cure for pearly penile papules= CO2 Laser
Most patients with pearly penile papules seek dermatologic consultation because they are concerned about a sexually transmitted disease.
Pearly penile papules most commonly are confused with condyloma acuminatum (genital warts) or less often, with molluscum contagiosum.
On physical examination, pearly penile papules appear as one or several rows of small, flesh-colored, smooth, dome-topped to filiform papules situated circumferentially around the corona or sulcus of the glans penis (Image 1). Uncommonly, lesions may extend onto the glans penis.
Lesions typically are asymptomatic and persist throughout life; however, they gradually may become less noticeable with increased age.
Some evidence suggests that pearly penile papules may be observed more frequently in uncircumcised men (22%) than in circumcised men (12%).
In the past, pearly penile papules were believed to contribute to the accumulation of smegma in uncircumcised men; currently however, this is known to be not true.
Lesions typically are asymptomatic and require no therapy.
Some patients may request therapy to alleviate anxiety.
Ablation using carbon dioxide laser, electrodesiccation with curettage, and excisional surgery reportedly have successfully eliminated lesions.
Mixed results have been noted with cryotherapy.
Topical application of podophyllin largely has been ineffective.
Dermatologist: Consultation may prove useful when the diagnosis is not obvious.
Activity: Pearly penile papules are not associated with personal hygiene or sexual activity.
Pearly penile papules typically are asymptomatic and persist throughout life, although lesions gradually may become less noticeable with advancing age.
Educate patients about the benign nature of the lesions.
Inform patients that lesions are not transmitted through sexual activity.
Consider counseling for the patient’s sexual partner, which often helps alleviate anxiety.