Not Messed Up!: The cause of pearly penile papules (ppp) remains unknown. It is reported to occur in 8-48% of men. It is not related to having a circumcision. In fact, ppp are observed more frequently in uncircumcised men. Interestingly, in uncircumcised men with ppp who under go circumcision later in life, regression of the papules is commonly seen. Hope this helps.
Answered 12/2/2015
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