There is a circle of small particles next to the glans

There is a circle of small particles next to the glans, which is mainly a symptom of pearly rash. Pearly papules are caused by physiological developmental variations and are also related to the symptoms of foreskin being too long. Therefore, patients with pearly rash should pay attention to skin hygiene, then clean the skin with saline, and finally apply cryotherapy or laser therapy for treatment. However, it should be noted that sexual intercourse is not allowed during the treatment period.

What are the small particles around the glans?

If there are small particles around the glans penis, and if it doesn't hurt or itch, consider the possibility of pearly papules. Pearly papules are a physiological developmental variation of the human body and may also be related to foreskin being too long.

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.

Causes

The cause and incidence of penile pearly papules are still unclear. Some scholars believe that this disease is a kind of abnormal physiological development. Some scholars believe that it is related to prepuce. Surveys have found that the incidence of penile pearly papules in young men with prepuce is significantly higher than that in men with normal prepuce. Some scholars believe that this disease may be related to HPV infection, but Ferenczy et al. and Zhang Kaijin et al. tested HPV in the lesion tissue and found no HPV. The author observed that the direct cause of this disease may be inflammatory reactions such as local redness and swelling caused by prepuce, poor local hygiene, long-term stimulation of coronal sulcus secretions and dirt, or other factors such as infection.

If patients with pearly rash require treatment, the following treatment methods can be used:

(1) Laser therapy

Advantages: Laser therapy is a high-temperature treatment, and the temperature can reach over 700°C. It mainly carbonizes and scabs the pearly rash tissue. After the scab falls off, the wound 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 also include pressure, photochemical and electromagnetic field effects. Therefore, it has anti-inflammatory (stimulating the body to produce a 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 hyperplasia, and accelerating wound repair), so the treatment time is short and the cure rate is high.

Disadvantages: The cost is high, and the imported laser equipment is expensive, so the price of removing pearly rash is also high and it is easy to relapse. After the operation, you need to change the dressing regularly to avoid infection until you are fully recovered.

(2) Cryotherapy

Advantages: Cryotherapy is a kind of ultra-low temperature treatment. The cooling source is liquid nitrogen, and the temperature is -196℃. During treatment, choose the appropriate probe according to the condition of pearly rash. To improve the efficacy, the freeze-thaw-freeze method can be used, that is, freeze for 1 minute, warm for 3 minutes, and freeze again for 1 minute. Its advantage is that it is simple to operate.

Disadvantages: Liquid nitrogen sprays out gas, and the area is difficult to control. It is easy to cause blisters, infection, and scarring after freezing. It is not as well-known as laser therapy.

In addition to the above two treatment methods, there is another treatment method that can be chosen, that is, ordinary drug treatment. This can make the pearly rash die and fall off quickly. The whole treatment process is relatively easy, and it is all external ointment, and there will be no side effects. However, the whole course of treatment takes longer than the above two methods.