Pearly Penile Papules and Head Issues: Treatment Options - Urology

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Issues with the glans and pearly penile papules?


Hello, doctor.
I have two small white bumps on the corona of my glans.
I previously consulted a doctor who said it was nothing to worry about, so I believe it is pearly penile papules.
I would like to ask if I can have them removed with laser treatment, and whether this procedure is covered by health insurance.
I have read that some hospitals include it for around 4,500 NT, while others do not, so I am unsure about the price without insurance.
Additionally, I recently noticed a small area on my glans that is red compared to the surrounding skin.
It has been a few days, and it is still red, but I do not feel any discomfort.
Will this resolve on its own? I have not engaged in penetrative intercourse, only masturbation.

Xiao Huang, 20~29 year old female. Ask Date: 2021/07/12

Dr. Du Shixi reply Urology


Hello: There should be no health insurance coverage, so it will be out-of-pocket expenses.
The general fees need to be reported to the health department, and the prices vary between hospitals and clinics.

Additionally, I recently noticed a small area on my glans that is red compared to the surrounding skin.
It has been a few days, and it is still red, but I do not feel any discomfort.
Will this resolve on its own?
--> Keep the area clean and dry, and avoid using soap or body wash for now.
If it gets wet, make sure to dry it thoroughly.
Wishing you good health.

Reply Date: 2021/07/12

More Info


Pearly Penile Papules (PPP) are small, benign growths that typically appear around the corona of the glans penis. They are a normal anatomical variant and are not associated with any disease or health risk. Many individuals may feel self-conscious about these papules, leading to inquiries about treatment options, including laser removal.
Regarding the treatment of PPP, it is essential to understand that while some individuals seek removal for cosmetic reasons, medical professionals often advise against unnecessary procedures since these papules do not pose any health risks. If you are considering laser treatment, it is crucial to consult with a qualified dermatologist or urologist who can provide guidance based on your specific situation.
In terms of insurance coverage, the availability of laser treatment for PPP under health insurance can vary significantly by provider and region. Some clinics may offer this procedure at a cost of around $4,500, while others may not cover it at all. It is advisable to contact your insurance provider directly to inquire about coverage for this specific procedure and to discuss potential out-of-pocket costs.

As for the recent development of a red area on the glans, it is essential to monitor this change. Redness in the genital area can result from various causes, including irritation, allergic reactions, or infections. Since you mentioned that you do not experience discomfort, it is possible that this redness may resolve on its own, particularly if it is due to a minor irritation. However, if the redness persists, worsens, or is accompanied by other symptoms such as pain, discharge, or itching, it is crucial to seek medical attention. A healthcare professional can perform a thorough examination and determine if any treatment is necessary.

In summary, while PPP is a benign condition, if you are considering laser removal, it is essential to weigh the benefits against the costs and potential risks. Additionally, for any new or concerning symptoms, such as the redness you described, it is always best to consult with a healthcare provider for a proper evaluation and guidance. Regular check-ups and open communication with your doctor can help ensure your overall health and well-being.

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