Hello Thank you for trusting HCM Pearly penile papules are acral angiofibromas, that can appear in up to 38 percent of men during the second to third decades. Despite reassurance of their benign and noninfectious nature, PPPs can be a source of significant psychological distress to the patient and his sexual partner. Their appearance may be easily mistaken for a sexually transmitted disease, such as genital warts. Although several therapeutic options have been documented, anecdotal reports tout the nonfractionated CO2 laser as the most effective treatment strategy.dyspigmentation, erosions, ulcerations, and scarring did not occur with it. Cure percentage up to 90%.. Please consult your doctor he will examine and treat you accordingly.