Prince Alberts are typically pierced at either 10 or 8 GA. In either case, they are often immediately stretched to 8 or 6 GA. The stretching prevents bleeding during the initial healing stages by exerting pressure on the fissure. Outside of this initial stage, they are rarely seen below a 10 gauge (2.6 mm). PAs are sometimes stretched to a 0 or 00 gauge, or about 11/32 inch (8 to 9 mm) diameter. Stretching to sizes of 6 to 2 GA is probably most common.
Very large gauge or heavy jewelry can cause thinning of the tissue between the urethral opening and the healed fistula creating an accidental meatotomy. Conversely, extremely thin jewellery 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 jewellery has anything heavy attached to it (gay males tend to add charms to a PA). In some cases this can be corrected surgically. While most wearers find that PAs are comfortable to wear and rarely remove them, even during sex, some individuals might find that extremely large or heavy jewelry is uncomfortable to wear for long periods or interferes with the sexual functioning of the penis.
Jewellery usually worn in a PA includes the circular barbell, captive bead, and the Prince’s Wand. Short curved barbells are usually about 3/8 inch or so length, so one ball sits on the lower side of the penis and the other ball sits at the urethral opening. This type of jewelry prevents discomfort that can come from larger jewelry moving around during daily wear.
The Prince’s Wand is a particularly unusual piece of jewelry. It consists of a hollow tube with a threaded cap at the end. The tube is inserted into the urethra, and a stem is inserted through the PA piercing and into another threaded hole on the side of the tube. The general shape is similar to a policeman’s nightstick. The side stem holds the tube in place. The threaded cap, often just a ball, can be removed so the wearer can urinate through the hollow tube without having to remove the jewelry.