Pearly Penile Papules: Causes and Concerns

There are small white bumps around the glans?

There are small white bumps around the glans that are neither painful nor itchy and have been present for a while, possibly 2 to 3 years.
Could this be pearly penile papules? Are they contagious?

Yang Fei Fei, 20~29 year old female. Ask Date: 2013/02/19

Dr. Jiang Yini reply Urology

It is recommended to visit a urology outpatient clinic for evaluation and professional judgment by a physician, who will then provide you with relevant advice and treatment options.

Reply Date: 2013/02/19

More Info

Pearly penile papules (PPP) are small, benign growths that typically appear around the glans (the head) of the penis. They are often described as small, white or flesh-colored bumps that can be arranged in a row, resembling a string of pearls. These papules are a normal anatomical variant and are not considered a sexually transmitted infection (STI) or a disease.
The exact cause of pearly penile papules is not fully understood, but they are thought to be a result of the natural anatomy of the penis. They are most commonly seen in young adult males, particularly those who are uncircumcised. The presence of these papules is completely harmless and does not indicate any underlying health issues. They are not contagious, meaning they cannot be transmitted to sexual partners or others through sexual contact or any other means.

It is important to differentiate pearly penile papules from other conditions that may present with similar symptoms, such as genital warts, which are caused by the human papillomavirus (HPV), or other skin conditions. Genital warts typically appear as irregular, cauliflower-like growths and may be itchy or painful, unlike PPP, which are painless and do not cause discomfort.

If you have noticed these bumps for 2 to 3 years and they have not changed in appearance, size, or sensation, it is likely that they are indeed pearly penile papules. However, if you experience any changes, such as increased size, pain, itching, or any other unusual symptoms, it is advisable to consult a healthcare professional for a thorough evaluation. A dermatologist or urologist can provide a definitive diagnosis and rule out other conditions.

In terms of management, pearly penile papules do not require treatment unless they cause psychological distress or concern for the individual. Some people may choose to have them removed for cosmetic reasons, but this is a personal choice and should be discussed with a healthcare provider. Removal methods can include laser therapy, cryotherapy, or surgical excision, but these procedures are typically not necessary given the benign nature of the papules.

In summary, pearly penile papules are a common and harmless condition that does not pose any health risks or require treatment. They are not contagious and do not affect sexual health. If you have concerns or questions about your symptoms, it is always best to seek advice from a qualified healthcare professional who can provide personalized guidance based on your specific situation.

Similar Q&A

Understanding Pearly Penile Papules: Causes and Concerns

There were originally two spots on the glans and the inner foreskin. I have been squeezing out something similar to comedones for six months, and since I haven't had sexual intercourse during this time, I'm unsure if there is an infection.

Dr. Li Yilun reply Urology
Common skin protrusions may be caused by keratin abnormality leading to milia, which appear as skin-colored or light brown, round, multiple small nodules resembling tiny beads, about the size of a pinhead. These are primarily due to cystic retention of keratin in the upper dermis...

Understanding Pearly Penile Papules: Symptoms, Concerns, and Care

Hello Dr. Du, thank you for your quick response! I have some follow-up questions I would like to ask you! Regarding the first issue I mentioned earlier, I would like to elaborate a bit more. Almost two years ago, I visited a doctor due to inflammation caused by phimosis. At that ...

Dr. Du Shixi reply Urology
Hello: Pearly penile papules do not require attention, but genital warts should be taken seriously. Sometimes it can be difficult for physicians to differentiate between them, and a general assessment is often made. In my clinical practice, I always confirm with a pathology repor...

Understanding Pearly Penile Papules: Causes and Concerns

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, w...

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...

Understanding Pearly Penile Papules: Causes and Concerns

Hello Doctor: I have noticed small white bumps appearing on the veins in my genital area. The number is not excessive. I have also had pearly penile papules; could this be related? The bumps on the veins do not hurt when touched, and there is no discharge when pressed. If I pull ...

Dr. Jiang Yini reply Urology
The small white spots on the penis can have various causes, including pearly penile papules, viral infections, or follicular keratosis. It is advisable to consult a urologist or dermatologist for an examination.