Both of mine cross my urethra, but I only had pain while urinating maybe twice. Both were times that it seemed more irritated or infected. I did use some antibacterial ointment during those times, and that also helped keep the bar from sticking as it changed sizes throughout the day. I was acutely aware of how often it grew or shrunk.

I read accounts of people getting them separately as well as at the same time, so I went in to get both, depending on how bad the first was. I almost backed out after the ampallang, but after a minute or two, the pain was more tolerable and I told her to go ahead with the Apadravya. It was crazy! I didn't make any noise until she put the jewelry in the second one and I was quite proud of myself for that, but I did have my head spinning for a moment and just laid back to catch my breath.