How to effectively treat penile pearls?

Patient's question:

There are many small bumps on the penis, and it always feels very itchy. After checking, it was said to be a case of molluscum contagiosum. Some topical creams were used, which were effective at first, but when they were stopped, the itching became worse, and the molluscum contagiosum grew more and more. Now the penis looks slightly swollen. What kind of help is needed: How can molluscum contagiosum on the penis be treated effectively?

Doctor's answer:

Penile pearly papules are commonly found in men aged around 20-30. The papules are often non-fused, densely arranged in one or multiple rows, and are prominent on the dorsal side of the glans. They can partially or completely encircle the glans. The lesions are typically pearl-white in color, with minimal or no tenderness, no ulcers, and no subjective symptoms for the patient.
Since this condition is non-communicable and does not affect health, it does not require treatment. However, to prevent the condition from worsening, patients should pay attention to local hygiene and maintain a dry environment, which is very important. If the patient insists on treatment, options such as laser therapy, cryotherapy, or the topical application of corrosive medications can be used to remove the lesions. However, it must be remembered to avoid excessive damage, which may cause scars and cause the patient pain.
For some patients, the lesions may recur after removal, which can be very unfavorable for the recovery of the condition.

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