3. OTHER GENITAL CONDITIONS
Patients who are worried about the possibility of venereal diseases may inspect the genitalia frequently. They may notice for the first time in their life certain conditions of no clinical significance and for which require only reassurance.
1) Penile pearls (syn. pearly penile papules, papillae of the coronal sulcus or glans penis, hirsuties papillaris penis, coronal papilla)
These congenital tiny swellings look like early genital warts but are arranged in rows regularly around the coronal sulcus or scattered over the glans penis. They are merely hypertrophic papillae with normal epidermal covering. They have no clinical significance and it is important not to misdiagnose them as genital warts.
2) Tysons glands
These are secretory glands which are symmetrically located on either side of the frenulum. They appear as small para-frenal papules which can easily be mistaken by anxious patients as genital warts.
3) Fordyce Spots
This condition arises from the presence of ectopic sebaceous glands. It may be found under the prepuce and on the vulva. The lesion appear as multiple small, white or yellow spots in submucosa.
4) Lymphocele (syn. sclerosing lymphangitis, benign transient lymphangiectasis)
In this condition the lymphatics in or near the coronal sulcus may become temporarily blocked and appear as worm-liked translucent masses of cartilage-like hardness. Some cases may follow prolonged or frequent intercourse or are associated with a genital lesion. However in the largest series reported, the majority were unexplained although the patients had coitus. The condition resolves within a few weeks and no treatment is necessary.
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