Pearly penile papule [Hirsuties papillaris genitalis]

Pearly penile papule ( PPP) is a clinical skin condition of the male genital organs.
It is a harmless anatomical variation with no malignant potential, although it can be mistaken for HPV warts by inexperienced doctors.
The papules appear as one or several rows of small, flesh-colored, smooth, dome-topped bumps situated circumferentially around the corona (see image) or sulcus of the glans penis. Pearly penile papules are not a sexually transmitted disease and are in fact quite common.
Various studies have shown that the incidence may be in the between 8% and 48%, varying with region and whether or not the subjects are circumcised.
They tend to be more common in uncircumcised men.
Lesions typically are asymptomatic and persist throughout life; however, they gradually may become less noticeable with increased age.
Sensitivity may or may not be a problem.
