Pearly penile papules on the shaft

Multiple shiny papules on the shaft of the penis

“…Such ectopic lesions are usually associated with typical coronal lesions, but may be the isolated finding on rare occasions. [ 4 5 ] Our case had ectopic lesions on the shaft of the penis, but he had classical PPP lesions on corona too.…”

Diagnosis and Management of Pearly Penile Papules

“…The lesions usually present as pink or white, dome-shaped or filiform papules that are one to two millimeters in diameter and one to four millimeters in height, orienting around the corona of the glans penis usually in one to two rows (Figure 1; Agrawal et al, 2004; Michajlowski et al, 2012; Oates, 1997). PPP are most prominent along the dorsal side of the corona and may encircle the glans entirely, although lesions have also been reported ectopically on the shaft of the penis (Neri, Bardazzi, Raone, Negosanti, & Patrizi, 1997; O’Neil & Hansen, 1995). Lesions are rarely seen in prepubertal children and most often present during the late stages of puberty (Glicksman & Freeman, 1966; Neri et al, 1997; Oates, 1997).…”

Pearly penile papules: a review

“…Profound proliferating PPP, arranged radially from the meatus to the corona, spread all over the glans, have been described 13 . Ectopic PPP have been seen on the penile shaft in an 11‐year‐old boy without typical lesions on the corona, 12 and also on the ventral aspect of the penis with typical coronal lesions 14 . They are almost always asymptomatic and therefore detected incidentally in most cases.…”

“…PPP are benign and do not require any treatment except reassurance, although many therapies have been tried. Cryotherapy 19 with liquid nitrogen is quite successful, reportedly achieving 80–90% cure in two sessions; 20 however, it was found to be ineffective by O’Neil and Hansen 14 . Electrodesiccation and curettage or surgery may lead to scarring 14 .…”

“…Cryotherapy 19 with liquid nitrogen is quite successful, reportedly achieving 80–90% cure in two sessions; 20 however, it was found to be ineffective by O’Neil and Hansen 14 . Electrodesiccation and curettage or surgery may lead to scarring 14 . Carbon dioxide laser appears to be very effective with excellent cosmetic results, 11,21 the continuous wave CO 2 laser giving better results than the pulsed CO 2 laser 22 …”