Penile Growths: Concerns About Pearly Penile Papules

Please ask your question?

I previously had balanitis, and when I visited the doctor, they didn't examine me thoroughly because I had already asked about it here.
During the visit, the doctor just took a quick look and confirmed that it should be fine now.
However, I noticed 4-5 flesh-colored small bumps under the glans, which haven't changed much since then.
I'm worried that it might be genital warts.
I haven't been to any high-risk places and have no sexual experience; is it still possible for me to have it? Please advise, thank you.

you dian dan xin, 20~29 year old female. Ask Date: 2004/09/14

Dr. Liu Jianting reply Urology

If you are so "pure," it shouldn't be "cauliflower"! You should consult a urologist for further evaluation.

Reply Date: 2004/09/14

More Info

Pearly penile papules (PPP) are small, benign growths that typically appear around the corona of the glans (the head of the penis). They are often flesh-colored or slightly lighter than the surrounding skin and can vary in number, usually ranging from a few to several dozen. PPP is a common condition and is considered a normal anatomical variant rather than a disease. It is important to note that these papules are not associated with any sexually transmitted infections (STIs) and do not pose any health risks.

Your concern about whether these growths could be genital warts (caused by the human papillomavirus, or HPV) is understandable, especially given the anxiety surrounding sexual health. However, the characteristics of pearly penile papules are distinct from those of genital warts. Genital warts typically appear as soft, fleshy growths that can be raised or flat, and they may have a cauliflower-like appearance. They can also be itchy or cause discomfort, whereas PPP is usually asymptomatic and does not cause any pain or irritation.

Given that you mentioned you have not engaged in sexual activity and have not been in environments where you might contract STIs, the likelihood of your growths being genital warts is low. However, if you have any doubts or if the growths change in appearance, size, or if you experience any discomfort, it is advisable to consult a healthcare professional for a thorough examination. A urologist or dermatologist 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 discomfort. If treatment is desired for cosmetic reasons, options include laser therapy, cryotherapy, or surgical excision. However, these procedures are typically not necessary, as PPP is harmless.

To summarize, pearly penile papules are a common and benign condition that does not indicate any underlying health issues or risk of STIs. If you are experiencing anxiety about your symptoms or if there are any changes, seeking medical advice is the best course of action. Regular check-ups and open communication with healthcare providers can help alleviate concerns and ensure your sexual health is monitored appropriately.

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