This procedure should be only performed by a doctor.

Starting jewellery:

• Captive bead rings in 10 gauge and 5/8" to 3/4" in diameter. Ring diameter 1/8" wider than the distance between the piercing and the urethral opening. A ring too small will constrict the piercing and possibly tear the urethra when the penis is erect.
• Curved barbells in 10 gauge and 1/2" to 3/4" in length. Barbell length should be approximately equal to or 1/16" longer than the distance between the piercing and the urethral opening. The ball at the urethral end should be large enough to prevent it from slipping directly into the urethra.
• The piercing itself will not leak when the wearer urinates unless the piercing has been stretched beyond the thickness of the ring. It is not uncommon for a Prince Albert piercing to stretch two or more gauges within the first year with frequent sexual activity or heavy jewellery. Also wearing jewellery that is too thin or too heavy can cause the urethral lining to deteriorate.