Can CO2 Laser Treatment Remove Penile Papules? Expert Insights

Penile papules

Hello, doctor! After my visit, I asked the doctor if carbon dioxide laser treatment could be used to remove the lesions, and he said he supports it! However, he later mentioned that no urologist would recommend removal.
So, can the laser treatment be done or not? I understand that this is a non-contagious condition, but every time I have sex, I have to explain whether there is a removal option.

Hao, 20~29 year old female. Ask Date: 2015/01/22

Dr. Xu Weikai reply Urology

Hello, if you find it bothersome, you can certainly have it removed.
Ultimately, it's your decision.
The physician's opinion is that the papules are basically harmless.
Even if left untreated, they will not undergo malignant transformation.
If you have any further questions, feel free to ask, and we can discuss and research together.
Answers found online should only be used as a reference; if necessary, you should seek medical attention at a healthcare facility.
The Ministry of Health and Welfare Taitung Hospital cares about you.

Reply Date: 2015/01/22

More Info

When it comes to the treatment of penile papules, the use of CO2 laser therapy is indeed a topic of discussion among medical professionals. Penile papules, often referred to as pearly penile papules, are small, benign growths that typically appear around the corona of the glans penis. They are a normal anatomical variant and are not associated with any disease or infection.
The CO2 laser is a well-established tool in dermatology and cosmetic surgery for the removal of various skin lesions, including warts, moles, and other benign growths. The laser works by emitting a focused beam of light that vaporizes the tissue, allowing for precise removal with minimal damage to surrounding areas. This precision can be particularly beneficial in sensitive areas such as the genital region.

However, the decision to proceed with CO2 laser treatment for penile papules should be made with careful consideration. While some dermatologists and cosmetic surgeons may support the use of laser therapy for cosmetic reasons, it is essential to consult with a qualified urologist or dermatologist who specializes in genital conditions. The reason for this is that penile papules are generally harmless, and their removal is often not medically necessary.
Furthermore, there are potential risks associated with any surgical procedure, including laser treatments. These risks include scarring, changes in pigmentation, and infection. Given the sensitive nature of the area, these risks may be more pronounced. Additionally, there is a possibility that the papules could recur after treatment, which may lead to dissatisfaction with the results.

If you are concerned about the appearance of penile papules and how they affect your sexual relationships, it may be helpful to discuss these feelings with a healthcare professional who can provide guidance and support. They can help you weigh the pros and cons of treatment options, including the potential psychological benefits of removal versus the risks involved.

In summary, while CO2 laser treatment can technically remove penile papules, it is crucial to approach this decision with caution. Consulting with a specialist who understands both the medical and psychological aspects of this condition will provide you with the best guidance. Remember that these papules are a normal variant and do not pose any health risks, so the choice to remove them should be based on personal preference and comfort rather than medical necessity.

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