Penis with small white bumps, some large and some small, in the middle of the penis

Patient's question:

Penis with small white bumps, some large and some small, in the middle of the penis, not painful or itchy, only visible during erection

Doctor's answer:

Penile pearls, which are small, uniformly arranged papules of the same skin color, without any inflammatory response or subjective discomfort. Advice: This is a condition known as pearls, and if an acetic acid test is negative (i.e., the 5% acetic acid solution does not cause whitening), it is seen in males after puberty. This is a completely normal phenomenon and does not require treatment.

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