What are pearly penile papules?

  Hirsuties papillaris genitalis, also known as pearly penile papules, coronal or glans papillaris papules, is also referred to by some scholars as hairy penis or multipapillary penis. Most scholars now believe that this is a normal physiological variant, so there are no health consequences and no infection or transmission through sexual intercourse.  Penile pearly papules are most commonly seen in men in their 20s and 30s. The damage occurs mainly at the border of the glans and the coronal sulcus, or at the tether. The lesions are 1-3 mm in size, with larger lesions located on either side of the tether. The papules are rounded and smooth at the tip, with some individual papules being hairy or filiform. The papules are not fused with each other and are arranged in one or more dense rows, which are evident on the dorsal side of the glans and may partially or completely surround the glans. The color of the damage is mostly pearly white, a few are light red, skin colored, and some may appear mildly red and swollen. There is no pressure pain, no rupture, and the patient has no conscious symptoms.