Question 1

What are pearly penile papules (PPP)?

Accepted Answer

Pearly penile papules, also known as hirsuties papillaris genitalis, are small dome-shaped bumps that appear in rows around the corona (head) of the penis. They are a normal anatomical variation present in 14-48% of men and are not an STD or sign of disease.

Question 2

Are Tyson glands the same as PPP?

Accepted Answer

No. Tyson glands are sebaceous glands located near the frenulum of the penis, while PPP are located around the corona. Both are benign anatomical variations that require no treatment unless desired for cosmetic reasons.

Question 3

How much does PPP removal cost?

Accepted Answer

Professional CO2 laser treatment costs $1,500-$3,000. Electrocauterization costs $800-$2,000. Home electrocauterization methods using proper protocols typically cost under $200 for materials.

Question 4

Can PPP be transmitted sexually?

Accepted Answer

No. PPP are not an infection and cannot be transmitted to sexual partners. They are a normal anatomical variation present since puberty or birth.