A painless and itchy bump on the inside of the foreskin

Patient's question:

A painless and itchy bump has appeared on the inside of the foreskin, with a surface like dead skin, slightly hard, and no other symptoms. There is no fluid inside the bump. Today, I went to the urology department and they said it's not a pearl papule. I don't know what it is...

Doctor's answer:

Hello, this is a condition known as pearly penile papules, which is also referred to by some scholars as hirsutoid papillomatosis or multiple papillary penile lesions. Pearl-like papules on the penis are more common in men around the age of 20-30. Pearly penile papules are a benign condition, and in some cases, they may resolve over time, while in others, they may persist for decades without any changes. It is recommended that you visit your local urology department for a definitive diagnosis!

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