Why Are There Granules in the Male Reproductive Organs?

Some men often discover small particles at the insertion point of their glans penis, which can cause great fear and concern that they may have contracted condyloma acuminata. However, this condition is typically attributed to pearly penile papules, a chronic inflammatory condition that is generally harmless to the body. This inflammation is often caused by excessive foreskin, poor hygiene habits, and frequent irritation, and it is not contagious. Let's briefly delve into this topic.

The exact cause of pearly penile papules is not fully understood. Factors such as excessive foreskin, poor local hygiene, long-term irritation from secretions and dirt in the coronal sulcus, or other inflammatory reactions like infection-induced local swelling and redness may be direct causes of this condition. Pearly penile papules are most commonly seen in men aged 20 to 40 years old. The lesions primarily occur at the junction of the edge of the glans penis and the coronal sulcus, and/or the frenulum. They manifest as papules ranging from 1 to 3mm in size, with larger lesions typically found on both sides of the frenulum.

Pearly penile papules are a benign condition that may resolve spontaneously over time, and some individuals may have no changes for decades. As the condition is neither contagious nor harmful to health, it often does not require special treatment. To prevent worsening of the condition, it is important to maintain local cleanliness and dryness. If the patient requests treatment, options include laser therapy, cryotherapy, or topical medications. However, it is crucial to avoid excessive damage that could cause scarring and discomfort. Some patients may experience recurrence after these treatments. If the patient has excessive foreskin, circumcision may be recommended to avoid irritation from smegma.

To prevent the occurrence of pearly penile papules, it is recommended to avoid contact with suspected allergens and not to scratch the papules vigorously when they itch, as this can lead to an increase in skin lesions. It is also important to maintain a clean and dry living environment. If any suspicious symptoms arise, it is advisable to seek prompt medical attention at a specialized dermatology hospital. Additionally, it is recommended to avoid smoking, cold foods, fried foods, and spicy and irritating foods.