Patient's question:
There are two small papules, about the size of fingernail covers, on the right side of the corona of the prepuce. They have been present for two months and are not weakening. They can only be seen clearly when forcefully pulled with the hand; they are not noticeable when flaccid. On one side of the corona near the glans, there are (pearly papules), which are very prominent and appear pearl-like. However, the small papules on the other side of the prepuce are arranged in a somewhat disorganized, thread-like pattern, and it is unclear whether they are also. There is some exudate between the papules, and the affected area occasionally has itching and pain. Inside the corona, there are white stringy substances and blood vessels. There is sometimes pain at the base of the testicles. The glans is normal. Could it be that the upper part is and the lower part is genital warts?Doctor's answer:
Based on your description of the symptoms, it is highly likely that you may have granuloma annulare. This condition typically occurs on the coronal sulcus and the left and right frenulum of the prepuce. The distribution is relatively uniform, painless and itchy, appearing as rice-sized papules in flesh or milky white color. It is more common in men with phimosis or excessive prepuce. This is generally caused by long-term stimulation from preputial smegma or chronic inflammation, leading to fibrosis. It is harmless to health and does not cause special discomfort, so it does not require treatment. It is recommended to pay attention to local hygiene of the genitalia and perianal area. If you have excessive prepuce, it is advisable to gently clean it with warm water daily. If necessary, circumcision surgery can be considered for treatment.It is not scary to have a urological disease. Patients should believe that they can overcome the illness. As long as timely treatment is provided in the early stages, the chances of alleviating the condition and recovering are very high.