Experts say

About "a small pimple grows on the glans of penis, which is a bit like acne, so it doesn't hurt or itch", it should be just a pearl papule on penis, as shown below.

Symptoms and treatment of penile pearl papules;

This disease may be a variation of physiological development, neither a tumor nor a sexually transmitted disease. The clinical manifestations are white, skin color or reddish papules, which are not fused with each other and arranged in a row or series along the coronal groove at the back edge of glans penis. Commonly known as "pearl scales on the glans". Medically named it guinea fowl papulosis. Medical experts confirmed by pathological section that its structure is normal connective tissue hyperplasia.

This is a common disease in men after puberty. Because it is painless, patients often find it unconsciously. More common in young people aged 20-50. No conscious symptoms. Patients are mainly 20-40 years old.

This disease is more common in patients with long foreskin, which may be related to the stimulation of local secretions and scales.

The cause is still unclear, and the judgment mainly depends on the location and shape of the rash distribution.

Young men are often worried, some are worried about getting tumors, and some are afraid of getting sexually transmitted diseases. In the sexual medicine consultation letter, there are not a few people asking about the disease. They described it in detail: the rash is as big as a small grain of rice and almost the color of the surrounding skin. Although it has no effect on urination and sexual life, it is very stressful. This disease has no effect on the health and physiological function of penis. The most important thing for people with this disease is to understand this disease and get rid of fear and anxiety.

Clinical manifestations:

It most often occurs on the dorsal and both sides of the coronary sulcus, sometimes covering the whole coronary sulcus, and occasionally distributed in the glans penis and frenulum.

The lesions are small translucent papules with white, skin color or reddish color, with a single diameter of 1-3mm, translucent, pearl-like and smooth surface. It can be in the shape of several small beads as big as the tip of a needle. It can also be silky or sharp hair. Rashes do not merge with each other, and they are arranged in one or several rows along the coronal groove at the rear edge of the glans penis, which can partially or completely surround the glans penis.

The lesions were rich in blood vessels and spindle fibroblasts increased. Surrounded by rich connective tissue.

Differential diagnosis:

1, condyloma acuminatum: the lesions gradually increased into comb-like or cauliflower-like, with irregular arrangement and a history of unclean sexual intercourse.

Because this disease occurs in external genitalia, it is often easily confused with condyloma acuminatum in sexually transmitted diseases. Small condyloma acuminatum can also be the size of a needle tip or a small grain of rice, but it is not regularly arranged along the coronal sulcus, and it is warty or cauliflower-like, so it is generally not difficult to identify it from the appearance and arrangement characteristics. Of course, if you do histopathological examination, it will be clearer.

2. Ectopic sebaceous gland: It occurs in oral mucosa and glans penis and is a small yellow papule. Histological examination showed that the papules were mature sebaceous lobules.

Rash occurring in external genitalia must be carefully identified. If guinea fowl papulosis is misdiagnosed as condyloma acuminatum, surgery or laser treatment will not only bring physical pain and economic loss to patients, but also cause mental burden to patients and even cause family disputes.

Western medicine treatment:

Electrolysis or laser treatment is not allowed.

Chinese medicine treatment:

1, internal treatment: clearing heat and removing dampness properly, desensitizing and relieving itching. Jiawei Xiaoyan Lishi recipe:

2. External treatment: Cortex Phellodendri, Flos Chrysanthemi Indici, etc. , dilute and wash.

Preventive maintenance: develop good hygiene habits at ordinary times and pay attention to the cleanliness of glans penis.