Pearly Penile Papules
If you have noticed small bumps around your penis, don’t fret - it is most probably just Pearly Penile Papules.
What is it exactly?
Pearly Penile Papules (PPP) are a common occurrence in young men, and are actually a variation of normal anatomy. Approximately 38% of men under the age of 25 have them, and they are more frequently observed in uncircumcised men. They appear as multiple, distinct growths arranged symmetrically at the base of the penile glans. These papules are usually flesh-coloured, white or yellow, and neatly arranged in 1 to 3 circular rows, set a couple of millimeters apart. They are painless, do not itch and do not cause any adverse effects. They may change over time, and often regress with age.
How do they occur?
PPP are thought to be an embryological remnant of penile spines. Penile spines play an important role in animals such as primates and ducks, where the friction of the spines in the female genital tract is thought to induce ovulation. In humans, PPP secrete an oily substance called sebum, which acts to lubricate the penis.
They are completely harmless bumps!
Often, the attention to these bumps can be drawn during changes of puberty or after a sexual contact, causing great concern or embarrassment, and affecting a man’s confidence. However, as mentioned before, PPP are merely a variant of the penile anatomy, and are completely harmless. They are not caused by infection or any kind of disease, and have no risk of developing into cancer. They are not sexually transmitted and are not infectious. Sexual activity appears to have no effect on the development, progression or regression of PPP, and they do not increase the risk of contracting an STI. Last but not least, the presence of PPP does not indicate poor personal hygiene.
Often a mistaken identity
Nevertheless, many men panic when they see bumps on their penis, thinking they have contracted an STI. PPP are commonly mistaken for Genital Warts or Molluscum Contagiosum, but they differ in their origin and appearance:
Genital Warts are cauliflower-like fleshy growths caused by the Human Papillomavirus, and are sexually transmitted. They tend to be larger, asymmetrical, and are more likely to change in shape and size over time. They can appear on any part of the genitals, including the anus and skin of the groin.
Molluscum Contagiosum is a benign skin condition caused by infection with the Molluscum Contagiosum Virus. It can be sexually transmitted. Molluscum lesions are typically round and firm, approximately 2 to 5mm in size, with a characteristic central punctum or dimple. Molluscum can appear anywhere on the body, but commonly affect the genitals and surrounding areas such as the thighs.
What if I still want to get rid of them?
Since PPP are a normal part of the male anatomy and are not infectious, there is actually no need for treatment. However, they can be safely and successfully removed if desired for cosmetic reasons. At RMDY clinic, we perform PPP removal via Electrocautery. The procedure is relatively quick and an anaesthetic cream is applied beforehand to ensure it is painless. Full recovery is expected in about a week, and risk of recurrence is very low.
The cost of PPP removal is $540.00.
Wish to find out more?
Speak to our doctor today if you are interested to learn more and discuss undergoing PPP removal.