How to get rid of PPP (Pearly Penile Papules)

How to get rid of PPP (Pearly Penile Papules)

Pearly Penile Papules (PPP)
Pearly penile papules or PPP are cosmetically disturbing bumps on the penis's acne. These bumps are totally innocent, but men would like to undergo treatment to remove the PPP. Reasons to remove PPP vary by person. How to get rid of PPP . Some people find the PPP unhygienic and confuse them with genital warts. Often, you will get comments from your partner about this. Removing other people because they easily get dirty (smegma) behind the PPP. The dermatologist can judge whether you have PPP and how it can be treated. Since it is a cosmetic treatment, the cost of PPP is not reimbursed by the health insurer.

Remove PPP How to get rid of PPP

Pearly penile papules can be treated effectively by a dermatologist in 2 ways. The first way to remove PPP is by combustion based on electrocoagulation. The area around the PPP is anesthetized with small spots in the penis (only the first dot is felt occasionally). Thereafter, the treatment will take place, which takes about 10-20 minutes on average. The skin where the pearly penile papules are seated will then be treated with a soothing cream. The skin where the PPP was first will be cured within 1-2 weeks.
The second way of removing PPP is laser treatment. The skin around the pearly penile papules is anesthetized with an anesthetic cream. This cream must be applied 30-60 before the treatment. Thus, it is not necessary to give small punctures in the penis as in electrocoagulation. Thereafter, it will begin to remove the PPP with the ablative CO2 laser. This treatment takes an average of 10-20 minutes. The skin generally heals a little faster than with coagulation. Both PPP treatments are equally effective with the same end result.

How to get rid of PPP

Where does PPP treatment take place?
PPP removal by the dermatologist of the Roosevelt clinic through coagulation can take place in Leiden or Delft. However, if you want to use pearly penile papules with the CO2 laser, this can only be done in Leiden for availability of the laser device. How to get rid of PPP . The dermatologists at Roosevelt Clinic will gladly provide you with additional information about removing PPP.

How to get rid of Hirsuties Coronae Glandis

How to get rid of Hirsuties Coronae Glandis

PEARLY PENILE PAPULES (Hirsuties Papillaris Penis)

Pearly penile papules (synonyms: PPP, P3, hirsuties papillaris penis, pearl necklace, string or perls, corona divina) are small 1-2 mm skin-to-white patches in a wreath around the base of the gloss penis. It is a physiological phenomenon that occurs in about 20-30% of men. It is seen more often in negroids and in uncircumcised men. There are a few to hundreds, neatly arranged regularly in a row at the base of the acorn. How to get rid of Hirsuties Coronae Glandis.It is not known why the pearly penile papules originate and why one person has more than the other. They are often confused with condylomata acuminata. Patients with pearly penile papules often go to the GP or dermatologist because they think they have a genital warts, or because they want to go for cosmetic reasons.


DD: condyloma acuminata (genital warts), molluscum contagiosum, ectopic sebaceous glands, nitidus lichen. Condyloms are not as uniform in size and shape and arrangement as the pearly penile papules. Ectopic sebaceous glands are more on the penis shaft. The paricles of nitidus lichen can appear genitally but are more flattened and not limited to the base of the gloss penis.

PA:
Histologically, pearly penile papules are benign angioplastomas. In the dermis there are many thin walled capillaries surrounded by fibroblast proliferation, sometimes also concentric fibrosis around the adnexes. The histology is similar to other acral angioplastomas such as adenoma sebaceum, subungual and periungual fibroids, fibrous papules or the nose (face), acquired acral angiofibroma, and oral fibromes.

How to get rid of Hirsuties Coronae Glandis

Therapy:
No. Explain to the patient that this is normal, no genital disease, and that nothing has to be done.
Nevertheless, there are still patients who suffer from the presence of this condition and request removal. This is possible:

• Cryotherapy with liquid nitrogen is successful in 80-90% of cases, provided expertly carried out, preferably with a closed cone, with the pellets being completely frozen 2 times. With the standard spray technique, this does not work well.
• Electrocoagulation under local anesthesia. Gently pinch with 2 mm ball or cut with needle electrode.
• Laser surgery with CO2 laser or fractional laser.
• Surgical: dope and cut or shaved.
• How to get rid of Hirsuties Coronae Glandis