A 25 year old seeks treatment for "warts" on his penis.
PEARLY PENILE PAPULES
Pearly Penile Papules (PPP) are benign papular growths on the corona. They are frequently misdiagnosed as warts.
- 1-3 rows of tiny, 1 mm flesh-colored papules are seen along the corona circumferentially.
- PPP are most commonly found in men between 20 and 40 years of age.
- PPP seem to regress with age (either less of them or completely disappear).
- Some consider these lesions as vestigial remnants of penile spines, which are found in the same location in other primates and contributes to sexual pleasure and quicker orgasms.
- Vestibular papillomatosis is considered to be female equivalent of PPP.
- One study found that PPP are less prevalent in circumcised men. They suggested that patients "could be advised to wear the foreskin rolled back - this may maximize exposure of the coronal area to normal abrasion, which may hasten PPP regression." [Int J STD AIDS 2009 Nov:768-70]
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A 25 year old seeks treatment for "warts" on his penis.