Renew Skin & Health Clinic

Leamington Spa, UK

Renew Skin & Health Clinic

Leamington Spa, UK

CO2 Laser treatment

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Pearly Penile Papules

As the name indicates these are the papules that appear on the rim of the head of penis. There is no specific reason for their occurrence and they are absolutely harmless. It is a skin condition that comes on its own and may start to vanish as age progresses, but everybody is different. There is always a possibility that 2 PPP cases are very different from each other. If you experience some papules on your penis, it is always recommended to consult a specialist doctor to rule out any other potential infection or wart. As PPP is often mistaken as STI or Genital warts, but they are not.

Symptoms of PPP

  • They are white, pink or translucent in colour.
  • The size may vary from 1-4mm long papules that may look like threads.
  • The papules appear on the corona or head of the penile shaft.
  • They may appear in rows.
  • They are not scratchy, painful or never bleed.

Are these a cause of worry?

As long as they are not showing any symptoms, there is no need to worry about them. They are benign skin growths that sometimes may fade away with time if they are very minimal or small. However, it is always advised that if you notice any sort of lumps or bumps on your penis, scrotum or around the genital area, you must consult your GP or at the local sexual health clinics.

Treatment for Pearly Penile Papules

They are harmless in nature and therefore can be left alone without any need for treatment, but they do impact the patient mentally and make them conscious about such abnormal skin growth. The reason for psychological impact could be their unappealing appearance or sceptical approach to rule out any other disease. Irrespective of the nature of the treatment, there are certain options that can be adopted for successful PPP removal.


Under high magnification a small precision electrode is used to target the papules and fade them away by producing free radicals using radio waves. This is one of the most successful treatments so far. It gives aesthetically pleasing results but there is comparatively more downtime than other laser treatments available but this is only available in handful centres in UK.

CO2 Laser:Precise laser beam is used to vaporise the papules. The precision tip makes sure that no adjacent healthy tissues get damaged during the process. The papules are vaporised after applying numbing cream, this makes the process pain free. The patient may feel slight discomfort after local anaesthesia starts to fade. In comparison to Radiosurgery, the downtime is quite low as it is a non-invasive process. The results are exceptionally good without any scarring.

Cryotherapy:In this process, liquid nitrogen is used to freeze the papules and their growth. Liquid nitrogen has an extremely low temperature to freeze the skin growth forever.

At Renew Skin and Health Clinic our specialist doctor uses number of methods including Carbon Dioxide laser treatment for PPP and radio-surgery (electro-surgery) to vaporise these unwanted growths. You may book your consultation here or may call at 0126 422 454 to speak to our doctor.

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Fordyce spots: Symptoms and Treatments

Fordyce Spot Removal

Fordyce spots are the sebaceous glands that are responsible for lubricating the hair follicles but they don’t have hair. They appear in different places like lips, scrotum and shaft of the penis in men, and labia in women. It is a common condition but in certain cases, these spots appear prominently which makes the bearer conscious about them. Up to 80% of adults have these spots since birth but they become elevated or visible after hitting puberty.

These spots are usually yellowish white but they can also appear red pale or skin coloured depending upon the place of their occurrence. They are absolutely harmless and don’t show any symptoms.

Should I be worried about my Fordyce Spots?

As long as there is no change in appearance, itching or bleeding, or appearance of new spots, you can leave them alone as they are mere sebaceous glands with no hair follicles. If they are on your genitals, you may mistake them as pearly penile papules or STI. They do impact the bearer psychologically due to the unappealing appearance. In such cases, it becomes important to opt for treatment.

What are effective treatments of Fordyce spots?

When opting for a treatment, it becomes important to be aware of the expected results. Some treatments do treat the spots but they leave a scar on the treated area. You can choose to have treatment from many of these options;

Topical ointment:Although it sounds attractive but till to date there is no concrete solution with topical ointments or creams.

Laser treatment:CO2 laser treatment for Fordyce spots has been considered as most successful treatment so far. The precise beam of the laser makes sure that it targets only the spots irrespective of the size and vaporises it to a skin surface level. It is very important for the laser operator to vaporise it precisely to the surface and not deep enough to create craters. At Renew Skin and Health Clinic, our clinical lead makes sure that he himself takes the charge of the process, it being a critical treatment. This procedure is painless as it is performed under the effect of local anaesthesia.

Micro-punch surgery:In this process, a pen-style scalpel is used to puncture the glands. You may call it as an invasive process. With the involvement of scalpel there is significant risk of scarring. There are however almost zero chances of recurrence.

What next?

Renew Skin and Health Clinic offers number of methods for Fordyce spots treatment but geared differently for different types of Fordyce spots on the body. Book in your specialist consultation here or call at 01926 422 454 to know more about the treatment or speak to our doctor.

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Angiokeratoma – Is it a cause of worry?

It is very common to have skin blemishes on different parts of body. The concern rises when these blemishes show symptoms, especially, when you have something at or around your genital area. You cannot ignore any lesions or blemishes even if they are not producing any symptoms or simply they are blemishes in this region. It is always recommended to have a formal consultation with a doctor to rule out any serious medical condition.

Angiokeratoma is one type of skin blemish which are usually harmless and can be symptomless. Medically, it has more than one form and can be categorised as follows;

Angiokeratoma of Fordyce : appear on scrotum in men or vulva (genitalia) in women

Solitary Angiokeratoma : appear on arms and legs

Corporis Diffusum : appear on the lower part of the body

Circumscriptum : appear in cluster on legs and body.

Angiokeratoma of Mibelli : appear on dorsal part of fingers and toes, knees, elbows and breasts.

Very rarely, the cases of Angiokeratoma are reported in women, whereas in men Angiokeratoma of fordyce can be seen in up-to 30% of the population. These are vascular dilation near the skin surface with red to purple appearance. They are benign and smooth to touch. Apart from occasional bleeding due to scratching you will not notice any other symptoms. Despite of that, they are a major psychological concern for the sufferer due to its presence and also their appearance.

When you should be alarmed?

Asymptomatic Angiokeratoma is never a cause of concern but it often requires a close follow up. Lesions that appear benign may mock malignancies in later stage.

If a woman is reporting the case then it is important to have a close examination as it is reported rarely in females. Also, it is important to consider diagnosis of other diseases that may cause due to infection or neoplasia.

Treatments of Angiokeratoma

There are number of treatments available for this condition but unfortunately none is successful but the results are variable with the following methods.

  • CO2 laser ablation – In this process the lesions are vaporised using laser beam. The treatment is fast, painless and scarless with less downtime.
  • Cryotherapy – It is a cold therapy in which liquid nitrogen is used to destroy the lesions.
  • Electro-dessication surgery – In this process, radio waves are used to destroy the lesions using precise electrodes so that no adjacent tissues get damaged.
  • Excision – It is an invasive process in which lesions are cut out precisely under the effect of anaesthesia.
  • Conclusion

    If you are a man reading this and have asymptomatic Angiokeratoma, you may skip having a treatment if it is not affecting you psychologically. Whereas, having a consultation with your GP or specialised doctor is also recommended.

    On the other hand, if you are a woman it is highly recommended to get your lesions checked with a specialised doctor as its occurrence is rare.

    At Renew Skin and Health Clinic, different treatments of Angiokeratoma are available. You may book clinical consultation and examination with our specialised doctor by calling at 01926 422 454.

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