Dr Groff is a partner at Cosmetic Laser Dermatology which is an esteemed cosmetic clinic located in beautiful San Diego, California and a member of the West Dermatology network. The team of board-certified dermatologists is committed to providing each and every patient with the highest level of care in a comfortable setting. Cosmetic Laser Dermatology's dermatologists are all highly respected in the field for their use of innovative treatments, involvement in advanced medical research, and continued participation in clinical trials.
The papules are smooth, measure 1–4 mm in diameter and are asymptomatic. Commonly, they occur in a single or double row on the corona of the glans. Structurally, they are related to acral angiofibromas. Pearly penile papules need to be differentiated from condylomata accuminata and lichen nitidus. Compared with condylomata accuminata, pearly penile papules are more uniform, are localized strictly at the glans penis or the sulcus coronarius and do not have a cauliflower-like surface. Lichen nitidus papules are flesh-coloured and flat-topped and they tend to occur on the shaft of the penis.

The pulsed dye laser has also shown significant lesion clearance with minimal discomfort. In a study involving four patients, Sapra, Sapra, and Singh (2013) achieved complete resolution in three patients after two to three treatments. The remaining patient was satisfied with the results after one treatment. Future laser therapies will likely focus on nonablative approaches, such as the pulsed dye laser, to adequately and painlessly treat PPP without the risk of infection or scarring. Although typically reserved for special scenarios, laser treatment of PPP produces favorable cosmetic results with a low risk of adverse effects and recurrence.
It really works! Some preface: I had a decent amount of papules (enough to cover my glans) and now they're almost all gone! I've been using the creams for about 3 weeks consistently. One thing to note is that Willy would sometimes get a burning feeling. That means that the day cream is working! The day cream (which has some type of acid) burns away the top layer of the papules so that the night cream can do it's thang. Don't worry, you won't burn your Jolly Roger off or leave scars. It's only supposed to be a small and quick burning sensation. Try not to put too much day cream as the burn might become unbearable. If it does become unbearable, just stop using the day cream but keep applying the night cream (the night cream doesn't cause the burning feeling for me - probably because it has no acid). Give Willy a few days to heal and then restart the day cream again.
Pearly penile papules commonly develop after puberty. The prevalence of this condition is estimated to be 14%–48%, and the incidence is higher among black people and uncircumcised men.1,2 Many terms have been used to describe pearly penile papules, including Tyson glands, hirsutoid papillomas, papilla in the corona glandis, hirsutis papillary corona of the penis, corona capilliti and pink pearly papules.

When you make an appointment for a consultation, Dr. Crippen will be able to discuss the treatment and your specific needs with you. He will examine you and tell you what results you can expect. The consultation is the perfect time to ask any questions you have and to discuss the treatment with Dr. Crippen. You will receive additional information that is important in understanding the treatment and making the best choice for you.
Pearly penile papules (PPP) are small protrusions on the head of the penis, rimming the corona or “crown.” They are usually pearly or flesh-colored, dome-shaped, and smooth, ranging from one to three millimeters in diameter. These are not to be confused with HPV warts, which are contagious and spread via multiple forms of sex. Pearly penile papules, in contrast, tend to be uniform in shape and size and are arranged in neat circular rows. It is important to recognize the distinction between these two by visiting a dermatologist at a doctor’s office and getting tested for Sexually Transmitted Infections (STIs) to ensure your skin condition is, in fact, pearly penile papules and not genital warts or another STI.
Daniel P. Friedmann, M.D. is a fellowship-trained, board-certified dermatologist and phlebologist at Westlake Dermatology and Clinical Research Director of the Westlake Clinical Research Center. He has presented nationally on photorejuvenation, noninvasive fat reduction, radiofrequency devices, up-to-date techniques in photodynamic therapy, the management of stretch marks, and the treatment of hand, chest, and facial veins.
If you don’t see results with a certain type of oil, try another one from the list above. Home remedies are natural and completely safe, so you can take your time with this treatment. The best treatments are the ones you can do yourself in the privacy of your own home. Many of these treatments involve common household items that are in no way dangerous. Careful application of these oils or ointments can help your skin naturally heal itself and preserve its elasticity and sensitivity.
Genital warts are small fleshy growths that can grow on the penis, scrotum or upper thighs, or inside the urethra or the anus. They can cluster in lumps or grow separately and are usually painless, however they can become itchy and inflamed, and in some cases can bleed. Genital warts are spread through skin-to-skin contact during sex, and are caused by the human papillomavirus (HPV). Though warts don’t pose any serious threat to your health or fertility, they are infectious and can be unsightly. Medical treatments to remove the warts include topical creams or lotions, and physical removal by a trained medical professional.
"Josh, I was just a little boy when bumps started to appear on my genitals. I did not cared much at the time but when I grew older I was starting to get worries. I was afraid to speak to my doctor...well maybe ashamed because its not easy to ask anyone to look at your penis...even if its a doctor. Lucky me for finding your site because it worked like charm. Joseph"
A 59-year-old man was referred to our hospital for the management of genital warts. Multiple, asymptomatic, smooth, round, skin-colored papules were observed at the corona of the glans penis. Physical examination of the genitalia was otherwise unremarkable. The patient reported that he had initially noted the lesions as a teenager and that they had not changed subsequently. A diagnosis of pearly penile papules was made. This condition is benign and common, occurring in up to 50% of the male population. The lesions are typically localized to the corona of the glans penis but can also affect the glans or the shaft of the penis or both. They are a common cause of concern in adolescents and are often misdiagnosed as condylomas. However, their histologic features are characteristic of angiofibroma, and the lesions are free of papillomavirus. Physicians should recognize these benign lesions and reassure the patient that they lack clinical importance.
Because of the benign nature of pearly penile papules, as well as their possible resolution with age, treatment is not indicated. However, some patients feel distressed or have important cosmetic concerns. Furthermore, about a half of males who are reassured of the benign nature of their pearly penile papules want to remove them. Some of them may use inappropriately over-the-counter topicals for common warts, which may cause injuries and scarring.
One study in the UK surveyed 188 college students under the age of 25 and 70 patients over the age of 50.  The study was to determine the prevalence and to compare the related information regarding size of the papules and how widely spread they were in each case.  The PPP was categorized from one to four according to increasing size and distribution of the papules.
Folliculitis is an inflammation of the hair follicles, frequently seen at the base of the penis (Figure 8). Folliculitis presents as a pustule around the hair follicle, which is frequently itchy and sometimes painful. Patients are often concerned that genital herpes simplex virus (HSV) is the cause, but the association with a hair follicle and the quality of the pain helps distinguish folliculitis from HSV. If a lesion is aspirated, thick purulent material (which may be blood stained), is often seen, whereas, vesicles due to HSV express a clear or straw coloured fluid. Herpes simplex virus may also be associated with a prodrome of malaise, fatigue and paraesthesia of the affected area. Molluscum contagiosum lesions is another casue occasionally confused with folliculitis, but there is sometimes a red halo. Folliculitis is often successfully managed with topical treatments and genital hygiene measures, but may need appropriate antimicrobial therapy if there is a surrounding cellulitis or a large number of lesions.
The histology of PPP is similar to that of acral angiofibromas, and for this reason they have been proposed as a subcategory (Oates, 1997; Ozeki et al., 2008). The histological findings include increased epidermal melanocytes overlying a prominent granular zone with absent basal layer pigment (Glicksman & Freeman, 1966; Neinstein & Goldenring, 1984). Increased vasculature is seen in the upper dermis with focally elongated rete ridges (Oates, 1997; Ozeki et al., 2008; Vesper et al., 1995; Watanabe et al., 2010). The dermis also contains infiltration of lymphocytes and histiocytes (Oates, 1997; Ozeki et al., 2008). Last, a whorled collagen pattern is seen with increased spindle-shaped stellate fibroblasts (Ackerman & Kronberg, 1973; Agrawal et al., 2004).
The papules are smooth, measure 1–4 mm in diameter and are asymptomatic. Commonly, they occur in a single or double row on the corona of the glans. Structurally, they are related to acral angiofibromas. Pearly penile papules need to be differentiated from condylomata accuminata and lichen nitidus. Compared with condylomata accuminata, pearly penile papules are more uniform, are localized strictly at the glans penis or the sulcus coronarius and do not have a cauliflower-like surface. Lichen nitidus papules are flesh-coloured and flat-topped and they tend to occur on the shaft of the penis.
×