and Treating Pearly Penile Papules Safely - Urology

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Preputial hydrocele


Hello Dr.
Du: My question is that I have had a bit of smegma accumulation since middle school, and it seems to have remained the same size as I got older, roughly the size of a pearl, located at the junction of the glans and the foreskin.
Although it is not painful, I am concerned about whether I need to undergo circumcision to address it, especially since I am now sexually active.
I would like to have it removed, but could you please advise me on safer options?

calivn, 30~39 year old female. Ask Date: 2021/04/06

Dr. Du Shixi reply Urology


Hello: If it does not grow larger, it can be monitored.
If it gradually increases in size or if there are concerns, surgery may be necessary.
It is considered a minor procedure, but there will be a scar afterward.
Wishing you good health.

Reply Date: 2021/04/06

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 resembling small pearls and are a normal anatomical variant rather than a pathological condition. It is important to note that PPP is not associated with any disease, infection, or sexually transmitted infection, and they do not require treatment unless they cause psychological distress or discomfort.

When it comes to treatment options, there are several methods that can be considered, but it is crucial to approach this with caution and under the guidance of a qualified healthcare professional. Here are some common methods for addressing PPP:
1. Observation: Since PPP is harmless and does not pose any health risks, many individuals choose to simply leave them alone. If they are not causing any discomfort or psychological distress, this is often the best course of action.

2. Cryotherapy: This involves the application of extreme cold to the papules, which can cause them to fall off. This method is generally safe and effective, but it should only be performed by a qualified healthcare provider.

3. Laser Treatment: Laser therapy can be used to remove PPP. This method is precise and minimizes damage to surrounding tissue. It is important to consult with a dermatologist or urologist who has experience with this procedure.

4. Electrosurgery: This technique uses electrical currents to remove the papules. Like laser treatment, it should be performed by a trained professional to ensure safety and effectiveness.

5. Topical Treatments: Some topical treatments may be suggested, but their efficacy can vary, and they should be used under medical supervision.

Regarding your concern about circumcision, it is not typically necessary for the treatment of PPP. Circumcision is a surgical procedure that removes the foreskin and is usually performed for medical, cultural, or personal reasons. If your primary concern is the presence of PPP, it is advisable to explore less invasive options first.

Before proceeding with any treatment, it is essential to consult with a healthcare provider, preferably a urologist or dermatologist, who can evaluate your specific situation and recommend the most appropriate course of action. They can also help differentiate between PPP and other conditions that may require different treatments.

In summary, while pearly penile papules are a common and benign condition, if you are considering treatment, it is best to consult with a healthcare professional who can guide you through safe and effective options. Remember, the goal is to ensure your health and well-being while addressing any concerns you may have about your body.

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