PEARLY PENILE PAPULES

By Gary M. White, MD

Pearly penile papules


Pearly penile papules (PPP) are benign papular growths on the corona. They are periodically misdiagnosed as warts.

Clinical

1-3 rows of tiny, 1mm flesh-colored papules are seen along the corona circumferentially. Uncommonly, lesions may extend onto the glans penis. Lesions on the shaft of the penis are extremely rare. Such ectopic lesions are usually associated with typical coronal lesions, but may be the isolated finding on rare occasions.

Treatment

No treatment is needed. Any destructive modality may be employed but scarring is a risk. Usually, the patient is merely reassured. The puled dye laser is effective [JAMA Dermatol. 2013 Jun; 149(6):748-50]. Cryotherapy, CD, excision and CO2 laser have been used as well.

Additional Pictures

Pearly penile papules Pearly penile papules Pearly penile papules

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