Pearly Penile Papules (PPPs)

Treatment By

Urology Surgeon

Treatment Type

CO2 Laser



Treatment Time

20 – 30 Minutes

Results Seen

After 1 session



‌Pearly Penile Papules (PPPs) are a skin concern affecting the male genitals. They appear as white coloured papules located on groove of the penis glans. These very small lesions are often wrongly confused with sexually transmitted infections (STIs) and appear unsightly. These spots are not infectious and do not pose any threat. Our clinic in Leamington Spa removes ‌Pearly Penile Papules (PPPs) using the safe and effective SmartXide Touch CO2 Laser by DEKA with little discomfort and minimal sessions.

Treatment Areas

  • Penis

  • Head of Penis

  • Glans

Treatment Benefits

  • Considerable reduction in spots to complete removal

  • Suitable for all skin types

  • Male Urology surgeon specialising in private male treatments

  • Quick treatment, minimal number of sessions required

  • Improved self-confidence

‌Pearly Penile Papules (PPPs) removal at our clinic in Leamington Spa uses the world renowned SmartXide Touch CO2 Laser by DEKA to restore self-confidence and effectively remove all lesions in the area. ‌Pearly Penile Papules (PPPs) appear on the head of the penis and glans and look white, yellow or skin coloured often taking on a very small domed shape. These papules or lesions are benign and look unsightly, leading many males to consider non-invasive cosmetic removal. ‌Pearly Penile Papules can often be mistaken for a worrying sexually transmitted infection, leading sufferers to avoid engaging in sexual relationships. They are not contagious and should not cause any pain or discomfort. Although the lesions will more than likely fade over time, they will not disappear completely.

A medical consultation with our Doctor is needed to diagnose the skin concern as often lay people will misdiagnose and this leads to worry. Because the intimate area is so delicate, careful consideration is needed when removing these lesions. Only using the best and safest equipment is a must.

The causes of ‌Pearly Penile Papules are unknown and they are fairly common in males. Often more than one papule is present and they tend to appear in clusters. They tend to appear in uncircumcised men and are not related to poor hygiene, as many wrongly think. PPPs normally appear after puberty and can affect all skin types.

‌Pearly Penile Papules require treatment for total removal. There are a number of treatments available including surgical removal, Cryosurgery (which freezes the papules), topical solutions and medication, radiosurgery and CO2 laser. The CO2 laser is the most effective technique to reduce or remove ‌Pearly Penile Papules. This is due to the precise targeting of the lesion, leaving the healthy skin unharmed as well as the comprehensive safety record.

All patients considering the removal of ‌Pearly Penile Papules will attend a medical consultation with our Urologist who has decades of lesion removal experience with his specialty relating to the private male area. You will always be assessed by a male Doctor to ensure your comfort. During your consultation, we will take a full medical history, assess the area and also conduct a patch test to make sure you are suitable for treatment. During the assessment, you will have a chance to ask all of the necessary questions and get to know the best steps after treatment for effective and long term results.

As the lesions are no more than a millimetre in diameter, we are able to remove multiple spots during your session. Normally patients will require just one treatment to see effective removal.

It is extremely rare that more than one session is required or a revision is needed after a few months. The removal procedure is quick and pain free, lasting up to 20 minutes. For your comfort and because of the delicate area, we will use a numbing cream. The CO2 laser glides across the lesions, leaving the healthy tissue unharmed. It really is the best cosmetic removal technique for ‌Pearly Penile Papules.

There are few risks involved and the laser stimulates the production of collagen in the body, without causing any bleeding or incision to the skin. The laser works by removing the outer layer of the skin and reveals smoother, lesion free skin. Because of the advanced technology, the risk of hyperpigmentation or hypopigmentation is reduced. Normally one session is required; however patients who have an especially aggressive condition may require more than one. This will be discussed during your consultation.

Following treatment, the area may be a little sensitive but we will ensure you are provided with the best aftercare advice.

Patient Confidentiality

At Eve Clinics, patient confidentiality is of the utmost importance. All personal and medical information shared during consultations and treatments is kept strictly confidential. Our clinic adheres to the highest standards of privacy to ensure a secure and comfortable experience for every individual seeking private area treatments.

Frequently Asked Questions

Pearly Penile Papules are not contagious and cannot be contracted during sexual intercourse, or passed on.

As Pearly Penile Papules often appear in clusters, we are able to removal multiple lesions during your session. The laser targets lesions at the root, discouraging any regrowth.

We aim to remove all the lesions in only one session. It is very rare that patients require a second session. The CO2 laser is known as the most successful non-invasive treatment for PPP.

Patients will normally be able to return to work immediately after treatment. You should avoid engaging in sexual intercourse for up to 1 week following treatment.

Prior to treatment our Urologist will clean the area and apply a numbing cream to make the procedure more comfortable. As Pearly Penile Papules are very small, a specific headpiece of the CO2 laser will be used. It will glide across the area, targeting the lesion only and in time, leaving you with refreshed and renewed skin. After treatment the area will develop a fine scab before eventually peeling off and revealing rejuvenated skin. During this time, please do not pick at or touch the area.

As all of our procedures are non-surgical and non-invasive, you do not need to prepare for treatment in any way. You should wear loose fitting, cotton underwear to your appointment.

Shaving, trimming or waxing the private area prior to the procedure is helpful. This aids with an easier recovery.

We advise not to wash the area treated in the first day. Please use sterilised water only to wash in the coming days after treatment. Sometimes our Doctor will advise antibiotic ointment to be applied up to one week.

Hot baths, swimming pools and hot tubs should be avoided for up to one week but you can have normal showers from the second day.

We advise not to have penetrative sex for up to one week and use a condom for up to 2 weeks. Keeping the area clean and dry will be helpful.

Pearly Penile Papules spots will reduce over time but generally not disappear completely. For the best results, a laser treatment is required.

Scarring is possible but rare. There is a small risk of scarring or hyperpigmentation / hypopigmentation but this can be reduced by using the appropriate equipment and taking into account the aftercare advice provided.

In extremely rare circumstances the area may become temporarily or permanently left with a lack of sensation or numbing.

The CO2 laser is very well known and has long term results. However there is always a risk of returning lesions. If this occurs, it’s likely a much reduced number will appear.

No, there is nothing you can do to prevent PPP.

No, PPP is not hereditary.

We have a very experienced Urology surgeon with more than 20 years’ experience, specialising in male private area treatments with the CO2 laser. Our machines provide the best cosmetic results with minimal risks involved.

We have decades of combined experience in aesthetic procedures and invest in only the very best machines available. We use the DEKA Smartxide Touch that is backed by years of clinical research and results based studies. You are in safe hands throughout your journey.

Spotting PPP

They appear as white coloured papules located on groove of the penis glans.

ABCDE - Easy guide to checking your moles

Information Video

Procedure Video

Very good results, I would definitely recommend Mr.Viney and Eve Clinics.


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