Pearly Penile Papules: Should You Be Concerned?

Please ask the doctor a question?

Hello, doctor.
About six months ago, I noticed some white spots at the tip of my foreskin when I pulled it back.
I was initially worried it might be genital warts, even though I haven't had sexual intercourse.
I became particularly anxious after seeing that my cousin, who also hasn't been sexually active, had developed them.
However, a dermatologist examined it and said it wasn't warts; he mentioned that many men have similar issues and referred to it as a type of sebaceous gland hyperplasia, but I forgot the exact term.
Today, I looked at it again and suddenly remembered this concern, but there hasn't been much change.
The spots haven't decreased, and while I don't feel they've increased in size, I haven't paid much attention to the quantity.
They remain in the same location, and when not stretched, they are actually quite difficult to see.
I would like to ask the doctor if I should be concerned about the possibility of genital warts and seek further examination from a urologist, or if this sebaceous gland hyperplasia is something I can ignore since it won't resolve on its own like acne does.
Thank you.

Wang, 20~29 year old female. Ask Date: 2020/05/13

Dr. Cai Zhuorong reply Urology

If you are still concerned, you can visit a urologist again for a consultation.

Reply Date: 2020/05/13

More Info

Pearly penile papules (PPP) are small, benign growths that typically appear on the glans (the head) of the penis. They are often described as small, white or flesh-colored bumps that can be arranged in a row around the corona of the glans. It is important to note that PPP is a normal anatomical variant and is not associated with any disease or infection, including sexually transmitted infections (STIs) like genital warts (caused by the human papillomavirus, or HPV).

Given your description, it seems that what you are observing is consistent with pearly penile papules rather than a sexually transmitted infection. The fact that these bumps have not changed in size or number over the past six months is a good sign. PPP is a common condition that affects many men, and it is not harmful. They do not require treatment unless they cause psychological distress or discomfort, which is rare.

You mentioned concerns about the possibility of having genital warts, especially since you noted that your cousin has experienced similar symptoms. It is understandable to be worried, but it is crucial to differentiate between the two conditions. Genital warts typically appear as irregular, cauliflower-like growths and can be itchy or uncomfortable. They may also change in size and number over time. In contrast, pearly penile papules are uniform, smooth, and do not cause any symptoms.

If you are still feeling uncertain or anxious about your condition, it may be beneficial to consult a urologist or a dermatologist who specializes in genital skin conditions. They can provide a thorough examination and confirm the diagnosis. A healthcare professional can also discuss any concerns you may have about sexually transmitted infections, especially if you have had any potential exposure.

In terms of management, if it is confirmed that you have pearly penile papules, there is generally no need for treatment. However, if you are seeking removal for cosmetic reasons, there are options available, such as laser therapy or cryotherapy. These procedures should be performed by qualified professionals to minimize risks and complications.

In summary, pearly penile papules are a benign condition that does not require treatment unless desired for cosmetic reasons. If you have any lingering doubts or if there are changes in your symptoms, a visit to a urologist can provide peace of mind and appropriate guidance. Remember, it is always better to seek professional advice when in doubt about your health.

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