Pearly Penile Papules: A Common Urological Concern

Suspected cauliflower (likely referring to genital warts or condyloma acuminatum)?

Today, I went to the hospital for a military service physical examination.
I informed the doctor that there are small bumps on the glans corona and the foreskin, but the doctor only took a quick look and said they are likely papules without conducting any further tests.
These bumps have been present for about 7 years.

Zhi, 20~29 year old female. Ask Date: 2016/03/17

Dr. Li Xinyi reply Urology

That's right.
It sounds fine.

Reply Date: 2016/03/17

More Info

Pearly penile papules (PPP) are a common and benign condition that many men experience, particularly during their late teens and early adulthood. These small, dome-shaped, flesh-colored or white bumps typically appear around the corona of the glans (the head of the penis) and are often mistaken for other conditions, which can lead to unnecessary anxiety.

PPP is considered a normal anatomical variant and is not associated with any disease or infection. They are not contagious and do not pose any health risks. The exact cause of these papules is not fully understood, but they are thought to be related to the natural development of the skin and are more prevalent in uncircumcised men.
During your recent medical examination, the doctor likely recognized these papules as PPP based on their appearance and your description. The fact that they have been present for over seven years without any changes in size, color, or symptoms (such as pain or itching) further supports the diagnosis of PPP. It is important to note that PPP does not require any treatment unless the individual desires removal for cosmetic reasons.
If you have concerns about the appearance of these papules or if you notice any changes, such as increased size, color changes, or the development of discomfort, it would be advisable to follow up with a urologist or dermatologist. They can provide a more thorough examination and, if necessary, perform additional tests to rule out other conditions, such as genital warts or other dermatological issues.

In terms of self-care, maintaining good hygiene is essential. Regular washing with mild soap and water can help keep the area clean. Avoiding harsh soaps or irritants is also recommended, as these can exacerbate any irritation or discomfort.

In summary, pearly penile papules are a common and harmless condition that many men experience. They are not indicative of any underlying health issues and do not require treatment unless desired for cosmetic reasons. If you have any further questions or concerns, don't hesitate to reach out to a healthcare professional for personalized advice and reassurance.

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