What is the reason for small granules at the edge of the glans?

Patient's question:

Detailed medical condition and consultation purpose: There are small, granular, almost translucent particles on the edge of the glans, with no pain or itching symptoms usually.
I consulted a rural doctor, who said it might be caused by hot flashes and suggested using saltwater to wash it. But after washing several times, there hasn’t been any improvement.
Duration and persistence of the current condition: 1 year
Current general condition: Small particles
Medical history: No examination
Previous diagnoses, treatments, and outcomes: No effect on hot flashes
No auxiliary tests were conducted.

Doctor's answer:

Hello, if there are no other discomforts such as itching, pain, or discharge and redness, it is common for this to be a condition known as "pearly papules." The formation of pearly papules is often due to local poor hygiene or irritation caused by excessive foreskin. Pearly papules are similar to local hyperplasia and do not require treatment. It is recommended to maintain good local hygiene and cleanliness. If there is excessive foreskin, it is best to undergo a circumcision procedure.
As everyone knows, (balanitis) can cause significant harm to men, so it is important to seek treatment as soon as possible. In daily life, attention should be paid to dietary issues, avoiding irritating foods, and maintaining a balanced diet. Additionally, regular follow-up visits may be necessary if needed.

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