Pearly Penile Papules: Expert Diagnosis and Treatment by Dr. Gary Jayne Rothfeld
Case Overview: A 19-year-old patient was referred for treatment of multiple papular lesions on the glans of his circumcised penis, initially misdiagnosed as condyloma acuminatum. Upon further evaluation, these lesions were identified as Pearly Penile Papules. This benign condition is characterized by small, smooth, skin-colored papules distributed circumferentially around the coronal sulcus of the glans penis. Pearly penile papules are asymptomatic acral angiofibromas, commonly observed in men post-puberty, with an incidence rate of up to 35%. They are particularly prevalent in black and circumcised men. Accurate diagnosis is essential to alleviate patient anxiety and avoid unnecessary treatments.
Treatment Options:
Medical Care: Pearly penile papules are typically asymptomatic and may not require treatment. However, some patients seek intervention due to cosmetic concerns.
Surgical Care: For patients who desire treatment, options include:
- Ablation using Carbon Dioxide Laser: Provides effective removal with minimal discomfort.
- Cryosurgery: Involves freezing the papules for gradual elimination.
- Electrosurgery: Uses electrical currents to remove papules.
- Excisional Surgery: Surgically removes papules with precision.
- Fractional Ablative Lasers: Recent advancements offer promising results with minimal downtime.
- Topical Podophyllin: Largely ineffective for this condition.
Consultations:
- Dermatologist Consultation: Useful for confirming the diagnosis and exploring treatment options.
Diet and Activity:
- Diet: Not a factor in the development or management of pearly penile papules.
- Activity: Not associated with personal hygiene or sexual activity.
Medication:
- No effective topical or oral medical therapies are available for treating pearly penile papules.
About Dr. Gary Jayne Rothfeld: At the Pearly Penile Papules NYC Treatment Center, Dr. Gary Jayne Rothfeld provides unparalleled expertise in dermatology and cosmetic procedures. As a board-certified dermatologist with an international reputation, Dr. Rothfeld personally oversees every patient’s care. Our Park Avenue practice is known for its pioneering techniques in treating pearly penile papules and other dermatological conditions.
Dr. Rothfeld emphasizes personalized care, ensuring that every patient receives the highest level of attention and expertise. He does not employ physician assistants or substitutes; every procedure is performed by Dr. Rothfeld himself. His commitment to thorough patient evaluation, including detailed medical history and physical examination, ensures optimal outcomes and patient satisfaction.
Contact Us: For more information or to schedule a consultation, please click here. We accept all major credit and debit cards for payment. Our office is open 7 days a week. Se Habla Español.
Park Avenue Dermatology & Non-Surgical Rejuvenation Center
Board Certified Dermatologist