How are pearly penile papules treated, does it require surgery?

Not necessary: Ppp are benign bumps around the periphery of the glans penis. They are more common than you think (just not necessarily talked about at the gym or over coffee) and do not require treatment. I have had a few patients insist on treatment as they were self conscious about the appearance and thought that sexual partners may mistake them as genital warts. Co2 laser has been successful in these cases.