There are fleshy pimples on the urethra of the glans penis

Men's physical health is also very important. The biggest threat to men's physical health is the disease of the reproductive organs. The urinary system is also prone to some disease symptoms, so special attention needs to be paid to treatment. The structure of the male reproductive organs is relatively complex and is often infected by viruses or bacteria, so some abnormalities may occur. What should I do if there are meat acnes at the urethral opening of the glans penis?

Hirsuties papillaris genitalis, also known as penile pearly papules, coronal sulcus or glans papules, is also called hairy penis or multi-papillary penis by some scholars. Currently, most scholars believe that this is a normal physiological variation, so it will not affect health and will not be infected or spread through sexual intercourse.

Clinical manifestations and diagnosis

Pearly penile papules are more common in men around 20-30 years old. The damage mainly occurs at the junction of the edge of the glans penis and the coronal sulcus and/or the frenulum. The lesions are 1-3mm in size, and the lesions are larger on both sides of the frenulum. The top of the papules is round and smooth, and some papules are hairy or thread-like. The papules are mostly not fused with each other, and are densely arranged in one or more rows. They are obvious on the dorsal side of the glans penis and may partially or completely surround the glans penis. The color of the lesions is mostly pearly white, a few are light red or skin-colored, and some may appear mildly red and swollen. There is no tenderness, no rupture, and the patient has no subjective symptoms. The key point in differentiating and diagnosing penile pearly papules and condylar warts is that in the former, the lesions are limited to the edge of the glans, the number of lesions is larger, they are pearly milky white papules with a smooth surface, the lesions do not increase in size as the course of the disease prolongs, and the acetic acid test is negative; while in the latter, the lesions are not limited to the edge of the glans, they are mostly single and scattered, the lesions are larger, the surface is not smooth, and they are mostly cauliflower-shaped, they gradually increase in size as the course of the disease prolongs, the acetic acid test is positive, and concave cells are found in histopathological examination.

Treatment options

Pearly papules of the penis (abbreviated as pearly rash) is a benign disease. Some people may disappear after a certain period of time, while others may persist for decades without change. Because pearly rash is not contagious and does not harm health, it does not need to be treated. However, in order to prevent the disease from getting worse, prevention and care are important. If it is caused by prepuce, treat prepuce as soon as possible. If patients with pearly rash request treatment, the following treatment methods can be used:

(1) Advantages of laser therapy : Laser therapy is a high-temperature treatment with a temperature of over 700°C. It mainly carbonizes the pearly tissue and forms a scab. After the scab falls off, the wound surface is covered with new squamous epithelium. The treatment of pearly rash generally uses a carbon dioxide laser with a wavelength of 10.6μm infrared light. The preparation before treatment is the same as that of electric ironing. In addition to the thermal effect, its advantages include pressure, photochemical and electromagnetic field effects, so it has anti-inflammatory (stimulating the body to produce stronger defense immune function), analgesic (reducing tissue edema, reducing chemical and mechanical stimulation to nerve endings) and promoting tissue repair (enhancing the synthesis and metabolism of epithelial cells, promoting epithelial proliferation, and accelerating wound repair), so the treatment time is short and the cure rate is high. Disadvantages: high cost, high price of imported laser equipment, so the price of removing pearl rash is also high and it is easy to relapse. After the operation, it is necessary to change the dressing regularly to avoid infection until full recovery.

(2) Cryotherapy Advantages : Cryotherapy is a type of ultra-low temperature treatment. The cooling source is liquid nitrogen, with a temperature of -196°C. During treatment, choose the appropriate probe according to the condition of the pearly rash. To improve the efficacy, the freeze-thaw-freeze method can be used, that is, freeze for 1 minute, thaw for 3 minutes, and freeze again for 1 minute. Its advantage is that it is easy to operate. Disadvantages: Its disadvantage is that liquid nitrogen sprays gas, and the area is difficult to control. After freezing, it is easy to cause blisters, infection and scarring. It is not as well-known as laser therapy.

(3) Advantages of drug treatment : It acts on the necrosis and shedding of pearly rash, and the process is easy. Since it is for external use, it has no side effects and is not prone to recurrence. Disadvantages: The treatment time is relatively long, requiring 5-10 days, and the place where the drug is applied cannot be exposed to water for 24 hours, otherwise it will affect the effect.