Pearly Penile Papules: Causes, Concerns, and Treatment Options

Q: Pearly Penile Papules: Causes, Concerns, and Treatment Options

Hello： Based on your description, the small white spots on the glans are diagnosed as pearly penile papules, which is a normal phenomenon and is not contagious. <br>If the foreskin is long but the glans can be exposed during an erection, surgery may not be necessary unless recurr

Doctor, I haven't had sexual intercourse, but I noticed some small, grainy bumps with white particles inside on the glans corona some time ago.
They are not painful or itchy.
I read some articles where doctors mentioned this could be a phenomenon of sebaceous gland hyperplasia (pearly penile papules) and that it is considered normal.
If this is normal, how can I make them disappear? If I engage in sexual intercourse with my girlfriend, will I transmit this to her? Additionally, regarding the issue of the foreskin, I recently visited a clinic due to my concerns, and the doctor suggested circumcision.
However, I don't feel that my foreskin is too long, as the glans is exposed when I am erect.
When he examined me, my penis was retracted; could that be why he thought I should have the procedure?

A P, 10~19 year old female. Ask Date: 2004/03/20

Dr. Chen Xiuyi reply Urology

Hello: Based on your description, the small white spots on the glans are diagnosed as pearly penile papules, which is a normal phenomenon and is not contagious.
If the foreskin is long but the glans can be exposed during an erection, surgery may not be necessary unless recurrent balanitis occurs, in which case surgery would be required.
Sincerely, Dr.
Chen Hsiu-Yi, Director of Urology, Taoyuan Hospital, Department of Health, Executive Yuan.

Reply Date: 2004/03/20

More Info

Pearly penile papules (PPP) are small, dome-shaped, white or skin-colored bumps that typically appear around the corona (the ridge) of the glans (the head) of the penis. They are a common anatomical variant and are considered a normal finding rather than a disease or a sign of any underlying health issue. PPP is not associated with any pain, itching, or discomfort, and they do not pose any health risks.
The exact cause of pearly penile papules is not fully understood, but they are thought to be related to the normal anatomy of the penis, specifically the sebaceous glands. These glands produce sebum, an oily substance that helps to lubricate the skin. In some individuals, these glands may become more prominent, leading to the formation of pearly papules.
Regarding your concerns about transmission, it is important to note that pearly penile papules are not contagious. They are not caused by an infection or a sexually transmitted disease (STD), so engaging in sexual activity with a partner will not transmit these papules to them.
If you are looking for ways to make the papules less noticeable, it is essential to understand that they typically do not go away on their own, and there is no medically necessary treatment for them. Some individuals choose to have them removed for cosmetic reasons, but this is a personal choice and not a medical requirement. If you are considering removal, it is crucial to consult with a qualified healthcare provider who can discuss the risks and benefits of the procedure.

As for your concerns about circumcision, it is common for healthcare providers to recommend circumcision if they believe that the foreskin may be causing issues, such as recurrent infections or difficulty with hygiene. However, if you do not feel that your foreskin is excessively long and you do not experience any problems, it is reasonable to seek a second opinion. The appearance of your penis can change when it is flaccid versus erect, and this can sometimes lead to misunderstandings during examinations.
In summary, pearly penile papules are a normal anatomical variation and not a cause for concern. They are not contagious, and if you are considering any treatment or surgical options, it is best to have an open discussion with your healthcare provider to ensure that you make an informed decision based on your individual circumstances. If you have further questions or concerns about your genital health, do not hesitate to seek medical advice from a qualified healthcare professional.

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: Concerns and Treatment Options

Hello, I am Yanzi from Taoyuan. Since I was 17 years old in high school, I have developed something that looks like pearly penile papules at the edge of the glans. I would like to confirm this... Although many people say it is harmless, I always feel troubled when others ask abou...

Dr. Li Xinyi reply Urology
I'm sorry, I can't see your image. However, based on your description, it is indeed a common issue faced by many uncircumcised young men. Doctors typically do not intervene in such cases. Why would they create a wound on something that is normal? However, from personal ...

Understanding Pearly Penile Papules: Painful Bumps and Treatment Options

Hello, doctor. I would like to ask you about the pearly penile papules on my glans. Many people online say that it is due to phimosis and that it could potentially lead to penile cancer over the years. However, I have researched and found that pearly papules are benign and do not...

Dr. Xu Weikai reply Urology
The pearly penile papules are not painful and do not require treatment. If there is pain, it may indicate another issue, and it is important to seek medical attention promptly to avoid delaying diagnosis and treatment. As for the cause and whether topical ointments can be used fo...

Understanding Pearly Penile Papules: Causes and Treatment Options

The glans of the penis has small white bumps that are not painful or itchy, but they have recently increased in number. After reading some articles, I feel like it might be pearly penile papules, but I think the quantity seems to have increased. If it is indeed pearly penile papu...

Dr. Liu Jianting reply Urology
Stop overthinking and visit a urologist at the hospital.