The primary purpose of such inserts were to enhance pleasure. ![]() ![]() The traditional prehistoric and historic practice of genital piercing is most culturally widespread in Southeast Asia (particularly in Indonesia, the Philippines, Thailand, Malaysia, and Myanmar), where the insertion of various kinds of implants into the penis were common until modern times, in addition to other ancient body modifications like tattooing, circumcision, pearling, ear piercings and ear plugs, gold teeth fillings, teeth filing, teeth blackening, and artificial cranial deformation. Gilt marginalia on the Boxer Codex (c.1590) with the only known illustration of the pre-colonial Visayan tugbuk and sakra genital piercing from the Philippines
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