title: Pearly penile papules: effective therapy with pulsed dye laser.
abstract: OBJECTIVE
  Pearly penile papules (PPPs) are benign, dome-shaped lesions found around the corona of the penis. Treatments have varied in the past; however, to our knowledge, the use of the pulsed dye laser (PDL) for this condition has never been reported in the literature. Such papules are histologically analogous to angiofibromas; thus, we report PDL is an appropriate, effective, and nonablative method of treatment.
  
  
  METHODS
  Four patients diagnosed with PPPs were treated with PDL. Each patient reported little to no discomfort during the procedure. Minimal bruising was found in all 4 patients, which diminished over time. One patient stated slight discomfort after the procedure; this however, resolved in a weeks' time. Complete clearance of the papules was noted after 2 to 3 treatments in 2 patients and a reduction of the papules in 2 patients.
  
  
  CONCLUSIONS
  These 4 case reports illustrate the advantages of using PDL when treating PPP. In each patient, the appearance of the papules was either completely diminished or significantly reduced after the procedure. This result was achieved with only minimal discomfort felt by the patients. The use of PDL offers dermatologists a new treatment modality for PPPs that is safe, easily performed, and produces excellent aesthetic results.
authors.affiliation: Institute of Cosmetic and Laser Surgery, 1344 Cornwall Rd, Ste 100, Oakville, ON L6J 7W5, Canada. priyasapra01@gmail.com
authors.forename: Priya
authors.initials: P
authors.lastname: Sapra
authors.forename: Sheetal
authors.initials: S
authors.lastname: Sapra
authors.forename: Amanda
authors.initials: A
authors.lastname: Singh
mesh_terms: D000293:Adolescent; D000328:Adult; D006801:Humans; D054025:Lasers, Dye / Q000627:therapeutic use*; D008297:Male; D010409:Penile Diseases / Q000473:pathology / Q000601:surgery*; D016896:Treatment Outcome; D055815:Young Adult