Pearly Penile Papules – Questions & Answers

Don’t let Pearly Penile Papules (PPP) cause worry or embarrassment, they are completely harmless.

Below is a Q&A section covering the most common questions men ask Dr. Josh about PPP & the removal procedure.

Our clinic has a proven track record of successfully assisting men in the removal of penile papules.

We recognise the delicate nature of this condition and the potential difficulty some patients may experience in discussing it.

Our highly trained PPP clinic staff are dedicated to providing personalised attention to address any concerns or questions regarding the procedure, and can provide detailed information on each step involved.

Pearly Penile Papules Helpline

We are pleased to offer assistance in addressing any inquiries regarding Pearly Penile Papules. Please do not hesitate to contact our PPP Clinic Helpline on: Tel. 020 3095 0001

Frequently Asked Questions

Should you have any inquiries that are not addressed in the following, we would be delighted to provide you with answers.

Ask Dr. Josh a Question

Pearly Penile Papules are small, smooth, dome-shaped bumps that appear in rows around the rim of the glans (head) of the penis. They are:

  • Not an infection
  • Not sexually transmitted
  • Not caused by poor hygiene
  • Completely harmless

PPP is a natural anatomical variation seen in up to one-third of men.

They appear as tiny, white or flesh-coloured bumps arranged in 1–2 rows around the corona. They do not itch, hurt, or spread.

No. PPP have no connection to sexually transmitted infections, and they cannot be passed to partners.

PPP occur naturally and are thought to be a normal developmental trait. They are not related to sexual activity, shaving, masturbation, or cleanliness.

No, PPP usually remain unless they are treated. They are not harmful, but many men choose removal for cosmetic or confidence reasons.

No! Circumcision may potentially result in a reduction of new PPP growth over a period of time, however, this outcome cannot be guaranteed. Following circumcision, PPP will persist unless it is appropriately treated.

The Gold Standard method is Hyfrecator treatment — a precise, quick, and safe technique used by Dr Josh Berkowitz. Benefits include:

  • Rapid procedure
  • Minimal discomfort
  • No cutting or lasers
  • No scarring when aftercare is followed
  • High patient satisfaction

Yes it is. The treatments are equally efficacious in terms of papule removal; however, hifrecation proves to be a more expeditious, effortless, and precise method. Additionally, hifrecation facilitates the process of anaesthetisation, which is a notable advantage.

Most men report very little discomfort. A local anaesthetic numbs the area before treatment begins.

Following an initial consultation with Dr. Berkowitz to assess the suitability of the patient, the treatment is typically executed without delay. Dr. Berkowitz will administer a local anaesthetic and perform the removal procedure, which entails emitting electrical pulses to the affected region. This is a secure and exceedingly efficient procedure that will not exceed 30 minutes.

Treatment for pearly penile papules is available through the National Health Service (NHS) upon request for an Individual Funding Request (IFR) from your Doctor. If approved, the IFR will cover the expenses of private treatment to eliminate the papules. The NHS considers pearly penile papules NHS treatment on a case-by-case basis, and your Doctor must demonstrate to the IFR board that the treatment will benefit you as the patient, more so than another patient with the same condition.

For instance, PPP may cause significant anxiety in social settings (psychosocial) or lead to negative self-perception (psychological) in the patient. If PPP-induced anxiety is affecting the patient, the NHS may have a case to provide and finance the removal of PPP through a private clinic.

For further information on IFRs, please consult with your Doctor or refer to the NHS webpage on IFR applications.

Yes. Hyfrecator PPP removal is a well-established, medically recognised procedure with a strong safety record. When performed by an experienced doctor, complications are extremely rare.

Initial healing usually occurs within 7–10 days, with full recovery in a few weeks. The improvement in appearance is usually visible quickly.

Once treated properly, PPP do not normally return.

You must wait until the area has healed — typically 3–4 weeks. The doctor will give you personalised aftercare instructions.

Common reasons include:

  • Improving confidence
  • Reducing anxiety about appearance
  • Feeling more comfortable with partners
  • Preference for a smoother cosmetic look

Yes. Consultations and treatment are handled discreetly and respectfully. No unnecessary staff are involved, and your information is fully confidential.

Fordyce spots are a benign dermatological condition that affects both genders. They are commonly found on the shaft of the penis and the scrotum, and it is estimated that up to 90% of men are affected by them. These spots manifest as small, flat bumps that are situated just below the skin’s surface. While they do not pose any health risks, they can cause significant embarrassment and psychological distress due to their cosmetic appearance.

Although many medical professionals discourage treatment due to the benign nature of Fordyce spots, laser or hyfrecation therapy can be a safe and effective method of reducing their appearance. However, it is important to note that complete elimination of these spots is unlikely.

Payment can be made on the day of treatment through cash, debit or credit card. Alternatively, payment can be made via bank transfer, however, it is required to be made in advance to ensure that the payment has been cleared into the account by the day of the scheduled treatment.our treatment.

Dr. Berkowitz is authorized to provide treatment to individuals who are 14 years of age or older, provided that parental consent is obtained. For individuals who are 18 years of age or older, parental consent is not required.

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Remove Pearly Penile Papules in 60 minutes

Medically remove PPP in a single appointment with Dr. Josh

This simple medical procedure will fully remove all papules.
After treatment you can continue your day unencumbered.

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