The pimples at the base of the penis have a great impact on the erectile function of the penis, and will also cause redness, swelling and itching of the penis. Patients should not touch it with their hands, and should promptly treat the pimples. The pimples at the base of the penis may be caused by condyloma acuminatum and eczema. We should pay attention to the hygiene of the penis, take medication according to the doctor's advice, and promptly control the problem of penile infection. Pearly papules on the penis are also called pearly penile papules, hairy penile papilloma, coronal sulcus or glans papules. Some Guangzhou venereal disease experts call them hairy penis or multi-papillary penis. Currently, pearly penile papules are generally considered to be a symptom, not a disease. This symptom is often seen in STD clinics and is often misdiagnosed as condyloma acuminatum. Causes The clinical 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. For example, Chen Xue et al. found that the incidence of penile pearly papules in young men with prepuce was significantly higher than that in those 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. Observation shows that the patient's long foreskin, poor local hygiene, long-term stimulation of coronal sulcus secretions and dirt, or inflammatory reactions such as local redness and swelling caused by other factors such as infection may be the direct cause of this disease. Clinical manifestations Clinically, penile pearly papules are more common in men around 20-30 years old. The damage mainly occurs at the edge of the glans penis and the junction of the coronal sulcus and/or the frenulum. The lesions are 1-3mm in size, and the damage is larger on both sides of the frenulum. The top of the papule is round and smooth, and some papules are Symptoms of papules on the glans penis The rash is hairy or thread-like. The papules are mostly not fused, and are densely arranged in one or more rows, which are obvious on the dorsal side of the glans and may partially or completely surround the glans. The color of the lesions is mostly pearly white, a few are light red or skin-colored, and some may appear slightly red and swollen. There is no tenderness, no rupture, and the patient has no conscious symptoms. Clinical treatment Because penile pearly papules are a benign disease, they may disappear after a period of time in some people, while in others they may remain unchanged for decades. Because the disease is not contagious and does not harm health, it does not require treatment. However, in order to prevent the disease from getting worse, patients should pay attention to local hygiene and keep a dry environment. If the patient requires treatment, laser therapy, cryotherapy or topical application of pearl-killing drugs [1] can be used to clean the area, but be careful to avoid excessive damage that may cause scars and cause pain to the patient. (For example, scratching the pearly papules with your hands) |
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