Pearly penile papules are nothing to worry about and are very normal and quite common. There is absolutely no chance of them becoming malignant. It is not known why they develop but they are not an STD and are totally harmless. There is absolutely no correlation to PPP and hygiene.
Most patients with PPP seek dermatologic consultation because they are concerned about a sexually transmitted disease. PPP most commonly are confused with genital warts or less often, with molluscum contagiosum.
On physical examination, PPP appear as one or several rows of small, flesh-colored, smooth, dome-topped to filiform papules situated circumferentially around the corona or sulcus of the glans penis. Uncommonly, lesions may extend onto the glans penis.
Some evidence suggests that PPP may be observed more frequently in uncircumcised men (22%) than in circumcised men (12%). In the past, PPP were believed to contribute to the accumulation of smegma in uncircumcised men; currently however, this is known to be not true.
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