To minimize the prospect of injury to neighboring structures during extraction, the doctors and experts recommend that only superficial and dorsally placed SPMs should be cornered in the emergency unit. Similar bedside replacement has been beforehand reported. A cut made immediately overlying the SPM will decrease the chance of extensive structure injury as the SPM can work as a shielding cutting bar. When a virus is there, instant dismissal of an SPM is designated to check the progress of infection and additional difficulties or tissue injury.

It is impossible to think of any surgical intervention that is free of the probability of encountering difficulties. Nonetheless, it is assumed that when feigned penile pearls are included without following the right aseptic standards, the speculations of difficulties grow significantly. The difficulties connected with penile pearls are not only limited to the original method of injecting the pearls but the long-term effect of keeping them in a single position. Although data are limited concerning long-term difficulties, research has revealed that 96.6% of 60 surveyed implant bearers had no difficulties eight years after pearling or genital beading.

This is most probably because the true report of early or delayed complications is not really reported given the illegal circumstances of the practice. One of the most commonly faced problems is that of infection which is more prevalent when the procedure is done outside of the medical facility which is done without the use of proper equipment and sterile protocols. If a patient comes in with established infection, the pearling or genital beading must be removed to enable treatment by using antibiotics. Deeper infections are quite common too.

Because of the loss of such data, there is not much comparison that can be done by the professionals between two patients posing infections. One can only assume the similarities and differences between two people due to appropriate measures that have been put to avoid complications. For example, prisoners are at a higher risk of contracting blood-borne viruses which occurs when there is blood to blood contact during drug use, tattooing, and violence. Pearling or genital beading might also augment the transmission of hepatitis B, hepatitis C, human immunodeficiency virus (HIV), amongst other sexually transmitted diseases and blood-borne infections. Injecting the implants in jail in most circumstances requires the use of shared non-sterile gloves, sharp tools used to make skin cuts, and immediate connection with other people’s blood.