Pearly Penile Papules: Causes, Treatment, and Recovery Time

Q: Pearly Penile Papules: Causes, Treatment, and Recovery Time

Hello, Xiao Yi： Based on your written description, it is currently difficult to determine your exact condition. <br>However, I personally believe that it may not be a "pilar cyst." The main characteristic of skin diseases is that "seeing is believing, and texture can be felt." It

Pearly penile papules

Hello Dr.
Hong,
I would like to consult you about a problem that has been bothering me for a long time.
I have a ring of small raised bumps around the neck of my glans, with five small, flesh-like growths on each side near the urethral opening close to the glans.
They appear white.
They are not noticeable most of the time, but become very prominent during an erection.
This has been present for over 10 years, and there is no pain or itching, nor have they increased in size.

Could this be what is referred to as "pearly penile papules"? If I want to have them treated, what kind of treatment should I undergo? How long is the recovery period? Thank you.

Xiao Yi, 20~29 year old female. Ask Date: 2006/07/08

Dr. Hong Zhengsheng reply Dermatology

Hello, Xiao Yi: Based on your written description, it is currently difficult to determine your exact condition.
However, I personally believe that it may not be a "pilar cyst." The main characteristic of skin diseases is that "seeing is believing, and texture can be felt." It is indeed challenging to convey a complete picture solely through written descriptions.
Therefore, I recommend that when you notice the symptoms described, you should promptly visit a public hospital under the Department of Health in your city or county and consult with a dermatologist.
All the physicians here are very willing to assist you.
Thank you for using "Taiwan e-Hospital" to ask your question.
"Taiwan e-Hospital" cares about your health.

Reply Date: 2006/07/08

More Info

Pearly penile papules (PPP) are small, benign growths that typically appear around the corona of the glans penis. They are often described as small, white or flesh-colored bumps that can be mistaken for warts or other lesions. However, it is important to note that PPP is a normal anatomical variant and is not associated with any disease, infection, or health risk. They are most commonly found in young adult males and can persist for many years, as you have experienced.

The exact cause of pearly penile papules is not well understood, but they are thought to be a result of normal skin variations. They are not contagious and do not require treatment unless they cause psychological distress or discomfort to the individual. In your case, since you have mentioned that they have been present for over ten years without any pain, itching, or noticeable changes, it is likely that they are indeed PPP.

If you are considering treatment to remove the papules for cosmetic reasons, there are several options available. The most common methods include:
1. Laser Therapy: This is a popular method for removing PPP. Laser treatment can effectively target and destroy the papules with minimal damage to the surrounding tissue. Recovery time is generally quick, with most patients experiencing only mild redness or swelling that resolves within a few days.

2. Electrosurgery: This technique uses electrical currents to remove the papules. It is effective and can be performed in a doctor's office. The recovery time is similar to that of laser therapy, with minor discomfort and swelling.

3. Cryotherapy: This involves freezing the papules with liquid nitrogen. While effective, it may cause more discomfort during the procedure and can lead to temporary discoloration of the skin.

4. Surgical Excision: In some cases, surgical removal of the papules may be recommended. This method is more invasive and may require stitches, leading to a longer recovery time.

Recovery time after any of these procedures can vary, but most patients can return to their normal activities within a few days. It is essential to follow post-procedure care instructions provided by your healthcare provider to ensure proper healing and minimize the risk of complications.

Before proceeding with any treatment, it is advisable to consult with a dermatologist or urologist who can confirm the diagnosis of pearly penile papules and discuss the best treatment options based on your specific situation. They can also provide reassurance and address any concerns you may have regarding the appearance of the papules.

In summary, pearly penile papules are a common and benign condition that does not require treatment unless desired for cosmetic reasons. If you choose to pursue removal, various effective methods are available, each with its recovery considerations. Always consult with a qualified healthcare professional to ensure the best approach for your individual needs.

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