What disease is it that causes white grains of rice on the edge of the glans?

As we all know, the head of the male penis is called the glans penis. In fact, male friends also need to pay more attention to this part in life, because it is not only related to whether the sexual life can be carried out normally, but also related to the health of the reproductive system and the birth of children. Sometimes in the process of bathing, men will pull back the foreskin to expose the glans penis to wash, and then they will find some white granular things on it. So, what disease is there white millet grains on the edge of the glans penis?

Pearly papules are small reddish papules located in the coronal sulcus of the penis and surrounding the glans penis. They often occur in adults, usually between 20 and 40 years old. They are more common in young people with prepuce hyperplasia and masturbation habits. They are physiological abnormalities and are not classified as sexually transmitted diseases. They usually have no conscious symptoms and are easily misdiagnosed as condyloma acuminatum.

Causes

The cause of penile pearly papules is not yet fully understood. The direct cause of this disease may be excessive foreskin, poor local hygiene, long-term stimulation of coronal sulcus secretions and dirt, or other factors, such as inflammatory reactions such as local redness and swelling caused by infection.

Clinical manifestations

Pearly penile papules are more common in men around 20 to 40 years old. The lesions mainly occur at the junction of the edge of the glans penis and the coronal sulcus and/or the frenulum. It manifests as papules of 1 to 3 mm in size, with greater damage 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 do not fuse with each other, and are mostly 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 is mostly pearly white, a few are light red or skin-colored, and some may appear mildly red and swollen. There is no pain, no rupture, and the patient has no obvious subjective symptoms.

Diagnosis and differential diagnosis

It can be differentiated from genital warts based on clinical, histopathological and human papillomavirus examinations, and the diagnosis is not difficult.

The key point in differentiating and diagnosing penile pearly papules and condylomas is that in the former, the lesions are limited to the edge of the glans penis, 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 disease progresses, and the acetic acid test is negative; while in the latter, the lesions are not limited to the edge of the glans penis, 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 disease progresses, the acetic acid test is positive, and concave cells are found in histopathological examination.

treatment

Pearly penile papules are a benign lesion that can disappear on their own after a certain period of time. Some people may have no changes for decades. Because the disease is non-contagious and harmless to health, special treatment is usually not required. To prevent the symptom from worsening, attention should be paid to local hygiene and dryness. If the patient requires treatment, laser therapy, cryotherapy or topical medication can be used, but remember to avoid excessive damage that causes scarring and pain to the patient. Some patients may relapse after the above treatment. If the patient has a long foreskin, circumcision can be performed to avoid smegma stimulation.