Pearly penile papules  are small (1-2mm)finger-like growths that occur commonly on the rim of the penile head.  They are arranged circumferentially in one or several rows and are often wrongly assumed to be warts or herpes.  Even though the lesions are benign and asymptomatic, they can lead to enormous distress and have even resulted in the loss of partners and ruined families. These  small growths are also called fibromas. The exact mechanisms underlying their development is unknown.