Hirsuties papillaris penis D29.0

Author: Prof. Dr. med. Peter Altmeyer

Co-Autor: Dr. med. Robert Kasten

All authors of this article

Last updated on: 02.10.2023

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Hirsutoid penile papillomas; Horn tip; Papillae coronae glandis; Papillomatosis penis; Pearly penile papules; Penile papillomas hirsutoids

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Littré and Morgagni, 1700

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Atavistic malformation without pathological value with formation of row-shaped, papillary or filiform, whitish red excrescences on the proximal edge of the glans before the transition to the sulcus coronarius. The repeatedly discussed viral genesis (HPV) could never be proven.

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Angiofibromas on the penis are found in 14% to 48% of all men. The prevalence varies depending on the population. Angiofibromas are less common in older men and in circumcised men.

It is possible that penile angiofibromas recede in the course of life. If the glans penis is exposed after a circumcision, the angiofibromas may appear less pronounced due to abrasive effects.

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Histologically these harmless excrescences correspond to small angiofibromas.

Differential diagnosis
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Those affected (common synonym in layman's literature: horny tip) not infrequently fear they are suffering from a venereal disease and therefore seek medical help. Even if the patients are told that the angiofibromas are harmless and not infectious, many feel restricted in their sexuality.

Electroacoustic ablation, cryosurgery and, more recently, CO2 laser, erbium:YAG laser, dye laser and radiofrequency surgery are used for therapy.

These treatment methods usually result in healing of the angiofibromas with a low risk of scarring. When using the dye laser, multiple sessions are often required.

Patients with penile angiofibromas often look for help on the Internet. However, they rarely find effective recommendations there. For example, the use of tea tree oil or ciclopiroxolamine is advised. Toothpaste is recommended as an abrasive externum, although the substances it contains, such as peppermint oil and bleaching agents, can have a strong irritating effect on the genital mucosa.

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  1. Agha K et al. (2009) Pearly Penile Papules Regress in Older Patients and With Circumcision. Int J STD AIDS 20: 768-70
  2. Aldahan AS et al (2018) Diagnosis and Management of Pearly Penile Papules.
  3. At J Mens Health 12:624-627
  4. Buschke A, Gumpert H (1925) The papillae at the corona glandis; a comparison of anatomical and ethnological relationships. Arch f Frauenhk 11: 43-46
  5. Cornelis JA et al (2003) Pearly penile papules: Still no reason for uneasiness. J Am Acad 49: 50-54
  6. Littré Y (1700) French Academy of Sciences report. Padua: Adversaria anatomica p. 307

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Acuminate condyloma;


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Last updated on: 02.10.2023