Treatment of pearly penile papules

Pearly penile papules appear as small benign bumps located around the crown of the glans. In the absence of aesthetic concerns, it is generally not necessary to treat pearly papules, as this condition is neither contagious nor harmful to health.

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Treatment of pearly penile papules in Paris | Medical dermatology | Skin Marceau

Pearly penile papules: what are they ?

Pearly penile papules are small, harmless protrusions that form around the glans or crown of the penis in some men. They are usually flesh-colored or white, have a bead-like or small bump appearance, and are often arranged in circular rows.

These papules are not related to sexually transmitted infections; they are considered a normal variant of penile physiology. They are not contagious and do not affect sexual life.

Their cause is unknown. They can be diagnosed through a simple clinical examination.

What is the treatment for pearly penile papules?

Dermatologists at Skin Marceau Clinic in Paris treat pearly penile papules with CO2 laser.

Procedure of the treatment at Skin Marceau

The treatment is quite simple, quick, and with no notable aftermath. Contraindications include the presence of metal plates in the body as well as the use of a pacemaker or cardiac defibrillator. Dental implants are not considered a contraindication.

In most cases, CO2 laser treatment is performed under local anesthesia to minimize any potential discomfort for the patient during the procedure. The laser targets each papule and emits a beam of intense light that gently vaporizes the tissues of the papules, causing them to gradually disappear.

To prevent overheating of the surrounding skin, a cooling system may be used during the procedure to protect the adjacent skin.

After the procedure, it is common to experience slight irritation or redness around the treated area, but this typically subsides within a few days. It will be important to follow your dermatologist’s recommendations regarding post-treatment care and hygiene to ensure optimal healing.

Post-treatment care

Healing takes about a week, and a sensation of discomfort may be experienced during this period. Sexual abstinence is recommended during the first few days following the treatment.

Pricing for pearly penile papule treatment at Skin Marceau ?

The treatment costs 600€ and a quote is always provided beforehand.

Les questions fréquemment posées

Will pearly penile papules ever go away?

Pearly penile papules (PPP) usually do not go away on their own and tend to persist throughout life. While they may become less noticeable over time, they are typically permanent. Pearly penile papules are harmless and do not require treatment. However, if an individual is concerned about their appearance, treatments such as CO2 laser therapy can effectively remove them. The dermatologists at Skin Marceau remove pearly penile papules with CO2 lasers on a regular basis, with excellent aesthetic outcomes.

At what age do pearly penile papules appear?

Pearly penile papules (PPP) often become noticeable during adolescence or early adulthood, around the ages of 20 to 30. They may be present from childhood but typically become more prominent with the hormonal changes that occur during puberty. PPP are a normal anatomical variation and do not indicate any health problems. They are not harmful and do not require treatment unless for cosmetic reasons.

Is PPP a form of HPV?

No, pearly penile papules (PPP) are not a form of human papillomavirus (HPV). PPP are a normal anatomical variant and are not caused by any virus, including HPV. They are small, dome-shaped or filiform papules that appear around the corona of the glans penis. HPV, on the other hand, is a sexually transmitted infection that can cause genital warts and other health issues. PPP is completely benign and unrelated to HPV.

Is Pearly Penile Papules (PPP) a sexually transmitted disease (STD)?

No, pearly penile papules (PPP) are not a sexually transmitted disease (STD). PPP are benign, non-infectious growths that appear around the corona of the glans penis. They are a normal anatomical variation and do not result from sexual activity or infection. Therefore, they are not transmissible and pose no risk to sexual partners. PPP typically do not require treatment unless for cosmetic reasons, and their presence is not a sign of any underlying health condition.

Do pearly papules hurt?

No, pearly penile papules (PPP) do not hurt. They are typically asymptomatic, meaning they do not cause pain, itching, or discomfort. PPP are simply a benign anatomical variation and are usually only of cosmetic concern. If any bumps or lesions on the genitals cause pain or discomfort, it is important to seek medical advice, as they may be indicative of other conditions that require treatment.

Does PPP cause smegma?

Pearly penile papules (PPP) themselves do not cause smegma. Smegma is a substance made up of dead skin cells, oils, and other fluids that can accumulate under the foreskin in uncircumcised males. While PPP do not cause smegma, proper genital hygiene is important to prevent smegma buildup, which can occur regardless of the presence of PPP. Regular cleaning with mild soap and water can help maintain good genital hygiene.

Can pearly papules be on the shaft?

No, pearly penile papules (PPP) typically do not appear on the shaft of the penis. They are usually located around the corona, which is the rim of the glans (head) of the penis. If bumps or papules appear on the shaft of the penis, they may be due to other conditions such as Fordyce spots, genital warts, or molluscum contagiosum. It is important to consult a healthcare professional for an accurate diagnosis if there are any unusual growths on the penile shaft.

Can you pick off pearly penile papules?

No, you should not pick off pearly penile papules (PPP). Attempting to remove them yourself can cause pain, infection, and scarring. PPP should only be removed by a dermatologist and not at home.

How do you get rid of PPP in France?

In France, as in other countries, the treatment of pearly penile papules (PPP) can be performed by a dermatologist. The preferred method for removing PPP is CO2 laser therapy, which precisely targets and removes the papules with minimal discomfort and recovery time. Other treatment options include electrosurgery, but CO2 laser is often favoured for its effectiveness, precision and safety. Consulting with a dermatologist will help determine the best treatment approach.

How to live with PPP?

Living with pearly penile papules (PPP) involves understanding that they are a harmless, normal anatomical variation. Educating oneself about pearly penile papules can alleviate unnecessary worries. Maintaining good genital hygiene is important, but otherwise, PPP do not require specific care. If PPP cause significant psychological distress, consulting a dermatologist about potential removal options can be beneficial. Support from healthcare professionals and open communication with partners can also help in managing any concerns related to pearly penile papules.

What causes papules?

Papules can be caused by a variety of factors, including inflammation, infections, allergic reactions, and skin conditions like acne. Inflammatory conditions such as eczema or dermatitis can result in papule formation. Infections, both bacterial and viral, can also lead to papules. For example, molluscum contagiosum, a viral infection, causes small, firm papules on the skin. Pearly penile papules (PPP) specifically are caused by normal anatomical variations and are not linked to any disease or infection.

Does circumcision get rid of pearly penile papules?

No, circumcision does not get rid of pearly penile papules (PPP). PPP are located around the corona of the glans penis and are not affected by the removal of the foreskin. Circumcision involves the removal of the foreskin and does not impact the area where PPP are found. If an individual desires removal of PPP for cosmetic reasons, treatments such as CO2 laser therapy are more effective options. Studies have shown however that there is a lower occurence rate of PPP among circumcised men.

What can be mistaken for pearly penile papules?

Conditions that can be mistaken for pearly penile papules (PPP) include genital warts caused by HPV, Fordyce spots, molluscum contagiosum, and lichen nitidus. Genital warts are typically irregular and can be larger, while Fordyce spots are small, yellowish-white bumps. Molluscum contagiosum appears as small, raised, and sometimes umbilicated papules. Lichen nitidus presents as tiny, flesh-colored bumps. Accurate diagnosis by a healthcare professional is essential to distinguish between these conditions.

What if you pop a pearly penile papule?

Popping or attempting to remove pearly penile papules (PPP) by yourself is not advisable. Doing so can cause pain, bleeding, infection, and scarring. PPP are benign and harmless, and self-removal efforts can lead to complications. If removal is desired for cosmetic reasons, professional treatments such as CO2 laser therapy, or electrosurgery should be sought from a qualified dermatologist to ensure safe and effective removal.