This is the Transverse or as it is aptly named reverse Prince Albert so like the Prince Albert it is placed in the urethra and comes out on the top of the penis just in front of where the Apadravia is normally placed.
Roughly in the centre of the top of the glans. This piercing is a little newer than the Prince Albert and became popular in the 1990’s as piercers tried to make an easier to heal Apadravia by doing a Prince Albert and then a reverse Prince Albert and joining the two with one long bar once healed. This was somewhat successful but did not work exactly as intended because the inside holes often did not align up completely. To resolve this problem stretching both piercings to larger gauges sometimes helped. Stretching the reverse Prince Albert is harder than stretching the standard Prince Albert for a couple of reasons. Firstly, the piercing is through a thicker part of the glans and so has a longer fistula once healed. Also, the top of the urethra has a slightly dense membranous fibre which is thicker (quite thick in some men) than the bottom side of the urethra. This tougher tissue is probably to maintain the urethral opening so it does not simply collapse but makes it harder to stretch. It can also make it slightly more painful than the standard Prince Albert and this will depend on how thick this tissue is. I have found that in some cases it is like hitting a brick wall as the needle goes through and other times it is very soft and almost undetectable. Unfortunately, it seems impossible to predict until a needle is put through it.
This piercing is always best to have a ring in it and often once healed a segment ring is a comfortable option.
In 2019 not only is the Reverse Prince Albert well known but I have even seen side versions done to each side like having two rings in the Ampalang and the other is diagonal Reverse Prince Alberts as a pair both in the same hole in the urethra but placed on either side at the top of the glans.
Only and experienced piercer should attempt these placements as once you start to go to the sides you need to know how to identity and not pierce through the corpus cavernosa.