Pearly Penile Papules: Diagnosis and Treatment Options

Q: Pearly Penile Papules: Diagnosis and Treatment Options

Hello： 1.) If this is not a wart, what could it be? -- It could also be inflammation. <br>You may need to examine the skin of your genital area for any abnormal growths and whether they are increasing in size or number. <br>If you are still concerned, consider visiting a differen

The doctor said that the bumps on the glans are not warts but rather lesions?

Hello doctor, I recently noticed some bump-like lesions on the glans that resemble acne, as shown in the image here: https://lurl.cc/EOLvl.
After a doctor's examination, I was informed that this does not appear to be genital warts, but rather it is a type of wart, and I was prescribed Aldara (imiquimod).
I would like to ask: 1) If this is not genital warts, what could it be? 2) It has been present for some time, sometimes more noticeable and sometimes less so.
If I leave it untreated, will it resolve on its own? It seems to be quite numerous, and I'm unsure how to apply the medication.
3) Is this condition contagious to others? Thank you for your clarification, doctor.

Lao Zhang, 30~39 year old female. Ask Date: 2023/04/06

Dr. Du Shixi reply Urology

Hello: 1.) If this is not a wart, what could it be? -- It could also be inflammation.
You may need to examine the skin of your genital area for any abnormal growths and whether they are increasing in size or number.
If you are still concerned, consider visiting a different urology clinic for a follow-up in 1-2 weeks.
2.) It has been present for a while, sometimes noticeable and sometimes not.
If I leave it alone, will it heal on its own? It seems to be quite a few lesions, and I'm unsure how to apply medication.
-- It is possible, but it may take a long time, and there is a chance of recurrence.
The decision is yours, but at the very least, maintain cleanliness and dryness, and practice safe sex.
3.) Can this be transmitted to others? If it is a wart, it can be transmitted through sexual activity.
Wishing you good health.

Reply Date: 2023/04/06

More Info

Pearly penile papules (PPP) are small, benign growths that typically appear around the corona of the glans penis. They are often mistaken for sexually transmitted infections (STIs) such as genital warts, but they are not caused by a virus and are not contagious. Here’s a detailed breakdown of your questions regarding PPP, their diagnosis, and treatment options.

1. What are Pearly Penile Papules?
Pearly penile papules are a normal anatomical variant and are not a disease. They usually appear as small, dome-shaped, white or flesh-colored bumps that are arranged in one or more rows around the glans. They are most commonly found in young adult males and are considered a normal part of the anatomy. Unlike warts caused by the human papillomavirus (HPV), PPP do not pose any health risks and do not require treatment unless they cause psychological distress or concern.

2. Will they go away on their own?
Pearly penile papules typically do not resolve on their own. They are a permanent feature for those who have them. If they are not causing any discomfort or psychological distress, many individuals choose to leave them untreated. However, if the appearance of the papules is bothersome, there are treatment options available. It’s important to note that while they are harmless, any new growths or changes in the genital area should be evaluated by a healthcare professional to rule out other conditions.

3. Are they contagious?
No, pearly penile papules are not contagious. They are not caused by an infection and cannot be transmitted to sexual partners. This is an important distinction to make, as many individuals may confuse them with sexually transmitted infections. It’s crucial to communicate with partners about any concerns regarding genital health, but PPP do not pose a risk of transmission.

Treatment Options:
If you decide that you would like to have the papules removed for cosmetic reasons, there are several treatment options available:
- Laser Therapy: This is a common method for removing PPP. It involves using a laser to vaporize the papules without damaging the surrounding skin.

- Cryotherapy: This treatment involves freezing the papules with liquid nitrogen, which causes them to fall off over time.

- Electrosurgery: This method uses a high-frequency electrical current to remove the papules.

- Surgical Excision: In some cases, a healthcare provider may recommend surgically excising the papules.

It’s important to consult with a dermatologist or a urologist who has experience with these procedures to discuss the best option for you. They can provide guidance based on your specific situation and help you understand the potential risks and benefits of each treatment.

In conclusion, pearly penile papules are a benign condition that does not require treatment unless desired for cosmetic reasons. They are not contagious and will not resolve on their own. If you have concerns about their appearance or any changes in your genital area, it’s advisable to seek professional medical advice.

Similar Q&A

Understanding Pearly Penile Papules: Treatment Options and Insights

Pearl-like papules can be treated. If you feel that something seems unusual in that area, it is advisable to consult a healthcare professional for an accurate diagnosis and appropriate treatment options.

Dr. Li Yilun reply Urology
Common skin protrusions may be caused by keratin abnormality leading to pearly penile papules, which appear skin-colored or light brown, and are multiple and round. These small white nodules resemble tiny beads, about the size of a pinhead, and are primarily formed due to cystic ...

Understanding Pearly Penile Papules: Treatment Options and Insights

I have pearly penile papules. I previously went to a major hospital in Xizhi for an examination, but they said it would gradually disappear over time. However, I have noticed that the condition does not seem to be improving. I also have pearly penile papules under the glans, and ...

Dr. Xu Wencang reply Urology
Topical medication can be applied, but its effectiveness is unclear.

Effective Treatments for Pearly Penile Papules: A Urology Guide

How to treat pearly penile papules?

Dr. Liu Jianting reply Urology
Observe! If you are concerned, regularly perform self-examinations or consult a urologist.

Can Pearly Penile Papules Be Treated? Expert Insights on Urology

Hello doctor, can pearly penile papules be treated? Is there a topical medication that can eliminate them? Is tetracycline effective? Although they are harmless, my partner is concerned, and it's difficult for me to bring it up. Thank you for your response.

Dr. Xu Weikai reply Urology
Hello, the pearl adenoma does not require treatment as it is normal tissue. Everyone has it. It's just like your hand; it is 100% normal and necessary for the human body, and you wouldn't remove your hand for no reason. If there are any unclear points, feel free to ask ...