Pearly Penile Papules: Causes and Concerns

Cauliflower

Hello doctor, recently my girlfriend performed oral sex on me, and afterwards I noticed some small bumps at the junction of my glans and foreskin (they appear white when erect and red otherwise).
I've heard that there can also be small bumps near the lips.
How big are these bumps typically? Could this be genital warts? Neither my girlfriend nor I have any sexually transmitted infections or genital warts.
Is it possible to contract them this way?

Taiwanese, 20~29 year old female. Ask Date: 2003/10/25

Dr. Song Zhixian reply Urology

If the papules you described are arranged in a neat linear pattern, the diagnosis is pearly penile papules.
This is a normal phenomenon and does not require treatment.

Reply Date: 2003/10/25

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 tiny, white or flesh-colored bumps that can become more prominent when the penis is erect. These papules are completely normal and are not a sign of any sexually transmitted infection (STI) or disease, including genital warts (which are caused by the human papillomavirus, or HPV).
The appearance of PPP can be concerning for many individuals, especially if they are not familiar with them. It is important to understand that these papules are a normal anatomical variation and are not harmful. They are most commonly found in young adult males and are thought to be a result of the natural development of the skin. The size of these papules can vary, but they are generally small, often measuring less than 2 millimeters in diameter.

In your case, since you mentioned that the bumps are white when erect and red when not, this could be consistent with the appearance of pearly penile papules. However, it is crucial to differentiate them from other conditions. For example, genital warts, which are caused by HPV, can also appear as small bumps but typically have a different texture and may be associated with other symptoms such as itching or discomfort.
If you and your girlfriend have been tested for STIs and both results are negative, it is unlikely that the bumps you are observing are related to an infection. However, if you have any doubts or if the bumps change in appearance, become painful, or are accompanied by other symptoms (such as itching, burning, or discharge), it is advisable to consult a healthcare professional for a thorough examination. A dermatologist or urologist can provide a definitive diagnosis and reassurance.

In terms of treatment, pearly penile papules do not require any intervention unless they cause psychological distress or concern. Some individuals choose to have them removed for cosmetic reasons, but this is a personal decision and should be discussed with a healthcare provider.

In summary, the small bumps you are observing are likely pearly penile papules, which are benign and normal. They are not a sign of an STI or any other health concern. If you have further questions or concerns, seeking advice from a healthcare professional is always a good step to ensure peace of mind and proper understanding of your health.

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