Penile beading in a Nepalese man with latent syphilis: A case study on cultural sensitivity in venereology.

Abstract

Genital beading or pearling, the practice of implanting small beads under the penile skin for sexual enhancement, is a cultural tradition in certain regions of Nepal, East Asia, Southeast Asia, the Pacific islands, some parts of Africa, and Eastern Europe. This case report discusses the presentation of a couple in Nepal who migrated to India and was diagnosed with latent syphilis of unknown duration, highlighting the clinical and cultural implications of genital modifications.