[2] Sitting-related activities that place stress on the region may cause irritation to the site leading to the migration or rejection of the piercing.

Guiche piercings can be stretched to large sizes and can accommodate flesh tunnel style jewelry,[4] although the potential discomfort to the bearer may be radically increased.

[7] Simonton's perspectives were coloured by his own enthusiasm for genital piercing as an erotic practice,[6] and his materials are not considered to be accurate.

It is sometimes used by couples for advanced power-play, being chained and/or locked to a Prince Albert piercing for the purpose of male genital infibulation and long term physical control (and the corresponding potent psychological control) over the submissive male through the practice of enforced chastity.

In the most extreme cases, both rings are cemented, glued, or even soldered shut for a semi-permanent (removable only within a surgical setting) alternative to a chastity device to be worn over months or years at a time.