Pearly Penile Papules (PPPs)
What Are Pearly Penile Papules (PPPs)?
Pearly penile papules (PPP) are small dome-shaped skin-colored bumps that are typically located on the sulcus or corona at the distal end of the penis. These papules are commonly arranged all the way around the head of the penis in one or several rows. These are a normal, anatomical variant and have been reported in being present in up to 40% of men.
PPP do not cause any symptoms of pain or itching, and are not related to sexual activity or lack or hygiene. They are not infectious or contagious and have no cancerous potential. No treatment is required for these lesions. However, some men are anxious because of their appearance and elect to proceed with treatment for cosmetic purposes.
The Ultrapulse Co2 Laser is effective in removing these lesions with little or no scarring. A small needle is required to anesthetize the area, and then the Co2 laser uses heat energy to ablate the individual lesions. No suturing is required, but there will be some pain, crusting and minimal bleeding for 7-10 days while the area heals.
Maintenance treatments may be required as new lesions can develop in many patients.