I am in the kink community and my Sir is known for giving PAs during scenes with a hammer and nail! I have not graduated to that yet! Everything is sterilized as well as possible. The nail and board is then given as a gift to the one impaled. One friend of ours has it displayed in his dungeon! It makes for a very hot scene, and lots of guys cringing!
I have a prince albert. The nail and board routine is a bit much for me. I suppose that it would actually be less uncomfortable than the traditional way; since it would be so quick. I would definitely have to see that done. I'm just a little curious now.