Pearly Penile Papules: Causes and Concerns

Q: Pearly Penile Papules: Causes and Concerns

Sam： Hello, pearly penile papules generally appear at the junction of the glans and the shaft of the penis, and are less common on the glans itself. <br>However, if a dermatologist has examined them, they should be benign and not a major concern. <br>If there are any unclear poin

There are small particles on the surface of the glans?

Hello Doctor, I previously inquired about a condition I have where the surface of my glans is covered with some papules during erection, but they are almost invisible when not erect and become more apparent when I intentionally squeeze.
I subsequently consulted a dermatologist, who told me it is pearly penile papules.
I would like to ask you, Dr.
Hsu, can pearly penile papules proliferate on the surface of the glans? Are there sebaceous glands on the surface of the glans? Thank you.

sam, 20~29 year old female. Ask Date: 2010/05/05

Dr. Xu Weikai reply Urology

Sam: Hello, pearly penile papules generally appear at the junction of the glans and the shaft of the penis, and are less common on the glans itself.
However, if a dermatologist has examined them, they should be benign and not a major concern.
If there are any unclear points, feel free to ask again, and we can discuss and research further.
This message is from the Department of Urology, Director Hsu Wei-Kai, Taitung Hospital, Ministry of Health and Welfare.

Reply Date: 2010/05/05

More Info

Pearly Penile Papules (PPP) are a common and benign condition that many men experience. They appear as small, dome-shaped bumps that are typically found around the corona (the ridge) of the glans (the head of the penis). These papules are often white or skin-colored and can be more noticeable when the penis is erect, as you have described.
The exact cause of PPP is not fully understood, but they are thought to be a normal anatomical variant rather than a pathological condition. They are not caused by any infection, sexually transmitted disease, or poor hygiene. In fact, they are considered a normal finding and do not require treatment unless they cause psychological distress or concern for the individual.

Regarding your question about whether PPP can increase in number or size, it is generally understood that the number of papules can vary from person to person, but they do not typically grow or change significantly over time. They are not associated with any underlying health issues and are not indicative of any disease process.
As for the presence of sebaceous (oil) glands on the glans, the penis does not have sebaceous glands in the same way that other areas of the body do. However, the skin of the penis can have other types of glands, such as sweat glands and specialized glands that produce smegma, a substance that can accumulate under the foreskin in uncircumcised men. The appearance of PPP is not related to these glands.

If you are experiencing any discomfort, pain, or changes in the appearance of the papules, it is advisable to consult a healthcare professional for further evaluation. However, if the papules are asymptomatic and you have been reassured by a dermatologist, there is typically no cause for concern.
In summary, Pearly Penile Papules are a benign condition that many men have, and they are not a sign of any health issue. If you have any further concerns or if the appearance of the papules changes, seeking a second opinion or further evaluation from a urologist may provide additional peace of mind. Remember, maintaining good hygiene and regular check-ups with your healthcare provider can help ensure your overall sexual health.

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