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These answers are for informational purposes and do not replace a physician head-to-head visit. A patient-physician relationship is not established.
As you know this is more of a cosmetic problem as Pearly Penile Papules are entirely benign. The best treatment is the pulsed dye laser. My recommendation would be to consult with a dermatologist rather than a urologist since the former is more experienced with laser technology.
I would be happy to answer further questions.