• Wednesday May 27,2020

Hirsuties papillaris penis

Hirsuties papillaris penis are skin lesions on the edge of the male glans, which are similar to wart-like horns and can extend over the foreskin band. The anomalies have no disease value, but correspond to a harmless atavism. The treatment is not taken over by the health insurance, as there is no medical need for therapy.

What is a hirsuties papillaris penis?

The hirsuties papillaris penis are often associated with the wildest speculation about possible causes. Some sufferers believe that this is a malformation. Other patients expect a sexually transmitted disease.
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In hirsuties papillaris penis or hirsuties papillaris coronae glandis, wart-like skin lesions develop on the edge of the glans, which may appear white, skin-colored or reddish. In German-speaking countries, the tiny warts are sometimes referred to as horn-horns or horns. From the glans edge, the warts can pull all the way to the foreskin band of the penis.

The horny lobes are referred to by the medicine as Papillae coronae glandis, as Papillomata coronae glandis or as Penispapillome. Papillomas are benign tumors. In the narrower sense Hirsutie's papillaris penis is not a phenomenon of pathological value. From a tumor disease can be so basically no speech.

The hornbill are relatively common in Germany and occur in about 20 percent of all pubescent boys. Worldwide, about 40 percent of all men are affected. Similarly, with the hirsuties papillaris vulvae there is a similar wart disease of the female sex, in which the tiny warts in the area of ​​the vulva form. The female variant is much rarer compared to the male. However, the Hirsuties papillaris vulvae do not have any disease.


The hirsuties papillaris penis are often associated with the wildest speculation about possible causes. Some sufferers believe that this is a malformation. Other patients expect a sexually transmitted disease. Still others recognize the symptom of another illness or lead the condition to a lack of hygiene in the Hornzipfelchen.

None of this is true. Instead, the phenomenon is a simple atavism that has no pathological value. An atavism is always mentioned when anatomical features of phylogenetic ancestors are re-educated in an individual of modern times. Since the features in the present stage of development of the man do not fulfill any function, the horn tips have probably regressed in the course of evolution.

Hirsutie's papillaris penis in this context are similar to the rudiments to the evolutionary evidence and are a normal atavism phenomenon. Since they do not affect all men, they are occasionally perceived as malformations or deformities.

Symptoms, complaints & signs

Patients with hirsuties papillaris penis detect changes in their genitals, which look like horny lobes. The changes are small in size and may vary in color. In addition to white Hornzipfelchen reddish or skin-colored lobes may be present. In most cases, the lesion concentrates from the edge of the glans.

Only in exceptional cases a larger field is affected. Some patients, for example, discover horn-tips with an extension from the edge of the glans to the foreskin band. The wart-like structures do not cause any accompanying complaints. They neither hurt, nor do they trigger itching.

Since it is not the symptom of a superordinate illness, nor is it a disease in its own right, those affected remain largely asymptomatic. However, most patients are ashamed of the abnormal change, especially at puberty, and should therefore be considered for treatment.

Diagnosis & disease course

Due to its typical appearance, the diagnosis of hirsuties papillaris penis turns out to be relatively simple. It can hardly come to a confusion with the so-called Fordyce glands in the form of free sebaceous glands, to a confusion with sebaceous cysts or a misdiagnosis as contagious genital warts. The diagnosis from the atavism represents the dermatologist.

In terms of differential diagnosis, the phenomenon is mainly distinguished from molluscum contagiosum, which predominantly occurs in isolated form on the shaft of the penis and carries a centrally located dent. A differentiation from lichen planus, the bowenoid papules or the condylomata lata of syphilis may be of differential diagnostic relevance. The prognosis for patients with hirsuties papillaris penis is outstanding.


Hirsutie's papillaris penis causes abnormalities in the genital organ of the male. As a rule, these anomalies do not lead to any particular complaints or complications, and for this reason they also need not be treated. However, they can lead to esthetic discomfort and thus trigger reduced self-esteem or inferiority complexes in men.

As a rule, the quality of life and life expectancy of hirsuties papillaris penis is not reduced or limited. The sufferers suffer from lobes on the glans. However, these little points do not lead to pain or itchiness and thus do not represent a particular limitation in everyday life. However, especially in children and adolescents, these complaints can lead to feelings of shame and insecurity, so often a treatment is required.

Without treatment, the patient may experience limited sexual development. The treatment completely removes the symptoms so that there are no further complications or changes on the skin. However, it can lead to the formation of scars. As a rule, prior to treatment, a doctor will inform you about the possible risks of the procedure.

When should you go to the doctor?

With a Hirsuties papillaris penis, a doctor's visit is not mandatory. The skin changes on the penis have no disease value and can get along without medical treatment. Normally, no further health abnormalities develop. With a shortened life expectancy is also not expected. A visit to a doctor is only necessary if the visual blemish of the croissant-like structures becomes a psychological problem for the person concerned.

If you experience stressful emotions such as feelings of shame or disgust, it is advisable to see a doctor. If it comes to partnership problems, a withdrawal behavior or the avoidance of interpersonal contacts, there is a need for action. If the lesions cause a change in behavior or personality, a doctor should be consulted. In case of abnormalities such as depressive episodes, melancholy or an aggressive appearance, a doctor should be consulted.

If sexual problems occur due to the hirsuties of the papillary penis, a visit to a doctor is recommended. If the skin changes are deliberately scratched or damaged, it can lead to health problems. If there is insufficient wound care, pathogens can enter the organism and lead to further illnesses. A check-up with a doctor is necessary because in severe cases, there is a threat of blood poisoning. A visit to the doctor should therefore be made if pain is involved, it comes to redness of the skin, itching or the development of pus.

Treatment & Therapy

From a medical point of view, there is no need to treat hirsuties papillaris penis. The removal of the wart-like structures must take place as little as a drug treatment. However, if the patient feels uncomfortable with the hornbill, treatment should nevertheless be considered to ensure carefree sexual development.

Since there is no medical need for treatment, the cost of treating Hirsuties papillaris penis is not covered by the health insurance. In most cases, therefore, patients decide against removal as soon as they are made aware of the sometimes high prevalence and harmlessness of the skin lesions. In individual cases, the patients decide for purely cosmetic reasons for a removal of the horn tips.

The removal is usually carried out as part of a laser treatment or in a cryotherapy. The patient is under local anesthetic removal. The treatment is carried out by the dermatologist or the plastic surgeon. The removal is preceded by an education, which points to the risk of annoying scarring. As soon as this explanation has been given, the number of people willing to treat will be reduced by at least half.

Outlook & Forecast

Hirsuties papillaris penis is a phenomenon without disease value. In 30 to 40 percent of all men, the so-called Hornzipfel can train at the glans during puberty. It is an ancient genetic material that can occur in every third man. Extremely seldom do women also suffer from horn-horns on the vagina.

Since Hirsuties papillaris penis is not a disease, it does not need to be treated. However, the horn tips can lead to mental stress. This is especially true when large papules occur. These are perceived by many men as unaesthetic and abnormal. In part, this raises the concern that it is a serious disease that is contagious. However, horn laces often cause a sense of shame in front of the partner. It is suspected that the partner could feel the papules as a deterrent and contagious. This strain can lead to erectile dysfunction in men. Hirsutie's papillaris penis has a disease value in this sense.

In some cases, a purely psychological care does not help anymore. Here, a cosmetic operation often only remedy. Mostly, the surgical removal of the horn tips is good. However, scars remain in a few cases, which are also unaesthetic and can lead to functional limitations of the penis. After surgery, a return of the papules is also possible.


The hirsuties papillaris penis can not be prevented because it is a harmless atavism.


The affected person usually has no special measures for direct follow-up care in the hirsuties papillaris penis. The disease itself does not necessarily have to be treated because it does not threaten the life of the person concerned and generally represents only an aesthetic complaint. Therefore, the hirsuties papillaris penis also no direct treatment is necessary, if not necessarily desired by the person concerned.

The disease itself can be alleviated by a simple surgical procedure. The procedure usually proceeds without complications. Thereafter, the affected person should protect and care for the area around the penis very well. It is often necessary to take antibiotics to prevent inflammation.

The affected person should take these regularly and also in the correct dosage. Furthermore, even after the procedure some checks by a doctor make sense. If the hirsuties papillaris penis are not treated, it can possibly lead to mental upsets. In many cases, intensive conversations with one's partner or family help to prevent depression or other mental disorders.

You can do that yourself

As a rule, Hirsuties papillaris penis requires no special therapy or treatment. Since the affected person in most cases also does not suffer from particular complaints or pain, no self-help measures must be taken to treat this disease.

Many sufferers, however, may be ashamed of the disease. About this shame, the affected person should definitely talk to his partner in order to avoid further mental discomfort or depression. Also, the contact with other victims or the conversation with a doctor can significantly reduce and limit these feelings of shame. Above all, the partner must provide the patient with support and strengthen self-esteem.

Although no treatment is necessary, the hirsuties papillaris penis can be removed by surgery. There are no special complications and it usually comes to a positive disease course. The formation of scars can be prevented by the person cares for the skin after surgery and keeps it moist. Special options for self-help are not available to the patient. However, the disease does not limit life expectancy.

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