There are small red spots in the glans groove

In fact, for many male diseases, related symptoms can be found on the surface of the glans. For example, if there are small red spots in the glans groove that do not hurt or itch, it may be pearly rash. Generally speaking, pearly rash is a normal physiological variation and will not cause any harm to your body or cause any infection. However, you can still treat it with medication.

Hirsutiespapillarisgenitalis, 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.

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.

Pearly papules of the penis (abbreviated as pearly papules) are a benign disease. Some people may disappear after a certain period of time, while others may remain unchanged for decades. Since pearly papules are not contagious and do not harm health, they do 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 that is too long, treat the prepuce as soon as possible.