October 12, 2014
I have pearly penile papules (PPP) and I’d like them removed. What’s involved?
Good morning Lester,
Glad we talked.
Pearly penile papules (PPP) are considered a normal variant of penile anatomy and appear as minute little somewhat flat pink skin tags on the rim of the glans. They occur somewhat more frequently in uncircumcised men, and usually once formed remain stable in number and appearance. They will not hurt you or your partner and in no way are communicable.
They are easily treated in our practice with local anesthesia and pin point needle electro-desiccation. You will have numerous little black spots where they formerly existed and that is a crust which falls off in a few days. You will not have pain once the anesthetic wears off and no dressing is required.
We would prefer not to zap a long contiguous line of these as leaving some healthy skin on either side facilitates wound healing. Within a week to 10 days, you should look very well. Gentle sex is possible in about 12 days. If some residual lesions are left, we’ll tackle those in about a month.
To review consultation 250, removing most if not all papules 250. If you elect circumcision revision which could be as high as 1750, PPP removal is free, including followup care. When patients are having a circumcision, they are removed gratis.
With kindest regards,
Harold M. Reed, M.D. FICS
Senior Member of the American Urological Association
Member Society of Genito-Urinary Reconstructive Surgeons
Founding Member and Treasurer of American Academy of Phalloplasty Surgeons
Founding Member Sexual Society of North America