Hirsutoid Papillomas, also known as pearly penile papules is a condition where skin-colored small bumps start showing around the top of the penis. When you first notice these bumps, they can be quite alarming, but there is nothing to be concerned about, since they will fade away as you get older. A papule will be like a small pimple, on the skin of your penis, but it won’t produce any pus.

Statistics show that around 8% to 43% of men are affected by pearly papules over the course of their lives. These lumps on the penis are common once a boy hits puberty, and they are common among men who haven’t been circumcised, but have been known to appear on all males.

Recognizing the symptoms

The pearly penile papules generally don’t show any symptoms, because once they fully develop, they don’t change in shape or size, or spread. They aren’t painful or contagious, and can be recognized by the following characteristics:

  • They form around the head of the penis in rows
  • They are usually 1 to 4 mm in diameter
  • They look like small threads or bumps
  • They are smooth

In general, penile papules are completely harmless, but may cause some discomfort, if they form in more rows around the head of the penis. There have been cases where the pearly papules were scattered, and there are around 100 lumps on penis.

It is recommended that if you ever notice any unusual growth, discoloration, or bumps on your penis, you should get in touch with a doctor immediately.

The causes of the pearly penile papule

The pearly penile papule isn’t a sexually transmitted disease, like it is assumed to be by many people, and it isn’t caused by poor personal hygiene. The condition doesn’t really have any major cause, and isn’t caused by any underlying issue or an infection. The lumps on the penis aren’t malignant, and will disappear after some time.

The American Urological Association, states that papules may form because they might be a leftover, when a man was developing in the womb. Health experts all agree that pearly penile papules, are a normal condition, even though the exact cause is still unknown.

The treatment options available

There isn’t any treatment required for pearly penile papules, after they have been diagnosed. They aren’t like warts, which makes it easier to identify them, but if the lumps on penis are larger, then some tissue may be biopsied to confirm the diagnosis.

In most cases, no treatment is necessary, but if you are experiencing a severe case of papules, which is causing psychological distress, then here are a few options:

  1. Carbon dioxide laser surgery
  2. Radiosurgery
  3. Cryosurgery
  4. Excisional surgery

You should remember that all surgical procedures have their own benefits and risks, so make sure that you completely understand the surgical process before you agree to it.

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