Small red spots on the penis

Different diseases may have the same symptoms, which is why even a minor disease can be fatal. Because we don't take it seriously, the disease becomes more and more serious. For male friends, small red spots on the penis may look similar to pearly rash, but it may also be a disease such as glansitis. Because pearly rash is a benign disease, it is not very harmful, but if it is confused with other diseases, it will affect the treatment period.

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 points in differentiating and diagnosing penile pearly papules and condylar warts are 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 disease progresses, 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 disease progresses, the acetic acid test is positive, and histopathological examination shows concave cells.

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.