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Category Archives: Hirsutoid penile papilloma (PPP)

Pearly pink papules (PPP) treatment

Pearly penile papules (PPP) are small dome-shaped to filiform skin-colored papules that typically are located on the sulcus or corona of the glans penis. Commonly, pearly penile papules are arranged circumferentially in one or several rows and often are assumed wrongly to be transmitted sexually. Pearly penile papules are considered to be a normal variant and are unrelated to sexual activity. Often, lesions cause great anxiety to patients until their benign nature is clarified  (courtesy of emedicine).

They are seen more commonly in uncircumcised men and are not contagious

We will be happy to remove them gratis (going for the largest first) if you are having penile anesthesia for another penile procedure such as an adult circumcision. Our technique is to use pin point microcautery.

Pearly penile papules do not cause any symptoms, and once they develop, they don’t spread or change much in size or shape. They are neither contagious nor painful. Hirsutoid papillomas  (hirsute means shaggy, hairy or bristly)  can be identified by several characteristics:

  • They are smooth.
  • They look like tiny bumps or threads.
  • They measure 1 to 4 millimeters in diameter.
  • They form one or two rows around the base of the glans penis (the rounded head of the penis).

Pearly penile papules. Courtesy of Wiki Commons

Pearly pink papules PPP (courtesy of WikiCommons)

Pearly penile papules; close-up view. Courtesy of

Pearly pink papules PPP (courtesy of WikiCommons)

Harold M. Reed, M.D.
The Reed Centre for Ambulatory Urological Surgery | Miami