![]() ![]() Some men find PPPs distressing to look at, owing to their resemblance to some sexually transmitted infections. They are less common in circumcised males, occurring about half as frequently in circumcised men. PPPs are common and occur in 14% to 48% of young males. The procedure requires anaesthesia, may need to be performed more than once, and has a risk of bleeding, scarring and colour changes. Ĭarbon dioxide laser generally has good outcomes with skin healing within seven days. Laser or cryotherapy may be considered for men who find PPPs distressing to look at or feel excessive embarrassment. Generally, reassurance is given and no treatment is needed. ![]() Treatment īefore and after treatment to remove pearly penile papules Histopathology shows dense connective tissue, fibroblasts and many blood vessels. They can also appear similar to molluscum contagiosum, sebaceous hyperplasia and lichen nitidus. PPPs are sometimes mistaken for genital warts due to a perceived similarity in appearance. On dermoscopy, the white-pink papules appear in a cobblestone-like pattern and contain a central dotted or comma-shaped blood vessels. Smegma can accumulate if these oils are produced in excess or there is inadequate washing under the foreskin. Along with Fordyce glands PPPs secrete oils to keep the skin of the head of penis in good condition. They do not spread and often spontaneously regress. PPPs secrete oil that moistens the glans of the penis. They are sometimes described as vestigial remnants of penile spines, sensitive features found in the same location in other primates. ![]()
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