Pearly Penile Papules (Hirsutoid papillomas)

Pearly Penile Papules are white or skin colored bumps that form one or two rows around the edge of the head of the penis. What causes them is not known but they are quite common. Although, pearly penile papules are harmless, not contagious, and they don’t interfere with sexual pleasure they can be embarrassing. They can sometimes be mistaken for a sexually transmitted disease by their appearance. Having to explain what they are can be a delicate situation with a sexual partner. Fortunately, there is an easy treatment for them that will get rid of them without surgery or much downtime.

If you are wanting to find out how this treatment works, request a consultation with Dr. Tantawi today. He is board certified and specializes in surgery and cosmetic surgery. He will explain the treatment, recovery time and cost with you, so you can enjoy sexual pleasure and have the results you desire and deserve.

What are Pearly Penile Papules?

Pearly Penile Papules are small dome shaped bumps from 1-4 millimeters in diameter that form around the rim of the head of a male penis. They are more predominant in black and uncircumcised males and are quite common. The cause of them are unknown, as they are not due to poor hygiene or a sexually transmitted disease, nor are they harmful. The presence of pearly penile papules can cause sexual anxiety, but fortunately their is a treatment for them.

Who is a Good Candidate for Pearly Penile Papules Treatment?

Treatment may benefit you if you are experiencing sexual anxiety, or finding it difficult to have to explain what they are when engaged in a sexual encounter. If they are causing you psychological distress, treatment would probably put your mind at ease. They are harmless and treatment isn’t necessary unless their presence is bothering you. There are no over the counter treatments for PPP.

Pearly Penile Papules Treatment

Treatment with laser is non-invasive and has a short downtime. In some cases you may need more than one session. Dr. Tantawi will cleanse the area to be treated and use a local anesthetic to numb the skin. He then targets the individual papules with the laser. The laser heats the papule which exfoliates and destroys the papule tissue. It is important to make sure you are treated by a professional like Dr. Tantawi, who is highly skilled and has performed many PPP removal treatments. Scarring can occur if the removal is not done properly.


Recovery from PPP treatment takes 7-10 days. There will be some crusting and flaking of the skin. There is minimum pain which you can take Advil or Tylenol for. PPP does not return once it has been ablated.

Pearly Penile Papules FAQs

The cause of PPP is unknown, but they are common. They are not contagious or sexually transmittable and do not effect sexual potency.

No. Dr. Tantawi  contours the nose in a shape and size that is commensurate with the width of the eyes, the height of the cheekbones, mouth width, chin shape and jaw line. A well-performed rhinoplasty is defined by the face and not the plastic surgeon.

Incisions are made inside the nostrils to alter the nasal bones depending on the patient’s desired result. Cartilage may be trimmed. The nasal passages are then packed and an external splint is applied.

There are no external scars after a rhinoplasty procedure.

Not necessarily. This will depend on the extent of internal surgery that is required.

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