What are the normal-colored, grain-sized particles in the coronal sulcus of the glans?

Patient's question:

I have small, pearly-sized particles with normal color and luster in my coronal sulcus. The hospital said it's a normal physiological phenomenon caused by excessive foreskin and does not require treatment. I would like to confirm this and find out what precautions I should take. Thank you!

Doctor's answer:

This should be penile pearly papules, also known as penile pearls, which are seen on the edge of the glans in males. They are small papules of millet size, arranged in a uniform and orderly manner, with the same skin color, and show no inflammatory reaction or any subjective discomfort. This is a condition known as pearly papules. If an acetic acid test is performed, it will be negative, meaning that the 5% acetic acid solution applied does not turn white. This condition is seen in males after puberty and is completely normal, requiring no treatment.

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