The Prince Albert (PA) is one of the most common male genital piercings. The PA is "a ring-style piercing that extends along the underside of the glans from the urethral opening to where the glans meets the shaft of the penis." The related "reverse Prince Albert piercing" enters through the urethra and exits through a hole pierced in the top of the glans. While some piercers may choose to avoid the nerve bundle that runs along the center of the frenulum altogether, others may choose otherwise. The piercing can be centred if the bearer is circumcised. Otherwise, the piercing must be done off-centre so that the surrounding skin can reposition itself. Procedure The piercer usually starts by pushing a metal or glass tube down the urethra, or using their fingers to hold the urethra open. The piercer then slides the needle into the frenulum and goes up the tube, using pliers to bend the ring into shape. Healing and potential side effects The Prince Albert healing time can take from 4 weeks to 6 months. A fresh PA piercing may cause bleeding, swelling and inflammation. In rare cases, it can lead to local infections. Some men find that the dribble caused by the PA when urinating necessitates sitting down to urinate. With practice, some men can control the stream while standing. Some PA wearers report it enhances sexual pleasure for both partners. However, others penetrated by males with this piercing report discomfort. PA rings can cause additional discomfort to female partners in cases when the penis comes in contact with the cervix. Sexual partners of those with piercings may experience complications during oral sex such as chipped teeth, choking, foreign bodies getting stuck between the partner's teeth, and mucosal injury to receptive partners. As with many piercings, there is risk of the jewelry becoming caught on clothing and being pulled or torn out. Very large gauge or heavy jewelry can cause thinning of the tissue between the urethral opening and the healed fistula resulting in an accidental tearing or other complications with sexual experiences. Conversely, extremely thin jewelry can cause the same tearing in what is commonly referred to as the "cheese cutter effect", either during sudden torsion or over a long period of wearing, especially if the thin jewelry bears any weight. Jewelry Prince Albert piercings are typically pierced at either 12 or 10g (2 or 2.5mm). They are