Dr. Ross Van Antwerp at the Laser Center of Maryland offers an innovative approach to removal of PPP.   He removes papules with the UltraPulse carbon dioxide laser under the guidance of an operating microscope.   The treatment is precise, comfortable, and has an excellent cosmetic result. Never try to remove them yourself by popping or picking at them, and NEVER use an over the counter “wart remover” anywhere on your genitals – these solutions can cause severe skin irritation and scarring.