The implants are inserted into the skin via an incision, most commonly, on the dorsal aspect of the shaft. Some stitches might be used here to close the incision and patterns might be formed which range from a single implant to multiple implants on the dorsal shaft. It might also include multiple implants randomly placed around the entire shaft.

However, here are some of the cultural and historical ways of going through the pearling or genital beading procedure:

• Kamasutra: In fact, historically speaking, pearling or genital beading was first mentioned in Kamasutra as a way to enhance sexual activity.
• Siam (Chinese Culture): Besides this, in Chinese culture too, especially by the explorers in Siam in 14th and 15th centuries is also recorded. In this culture, pearling or genital beading was done to the penis as a sign of wealth and prosperity and for enhancing the looks. The exact origin of pearling is not known to us, but early records in China show that it had been introduced from Southeast Asia no later than the beginning of the 1400s. Old records relate to the enclosures such as “mianling”, actually decoding to “Burmese bells”.
• Japanese Mafia (Yakuza): Pearling can also be associated with many Asian cultures which have links to the Japanese mafia and the yakuza who placed a single bead inside the penis for each year spent in the prison. The best-known traditional practice of pearling includes the Yakuza established crime organizations of Japan, whose constituents perform many important models of body modification, including large body irezumi tattoos and Yubitsume, the modification of finger joints in repentance to their leaders. Pearling is performed in prison by the Yakuza, with a single pearl apparently expressing a year spent in prison.
• Filipino Seamen: It is also a very common kind of practice amongst the Filipino sailors who are said to have acquired the system for the Japanese seamen. Pearling, also known as ‘bolitas’, has become a standard method among Filipino sailors, particularly among the more traditional ones. Journalist Ryan Jacobs, recording in The Atlantic, published in 2013 that sailors utilize bolitas to distinguish themselves from other foreign seamen, principally to make themselves more known among the prostitutes.
• Old Philippines: In the Philippines, researchers have discovered that these were existing in different styles from the Visayas to southern Luzon. In the Visayas, bars composed of gold, ivory, or brass were included in young boys into their penis heads, according to an analysis by the pre-eminent archaeologist of pre-colonial Philippines, William Henry Scott. As the guys became older, these pins would be enhanced and they would later connect bluntly spiked hoops for the pleasure of their sex partners. In Barangay, his examination of 16th-century Philippine ethnography, Scott addressed, “these ornaments required manipulation by the woman herself to insert and could not be withdrawn until the male organ was completely relaxed.” Scott continued that there were as numerous as 30 diverse species to “cater to a lady’s choice.” The method comes from the Pre-colonial era in the Philippines wherein devices such as the Tudruck (Penis-pin) and Sakra (Penis-ring), usually made up of gold or ivory, were injected into the genitals of young adults. Antonio Pigafetta, the Italian historian of Ferdinand Magellan’s circumnavigation, once composed about this fashion in his memoirs:

Both young and old males pierce their penises with a gold or tin rod the size of a goose quill. In both ends of the same bolt, some have what resembles a spur, with points upon the ends; others are like the head of a cart nail. I very often asked many, both young and old, to see their penis, because I could not credit it. In the middle of the bolt is a hole, through which they urinate. The bolt and the spurs always hold firm. They say that the women wish it so, and if they did otherwise they would not have communication with them. When a man wishes to have intercourse with a woman, she takes his penis not in the normal way, but gently introduces first the top spur and then the bottom one into her vagina. Once inside, the penis becomes erect and cannot be withdrawn until it is limp.

Pearling or Genital beading Procedures

There are two most common procedures done for pearling or genital beading, one is similar to frenum piercing and the other being similar to a subdermal implant which requires more medical knowledge and specialized tools. Both these procedures are safe with some risks and healing procedures much like an implant done on any other parts of the body. However, the generous blood flow towards the genitals can reduce considerably the healing time of the pearling or genital beading. Inflammation is a common factor during and after healing procedures although if done carefully, one can minimize this. Rejection during pearling or genital beading is also rare but can occur.