What is the reason for the many white spots on the penis foreskin?

Patient's question:

The penis foreskin has developed many white spots, which are painless and itchy. I have no history of sexual activity, only occasional intercourse. I want to ask what this could be?

Doctor's answer:

It is a form of pearly penile papules caused by sexual activity. It can be left untreated, but it is essential to abstain from sexual activity and maintain cleanliness in the groin area. Daily potassium permanganate washing and povidone-iodine sterilization are recommended. In case of necessity, erythromycin ointment can be applied. For individuals with phimosis, timely treatment can reduce the likelihood of recurrence. If left untreated, it may affect fertility. Therefore, patients should seek timely symptomatic treatment and maintain a regular lifestyle, avoiding prolonged sitting.

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