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Genital Piercings: What Is Known And What People with Genital Piercings Tell Us Caral Caliendo Alden E, Roberts im many praction ‘lions with body ceings in. vinblo {face and'oars) ond somivble (oavel, nippia, and tongue) ses Na ‘i for patos wth “urology problems are encounter. Ing mote patients with body plocings in intimate ates sock 1S the genial, For examples While performing 0 physical assessment, the professional ‘nore discovers thai the 25-year (ld female client ts wearing to Shiver rings om he lia. "A Styearold malo present with a groin injury Doing the examination, the Urologic turse feiss pias 0 owely ‘Aa the proliferation of body jercg continues 20 vill am bres af lients who sock care for roatnent of adverse effects. ‘Theo ytiemts may? present for Mya L ‘Armstrong, EdD, RN, PRAM, Is a Professor’ Texas! Tech Gverety Moat Setences Cantor Schoo! of ‘Nursing, Toxas Tee) Universi igh Lakes, Mae Fale, 7X ‘Carol Catlondo, NO, CNM, CANE, is Dean, Cotege ef Professional Sues, Sand 8 Proescor, Schoo! of Nurse, (Cotow Grier Pisburgn PA ‘Alden &, Roberts, PhO, is a Protessor Daparimane of Soctigy ‘dnivopaogy, and Social Work, Texas Tact Univers, Lubbock, TX ‘Nurses need information about poopte with genfta percings 60 that they may provide nonjudgmental, ellnfcally competent care. The genital piercing procedure, types of genital plercings, information {ound in the health care IRerature, and deta from 37 subjects who have self-reported genital plercings are presented. {or a variety of physi- Additionally, lack of knowledge ions, including piare- and understanding of these client ingrclated infections, bleeding, practices “may ‘challenge the uve damage, of allargie reat’ use’ abilty to. provide non. tions (Miver, 2000, judgmental care. Some health ortalth ear providers the yoesstoals fal tha people physical acto and Who coe ae oi pe [itiny pose diloimne: buts ge dewerve whatacer outcome Init thor personal ronton €9 grew (engoson, 099) In cone thogonial pacing Theauthors st is pe of body at coud Nae overheard tho folowing te'a meaninyiel per of the ‘bpos of responses to the above clint human havior Meyer ingle clon interactions, “Why 2000), including delberate Son ene do such 8 Bal one poe thing? and "Are these peopio Similar to what Shing (1997) hommalt Others ave bon heed an -Atinson (2002, . 718) call to ewan, They mst be sox purposive body profes” fads oe ttc ‘owt hee Pie ue fis ace to have lols of STDs and address the (0) gonial piercing ‘hee diseases.” procedure, 0) serious pes of Profesional norses may not enital piercings (6) onitl ‘agro with or accep: the practica piercing information, inchuding eF'gental ‘body piercing, nor feent information about compl tiake the chotootolave anything estlons and treatment foond in thu their own ears pivctd in the neath Hier, and (data fac, just the thought of piercing fom 37 subjcts who have salt thegenitls may provokelovlings yoposted gontal piercings. These Of discomfort and distaste both Subjects ere pat of anger study personally and professionally. juported. elsewhere (Caliendo, —_——~=F—EO Gaon tan bow pan pe ams Sper oem Oa Sept fT Sos Som thee Sed nce Seer erie RM epee Se IEaLSe mo Rare ‘Note: OF Objoctves and Evataton Fon appesy on page 180. —_—$—$—$—$—$_$_$ Aros, & Rebs, 2005) Ono ‘in of that esearch wes 10 snk Fah inom sta tials wit gal pg an {one wo ckuly ave gosta Piercings. ‘The ionmation on {einen this ariel aetna snecroal inoration nt report: ea that stu. Gonital Piercing Procedure "Aecoing to Fanguson (3940), genital plercings aro “lagely 3 stem’ phenomenon” p20) eae dete aaa fo tral body preings bu the proce. Sfore ont aerays. be owe ty highly mxpeiencnd pisroms (Casistnamn, Wiles Patsaoghtor & Dowd, 2000)-No site or aunty Scans eg by th thir enuntry eseme tbe reget {ng special procedure or body lever expertise whom peor fig genital body procedures (Ueastag, 2005) “Topedtorma eral percing tin gin cleaned, the West tnarked, and e 12 to 16-gaugs hol- toe medi ith 2 poe jase flky ator tb tarsaded though the skin. "AS. snall trots of boing al serena uincus ‘uid urually ecg From tho pisreed ite when pusciure tak ts nde, heptis Brin C wil aways be « poten Gal Sak HArmetrong. 208. ‘Twooton & Rickman, 1998) However, thouse ofa nev, storie fondle dor each, piorin and Hoticulous attention to universal precrations. should. minimize thie isk Wsioos amounts of pln ae roporiod atthe tine of Pireing (onsen, Olsen, ie Uist, 190) ‘rope jowelry (inert aatox- ic stanton sh a egal Sn) important to aie infections and allege responses, Most qusty jewelry for gta purcings ised fa the rear ‘odio Health care providers ‘howl bo knowlege abt correct removal of jewelry (a Potential mood with extensive infcton ota) wie ex ‘ers ten produc hut hat torte satounding gee Ar ‘usted tn Pigg 4, hee a {00 mor ype of jel: the intel typ and 9 copve bo Thebactll a thors ear a “Hright hank (or pos) th balls rbot onde foveaove te ae Balt See's henge to held tho ‘Sauk ofthe wey, whe tar Ing the ball countersivkioe “To eaten bond yp has 90 ‘oes bod Haid pln fn incomplete meta cls 12 femove the ence th Teton Sto bea by pest ta fe ‘roa within the ing doing SAM Sone the bod pep ont “place (Halliday, 2005) owe Extenllet enced o Sse wane gloves uring the roma procs oil ses (xe Figur tof te fon, pols scrotum, cl fori penne, sna bin ae a tonou oss dx ila pe itge but crea abounds In Myard to. gamit pimcing Someta eof “ie $relgn atria puchas band pow ete” (Cronin. 2008 ae) clas be tacit it ity tissue. Those oddtons, Falled penis males, nedlas, ot ietloots,teginatedl n Estry tures Pres wil sformaly Sy lat moc me then ome {ena obeain gonial parcings toto secrete Sa onto tt Al ineidenae hy pear aya fhe Tor men. fhe Princ Abort {Pa} common grata pee ing whic panfrate the wry intsiue andl como, This he tracy fects te ve am aim SFine tne sve and tay foes mento ail ding. ucnation {Citonde a aly 208: ‘Too hil the Pa tas physical savant, thre toy ba bonelit oe wel “Te tie lof piercing has een 1ieided ab caus “an ilo ‘thal tinslton ring inter Eure" (anderen, Simmer, Sharia, Holmes 2003, p247) ones tonto hove lowe sso gn pags, mas Hoty relted to less tssue for sy adschnent of fowely on Be ontomtea “eraclres UR ole ngs om uly found ot fie hood. of tie clr and the eee tlgs hae Rane ars etn! Tettvon te Baave At bas ioepoted Ta now poe rane ara tee ‘agin ote hy ans Std tae dey eer ow Bech Bonin af Fema Ee ant feats fare ton A ea tan tees aie Silane pe tem tho much roi wk hema women ca at a ES een wi gore tole eying pene Sonal neue by aby tough hte vs Feat ary by. lee, ESS an on 2005 idee fe33)haced fe fmey of Soa die iv Tony and foal ofan wa thal Head pena ‘ta pel Ss usually heal inhe't fa weak sh dpetin on ee Lk monn epanding ore es ooo whether following he proces ‘Hs eo porhrcn ras ‘tol of oor wa to iho at, Raton a pe lee thos fete of poh $n der Any ptt eat Meoenenen sna meen ise hae sung tats petty ee a temic illness, expecially if the Into s tot pope ate ins tel mata Core tnd ‘consimtoatas dat eae sramuamaues, da ‘ran alia sae cic woh inendielod aa Ste te impr t rene, on nomen temo ‘cumulation o¢ dang Social asi shoal be Figure 1. Common Types of Genital Piercings ‘Qatar or nner fain Can be paced on any Ho ‘Son and onan dane oe wotiple piercings. Tho Inns of ha tszea con accommodate several Doers ef jerry, sometimes ay tndthowe es ‘Nos Raavier ghupe Healing. time: Int, 3 monte ute -2 months. | CGitfore Rood The elaore Chooa fe rom mended rater th tho clitoral body. Ose {Sral plercea te very panfl ane ean produc ‘Nene damage, Eltet hodrontl or verttal pit Inge ore plage Ths stave produce “tetera eral senasian during inereoures” anderson fel 2003, 9-249), Healing tne: +6 weak then, an expres fifi and can proses hay | fptimes 88 months Vacs hs 2008 Pout, £000, Seer, 2001 peat: Ancibes wncorimon type of paring | ‘Semicat percing Urough the pont state Benin the hatd, mosty Decwoun the stat of a eae | lors the top of te gona. Healing be: 25 onthe Stenact 20011. ‘rie: Fercin s dane though th ides ofthe fin of the glans om efeuricead en. Orit fran bo Jewish. Healing ne 2 moh [Rsderaon a ah 2608 Stews, 2001), [Foren Piercing i usuely done ona aaes ot the oresin and closed wy Fae, leLoertay Faking intreourss fic Hosting a 12 ‘onthe arokded for at Yast 2 wecks “Won, sual seiity ig resummed aher Bodine Stork (2007) and ‘Mellaer (208) both reammnend ‘he ase of two condoms doris ieee to fecueae Ui esac wey he genta She andere, dinlnsh the Genco af condom breskage” Other suggested grata pera frciulons nelide “ThE is Of loves for touelng ene dent {Ens or thee appeaprnte bars fr oral so tn oeret cot Smination from bay fds fetnther from she cleo par hat (bakomey Her. 096, p. 1. valuation and Treatment Of Potent Complications Interestingly, most of the cua nema neg gonial piosing complications nsf the Unie Kony, Garmany. and tae Scandinavian ountses 18 not owe 69 pblone bon ea pen [igs boceue thoy are sore open bout thet a there ave cre Fro ho wet petal plercngs, of tf oore compli fione ore im those cules Daeanst tary a fb tegen Prorcing restacton. Racontly Eperted complistions ince penis Esta tosomblingglanular Fypospatiam (Macheod ‘lenin 26) and Boonies gpa with parts as Te" Bris. Fabian 8 Kal 2008) Panphimosie. Uretheal seuss md yporope sct- Ting. ary else Gently men fiotnd (Aadarson ot aly 2003; Jona Flynn, 1896, Melan. 00s; Stowart, 200%), Phen hehe caret son ofjoelry mst msnuanodate a "iia ex Soa of the bardwaro whan tho Denis is focekd ad ol oping ‘hon the. penis Bs a eect State (Halt, 2005, p. 53 igorgrment and papi co bes pment with penile sings vel oa ip coated _piorings be ‘Considers oem Figure 1. (eontinuss) Common Typos of Gonital Piercings Frou Easy 1 perf ad nt pin hi | ie piecing of tw foram, or Ft) wich Sratces Ie ed of he: en's whlch sua | [ne goon utd ne gan Net ncanen thovnigie othe poncs Heat st 2 mont | (Baron otal, 200; Stewart 200, “Gulcha: Pronouneed, “geeah Pring done] Setween eretvm ane amas, behind te testes i tarenpncs sve onan of pate etwsen th sratam and penis wih dior ge ‘org borball. Paring is not sonsderedl pai | Side mare dich ative tha totus anhancoment ‘Boos nat pone treat eae: Healing the 23 moni neraon ta, 2008 ‘ings Alban A ring insert vouDh te oneal ‘mate urethra end Gr to base ofthe feu, {Ene oft mst comroon fate gental pera. Feige 2 roar Candreon at 2003 Moyes 010 Stewart 2007. “Tee major types of poeingjencly worn See he ‘Caplive Goad | Bobet | Curved Garbett “\ ‘wounds and potential sites far carly weatmont inclodos leaving Iniecions Stphylorocus aureus the jpwoby im pace so It cah freon ‘hilured fom any serve as a "portal for desinage oper af inftodpicscing sates snd healing” (Aemstrong. 2008, (Ferguson, 1999; Hal Meller, " 2005). When a pisrced' site byeomes infected, trostment is advised, flay 200s; p51). Whom thene is mo real Fon within a fow days, farter lly ity sytamle: eniiotic, expe daly af thee ae sigs oe t= founding cellulitis CHalliy, 4003) No futher information bout specific teeatmiat of Betta tlrengs could be locate What Frac bata docormented gute $e ibat if teste fr nition trothrenpletins pede tho inka pero individual tend to serk cnsulaion rt fom a profsional bel pert rater dan health are profes Sonal (Galindo et at ‘2009), intimately pieeeod indivi reat stg belies fateh ure providers hava. limited Snfonsetion Ap rgard to Heal Piercings "(armsieange "200%; Entiende, 2699: Caliendo &t al, 2s). rom the Health Care Uheratare Information about general busy pereng Has eet Ale wosldwide for many Sear ets for gontad pleeangy there hs! ised limited. information in tne health hteratre (Caliendo tal, 2005). When an Sesamption is published, i Is Cited Kequently witout sbstan- tiated cata [Ammstrong, 2008 Ferguson, 1999; Stewart, 2001 Stork, 2002! Twevton fe Rickman 1990) From the roview of tert end ita the stom ¥en in {Sl practices, sorotypical asp lode about individuals who howe pal poy are roto The Seumpons facades (0) sganfaly pied persons belong to Brange” foupe anda ferent SSompeopleinmaancreassctety (Christenson et al 2000; Fale 2000) motives are sel ‘adnan wth grit pore: ‘ae masocBits (Strk, B00 ‘arom, 1990) ad fe) tre [igh dneidenoe af infecios dle- seve, such ae patti IV, snd Sto (Pamere © Hier, 1903 Gokhale, ean, & Ghost, 2001; oes lynn, 196: Stork, 2002) Figure 2 ‘Solt-Reported Characteristics of Women and Men with intimate Body Piercings Tee ep tape ies dg le yale Sp tctordatacatd wit famato and oleate boy pang Dariculor rnp on heath esos, Asctaround. Nie ns gyal shasta pring) have [Bevoree comm pes of bey a Sea rea ar urea errs Eh reg ey money | Desi ese provicrs etiod. A convertanae samgle of inimatly piri ncaa 163 ‘ron S080 a tom nator nu United Stes of ren a Sirveyed:va.an author tered auessinnaie, Gueeiona fread at Scroocbe chances stat ctr ond nash per rot ‘tofrumeteporangsSelepor.chfocrsie. ware compared tel la Bibi gprs were rompers Ure Ses geraal popuaione eal iste pol pees nes fotki ‘peta CE oe ope GER Reser or i Toungoy ses eteiy snot. tater scented las Bayt mariod | tore hoe cnc ruse ws hey ita etal Sola | abi oae thn he U.S ppalton. Devt inal doula ot ccttemereot the nema partin ware mee. sane burch cr “Socracon wes aoe 25 tne) net $7 Gets: Stare ope vs oa te preg ase 21 aie) ond 7) -gerat Purposes for eelaiing he -peruings cud umiyereoy aot ow essony esol gxpresmon. ‘Ries perapara ot iked tar peeing SSN. Heath encores tuered to intnae placings ware Gevoréas by tah esos A ope {range Go aru geil patos BL Se elo ot soe | ‘Bib, rion te, oe te whey eigenen Fal enea eso TS mason ober han heb poe Lseonetusion. Undertaing the Sloat ronal ct» cee: “Raut for renal aualty pation cr: howewne,sareness BBUF ster an detron making in ium ping can hep gare eo ‘Bere slow saece and Gian nopropeate ean eaten Reprinted with permission fom Blackwall Publaning td. Reprinted rom Eslendo, Cy Armtrong ML, fe Roberts, AE. (205) Journal of Aaanced ‘using #6), «Pees Self Reported Data from (Caliendo otal, 2008 Individuals with Genital “the eurent diseussion eon: Piercings cepurtes on ths data subset of 37 “To thisin infomation fom HC whe specelly sale hae rho haw geal Peeing Snead domographie fern eee ered tom Incldoe 98 females aed 22 was sotto cmeedsintiotny EMIS: ange 1B C0 pons Serced people wh saswered ¢fsi4ENoh cress 16 caer Bad peopl wh nel 4 Ste se ge rodvortrement One handeel AlmestHalfed completed sre Extra subjects pariciputed in colle ard © quartor had an this study and resis are nepor-wtdergrafunte “doyree," While ScLokewhers a yuapis ofthe 3% OF respondents reported SRuly” appoues “ha "Figure 2 church tendancy when growing sup, now ey aad thei current iigous at into, atin pone aber modertey stony Eves srong CR) of meee Bly reat very weak GoM), Moss TSU) soporte good 0 Decal! heaif with man {Fote) having annual physical ‘Gre al of he roepondents (5%) obtained tei genta Dlorcng in ther home rgd oll belwaun 40 an 9 forthe petcing, Thirty-eight percent Coote biting ding te ‘hia pring vont. Pal ing the proce ranged rom 9 sl bp aon (ea). Mealng wine was. not tate e ‘Participants wero ssbed sf they conden hamsters ob BAT ker One sobjoc aid “Sometimes” Yet anole sited ‘ake ale ike, not pel ones” As tone gh Echaron, only oi repored Aint of ug drugs before ir gana pring cade {routine aledial sumption Shut asked subject cor ‘mented that it was: sar cleg of tho ae te prot sono a {Bigs the ood" Ament all (Gy af ne spas mc fe ne ciara sacking hav de Srnoked oneal ton doc more day: Caliendo et BT aoos) bree aad coped {hat theta respondent Sone Sts HN, bapa recur Slane mp odes alge Searle foto ‘Whilsthis population Is nique ust by having genital plocingh Clit ots. (2005) Ei sample ad et reveal feat eliferaces oma Seam society. One ear cpa Tvs tl au tere (abo ave aso pee ‘and tattooed) plus two grand. Shilton Wea hw especie jb

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