Luciano Schiazza M.D.
Pearly penile papules (PPP) (less commonly referred as “Hirsuties papillaris penis”)are asyntomatic angiofibromas typically found as one or several rows of small, flesh-colored, smooth, dome-topped to filiform papules distributed circumferentially along the corona or sulcus of the glans penis.
Because of their anatomic distribution, pearly penile papules are noted only in men, after puberty, in their second or third decades of life.
This normal variant is seen more commonly in black and circumcised men. It is a harmless, benign, physiological condition considered a normal variant with no malignant potential. : most patients seek dermatologic consultation because they are concerned about a sexually transmitted disease.
It is a harmless, benign, physiological condition considered a normal variant with no malignant potential.
Most patients seek dermatologic consultation because they are concerned about a sexually transmitted disease. PPP may represent a psychological and cosmetic concerns: some patients may request therapeutic removal to alleviate their anxiety.
They are not contracted or spread through sexual activity and their appearance is unrelated to sexual activity or standards of personal hygiene
PPP are asymptomatic and persist throughout life; however, they gradually may become less noticeable with increased age. Multiple therapeutic modalities have been reported: ablation using carbon dioxide laser, electrodesiccation with curettage, excisional surgery are reported. All have proven to be successfully effective.