It is important to confirm the diagnosis of fleshy grains on the glans to determine if they are normal. If there are small grains of flesh of different sizes on the edge of the glans, in the area of the coronal sulcus, this may be pearl rash. This happens mainly when the foreskin is too long and wraps around the glans for a long time. If there are cauliflower-like grains of flesh, this should be noted for condyloma acuminata. Also the presence of fleshy grains on the glans needs to be judged by the doctor whether there is a possibility of penile cancer. It is recommended that you must go to the hospital for examination so that you can judge and treat effectively. Pearl rash does not need special treatment, warts need laser treatment, while penile cancer needs early detection and early surgery.