Pearly Penile Papules: Causes and Concerns

Cholesteatoma issues

Hello, Director.
I would like to inquire about the area marked with a red circle in the photo http://imgur.com/a/2oAE3.
Is it a cholesteatoma? I have had this condition since I was around 18 years old, mostly located in the coronal sulcus, with a small portion in the area marked by the red circle.
I found that there is less information about growth in that area online.
Could you please help me with this?

Niming, 20~29 year old female. Ask Date: 2016/10/24

Dr. Du Shixi reply Urology

It is best for a physician to conduct a personal examination regarding your issue (legal matters).
Thank you for your inquiry.

Reply Date: 2016/10/24

More Info

Pearly penile papules (PPP) are small, benign growths that typically appear around the corona of the glans penis. They are often described as small, white or flesh-colored bumps that can be mistaken for other conditions, but they are completely harmless and do not require treatment.
The exact cause of pearly penile papules is not well understood, but they are thought to be a normal anatomical variant rather than a pathological condition. They are most commonly seen in young adult males, particularly those aged between 18 and 30, and they can vary in number and size. The presence of these papules is not associated with any sexually transmitted infections (STIs) or other health concerns, and they do not pose any risk to sexual health.

In your case, since you mentioned that you have had these symptoms since around the age of 18, it is likely that what you are observing is indeed pearly penile papules, especially if they are located around the corona and are consistent with the typical appearance of PPP. The fact that they are primarily located in the corona and a small portion near the area you circled aligns with common presentations of this condition.

It is important to differentiate pearly penile papules from other potential conditions that may appear similar, such as genital warts, which are caused by the human papillomavirus (HPV), or other dermatological conditions. If you notice any changes in the appearance of the papules, such as increased size, color changes, or if they become painful or itchy, it would be advisable to consult a healthcare professional for further evaluation.

In terms of concerns, many individuals worry about the cosmetic appearance of pearly penile papules, but it is crucial to understand that they are a normal variant and do not require treatment unless they cause significant psychological distress. If you are considering treatment for cosmetic reasons, options such as laser therapy or cryotherapy are available, but they should be discussed with a qualified healthcare provider.

In summary, pearly penile papules are a benign condition that is common among young males. They are not harmful and do not indicate any underlying health issues. If you have any further concerns or if the appearance of the papules changes, seeking advice from a dermatologist or urologist would be a prudent step. Always prioritize open communication with your healthcare provider to address any worries you may have regarding your health.

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