My goal was to obtain a reverse Prince Albert. My thinking was (from a very conservative background and history) it would be relatively moderate and tasteful to have just a single steel ball centered on my glans, supported by a labret projecting from inside the urethra.
Alas, the piercer indicated, if this was the starting arrangement, the inside end of the labret might envelop in scar tissue as the fistula healed. Hence, something else was needed as a beginning arrangement. I considered a bent barbell, but it seemed to me like the very large radius would result in it not passing through the fistula aligned with the fistula's own perpendicular axis (I figured if it was constantly pushing longitudinally from inside the fistula, it might be less than optimum for healing). I considered a CBR, but was not fond of the idea (or anticipated look) of so large a ring projecting so far from the overall profile of my member.
Another consideration was that I really did not want to give up (even for a temporary healing period) the pleasure of having an uncompromised urine stream.
At almost the last minute (actually, the morning of), I decided an apadrayva would be the route (at least the temporary route) for me. It's kind of funny because previously an apadrayva had seemed like such an extreme thing to do (which took the notion instantly and totally off my radar of consideration). It occurred to me, however, an apadrayva would involve just a tiny little hole (the PA portion) beyond what I planned anyway. And it would likely be optimum for healing in the RPA portion, because that single rod would stay well and perfectly aligned the whole way through, and with minimal projection anywhere. Plus, there should be minimal interference (I figured) with my urine stream.
That was about two weeks ago, and, so far, it's worked out pretty much as planned. There has been minimal pain, the urine steam is virtually unaffected, and I like it.
I had been thinking that, after healing, I'll likely convert the RPA portion to as originally planned, and abandon the PA portion with hope it will close and heal. At this point, I am thinking I may want to maintain as a full apadrayva after all. The very extreme nature of maintaining a piece of steel that passes mercilessly straight through is just . . . I don't know . . . kind of cool.