow for strict monitoring of input and output.
This type of body modification, also known as pearling or genital beading, is a practice where an implantable material—be it spherical or rib shaped—is inserted into the subcutaneous tissue of the penis. 1 Insertion of these foreign objects is done usually for increasing sexual pleasure for both parties and is aesthetically pleasing to some.
Pearling has been closely associated with certain Asian cultures having ties to the Japanese mafia, and the Yakuza, who allegedly placed 1 pearl under the skin of the penis to symbolize each year spent in jail. 2 It is also a fairly common practice among older Filipino sailors, who are said to have learned the practice from Japanese seamen.
The implants come in several different materials such as silicone, nylon, Teflon, stainless steel, and titanium. 2 Historically, genuine pearls were used—lending to the name pearling. Implants are inserted under the skin surface via small superficial incisions, most commonly on the dorsal aspect of the shaft. Stitches may be temporarily used to close the incision. Patterns range from a single implant, to a row of implants on the dorsal surface, to multiple implants randomly spaced around the circumference of the entire shaft.
This practice is not without consequences, including significant debilitation and mortality. The risk with penile implants is the same as when any foreign object is inserted into the body. Infection, rejection, inflammation, pain, and allergic foreign body response are all possible outcomes of such implantations. Possible long-term complications of pearling include scar tissue formation, which may cause chronic pain or erectile dysfunction. One unique complication of this practice is that the sexual partner may not find the penile modification pleasing. Recently, body modification has gained increasing popularity in the US prison system. Inmates, utilizing limited tools and who have little to no knowledge of penile anatomy, have attempted the procedure on their own—often requiring emergent surgical intervention. 2
Upon further examination and questioning, the above patient was found to have over 30 beads surgically implanted into his penile shaft. The patient stated that pearling was popular in Los Angeles in the 1990s where he resided, and in particular, among his many Thai acquaintances. At 3 separate sessions, each about a week apart, a “doctor” in Chinatown inserted 10 to 12 pearls made of Teflon. The patient denied any post-procedure complications such as bleeding, infection, pain or erectile dysfunction, and reportedly engaged in sexual intercourse without problems within a week of the final session.
At the time of interview, the patient reported current sexual activity with his wife; which he stated was enhanced for both of them. The patient also stated that he had no future intention to remove the pearls and has even recommended them to friends.
In recent times, body modification has become increasingly popular and healthcare practitioners need to be aware of the different forms and associated complications that may arise. In the case of genital beading, a urologic consultation is recommended if there is any suspicion of injury to the urethra or related deep penile structures. ■
Acknowledgement: The authors want to thank LeAnne S. Kerr, RN, MSN, trauma clinical research nurse at Memorial Regional Hospital in Hollywood, FL.
1. Fischer N, Hauser S, Brede O. Implantation of artificial penile nodules--a review of literature. J Sex Med. 2010;7(11):3565-3571.
2. Nguyen DP, Desai BK, Falgiani M. Visual diagnosis: pearling: a case study. Int J Emerg Med. 2011;4:74.
https://www.vice.com/en/article/gy3j47/pearling-body-modification-sex
https://www.consultant360.com/articles/penile-beading
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