Pearly Penile Papules: Symptoms and Differences from Warts - Urology

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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 described as tiny, dome-shaped, skin-colored or white bumps that can range in number from a few to several dozen. These papules are a normal anatomical variant and are not considered a sexually transmitted infection (STI) or a disease. They are most commonly seen in young adult males and are thought to be a normal part of male anatomy.

In contrast, genital warts, which are caused by certain strains of the human papillomavirus (HPV), can appear as small, fleshy growths or bumps in the genital area. They may be raised or flat, single or multiple, and can sometimes resemble cauliflower in appearance. Unlike PPP, genital warts are contagious and can be transmitted through sexual contact. They may also cause discomfort, itching, or bleeding, especially if they become irritated.

The key differences between pearly penile papules and genital warts include:
1. Cause: PPP are not caused by an infection and are not contagious, while genital warts are caused by HPV and can be transmitted through sexual contact.

2. Appearance: PPP are typically small, round, and uniform in appearance, often arranged in rows around the glans. Genital warts can vary in size and shape, may be irregular, and can appear in clusters.

3. Symptoms: PPP are usually asymptomatic, meaning they do not cause any discomfort or pain. In contrast, genital warts may cause itching, discomfort, or bleeding.

4. Treatment: Pearly penile papules do not require treatment as they are harmless and do not pose any health risks. However, if they cause psychological distress, some individuals may choose to have them removed for cosmetic reasons. Genital warts, on the other hand, may require treatment to remove them, which can include topical medications, cryotherapy, or surgical removal.

If you suspect that you have pearly penile papules, it is important to consult a healthcare professional for an accurate diagnosis. A doctor can differentiate between PPP and other conditions, such as genital warts or other skin lesions, through a physical examination. In some cases, a biopsy may be performed to confirm the diagnosis.

In summary, pearly penile papules are a normal anatomical feature and are not a cause for concern, while genital warts are a sexually transmitted infection that requires medical attention. If you have any doubts or concerns about any growths or changes in your genital area, it is always best to seek medical advice for proper evaluation and management.