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Pearly Penile Papules - Symptoms To Watch Out For!

Written and reviewed by
Fellow of ACSI , Fellow of IADVL , MD - Dermatology, Venereology & Leprosy, MBBS
Dermatologist, Ghaziabad  •  15 years experience
Pearly Penile Papules - Symptoms To Watch Out For!

Pearly Penile Papules, in medical term is known as Hirsutoid Papillomas. This tends to develop just around the head of the penis. The size and colour varies from one person to another but usually they appear pink-white and measure somewhere between 1 to 4 millimeters in diameter, resembling like small pimples.

Once a man develops these pearly penile papules, they tend to stay with the person for the rest of his life. With the advancement of age, the growths can start to fade but there will be no change in shape, color or even spread further over a period of time. There are no symptoms as such.


  1. Doctors are not sure about, what really causes pearly penile papules. These occurrences are considered to be quite normal and anywhere between 8 and 43 percent of men have them.
  2. Pearly penile papules are not caused as a result of any infection or disease and they are neither contagious not harmful in nature.
  3. One noticeable fact is that these appear to be more common among black complexioned men and the ones whose foreskin has not yet been removed from the penis.

There are mainly two very effective permanent treatment options available for Pearly Penile Papules. They include:

Pulsed-Dye Laser-
The process involves cleaning the region with sterilized saline solution. A topical anesthetic gets applied on the area and kept occluded with a wrap for an hour. Around 1-3 PDL treatments get performed with the use of a 5-mm spot size and 0.50 ms pulse duration, ranging from 6 J/cm2 to 10 J/cm2. It causes minimum discomfort to patients.

Ablation Carbon Dioxide Lasers-
The CO2 lasers have the unique ability to hit the specific areas without causing damage to the nearby tissues. Before the treatment, a numbing cream is applied to the affected portion. As and when the cream gets totally activated, dermatologist would administer the laser treatment by getting it focused and firing off the beam on individual papules, hence getting them vaporized instantly. The whole treatment takes only half an hour and it does not require any injection, thus making the process completely painless.

Radiofrequency Ablation-
Radiofrequency Ablation is a highly effective procedure that does not involve incisions, stitches and hospitalization. It is basically a procedure that uses radio waves in order to destroy the selected areas of tissue, without affecting the other areas. This method used for Pearly Penile Papules removal is a non-invasive cosmetic treatment that uses low-temperature, high –frequency waves in the radio bandwidth, consisting destroying the cells from within, cauterizing the affected area, preventing bleeding, infections and scarring. In case you have a concern or query you can always consult an expert & get answers to your questions!

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