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Historically, pearling or penis beads became a common practice in history when the  Yakuza organized crime syndicates of Japan used body modification to symbolize many things and events. The members of organized crime syndicate under the prison system inserted under the skin individual pearls that symbolize their years spent in prison.

It was said that the precise origin of penis beads is hard to trace. According to early documentation that was found in China, it was before 1400 that that the practice came from Southeast Asia.

Pearling or genital beading is a common practice among Filipino sailors. This process involves doing small incisions on the shaft or foreskin of the penis and inserting penile implants. Foreign bodies such as plastic balls, steel or titanium balls, and stone balls are inserted beneath the skin of the penis to heighten the sexual pleasure felt by the female partner. Male sailors usually want the penile nodules to gain an advantage against other foreign sailors and also so that they may be more attractive to prostitutes in port cities such as Rio de Janeiro in Brazil. This “secret weapon” enabled Filipino to be notorious and popular in the seafaring world. It was said that 25% of the 1.5 million seamen in the world are Filipinos.  

When inserting the “bolitas” inside the foreskin of the penis, a small, thick needle is used to do a small incision to put the beads in. However, extreme caution must be done because it is very possible for the cut to be infected.The procedure must be done by a body modifier expert.

Genital beading, or pearling, involves inserting small beads made of various materials beneath the skin of the shaft or foreskin of the penis. This beading is usually intended to enhance the sexual pleasure of partners during vaginal or anal intercourse. The practice is said to have originated with the Yakuza in Japan, who inserted pearls under the skin while in prison.

It is said that pearling or putting penis beads can be comparable to frenum piercing. Frenum piercings is placed behind the frenulum and on the loose skin on the underside of the penis with the ends protruding. The process is almost the same except that the “bolitas” or penile nodules are sealed completely under the skin. 

There are many kinds of other penis piercings. The frenum is just one example of the many kinds of piercings that can be done on the penis as enhancement and jewelry. Another piercings is the guiche or perineum which is a type of piercing that runs horizontally across the perineum. The perineum is  the soft skin below the balls and between your penis and anus. Next is the hafada or scrotal piercing which is done on your scrotum. The lorum piercing is done under the penis either horizontally and vertically.On the other hand, the magic cross is the piercing done on the glans, with an accessory that looks like two barbells that cross each other. The result looks like four beads out of the skin. The Prince Albert piercing is the kind that goes through the urethra and one that goes behind the glans. The pubic kind of piercing is one that is done on the area of the base of the penis. The piercing that is opposite of the Prince Albert is the reverse PA, which enters the urethra and goes out of the shaft. 

The many kinds of piercings have similarities to pearling and penile nodules, however, pearlings remain under the skin and are mainly done for sexual enhancement.

The preferred material for pearling are silicon beads. The texture of silicone beads is not entirely hard and solid so they usually feel good and comfortable during intercourse. As for the pattern, medical practitioners prefer a random pattern as the healing process can render the beads to move and shift anyway. As for healing, it is said that the incisions heal quickly and in just a matter of days. However, setting the beds under the skin and for the new tissue to form may take some time. It is advisable to postpone sexual activity until two weeks after the procedure. Make sure to wash the area with soap and water to sanitize.