Frenulum Issues: Concerns and Care in Urology - Urology

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Hello Doctor, I apologize for bothering you again.
I am Tony, the one who inquired about the frenulum.
I applied Diclofenac gel (not an anti-inflammatory gel - applied to the frenulum) twice: the first time was on Thursday night, and the second time was on Friday morning (there was no change after showering that evening).
It felt too irritating, so I stopped applying it.
On Saturday night, while showering, I noticed a small wound near the urethral opening and some small red spots next to the frenulum...
Is this a problem? (I mentioned before that there were no worsening conditions, and this seems to have occurred after applying the gel.) The wound did not hurt when I touched it during the shower; it looks like a small red bump that has burst.
PS.
On Saturday morning, I visited the urology department at National Taiwan University Hospital and underwent urine and blood tests.
Since I was unaware of the condition of the aforementioned wound, I told the doctor that there were no changes, so I did not have the glans examined for urine or blood.
I will check the report next week to see how to proceed, and I did not receive any medication...
This situation is leaving me unsure of what to do in the evening...

tony, 20~29 year old female. Ask Date: 2017/02/04

Dr. Du Shixi reply Urology


Hello: If you think it is related to the ointment, please stop using it.
Keep the area dry and clean for now.
We will be able to understand the possible condition after reviewing the report next week.
Thank you for your inquiry.

Reply Date: 2017/02/04

More Info


Hello Tony,
Thank you for reaching out with your concerns regarding the issues with your frenulum and the use of Diclofenac gel. It's important to address these concerns carefully, especially when it comes to sensitive areas of the body.

Firstly, it's not uncommon to experience some irritation or minor skin reactions when applying topical medications, especially if they contain active ingredients like Diclofenac, which is a non-steroidal anti-inflammatory drug (NSAID). The redness and the small wound you described near the urethral opening and the frenulum could be a localized reaction to the gel. This might occur due to several reasons, including sensitivity to the medication, over-application, or even friction during activities such as bathing.

The fact that you did not experience pain when touching the area is a positive sign, as it suggests that there may not be a significant injury or infection present. However, the appearance of a small wound and redness indicates that the skin in that area may be irritated or slightly damaged. It's crucial to keep the area clean and avoid any further irritation. Here are some steps you can take:
1. Avoid Further Irritation: Refrain from applying the Diclofenac gel until you have consulted with your urologist. If the gel is causing irritation, it may be best to discontinue its use.

2. Gentle Cleaning: When bathing, use mild soap and water to gently clean the area. Avoid scrubbing, as this may exacerbate irritation.

3. Monitor Symptoms: Keep an eye on the area for any changes. If the redness increases, or if you start to experience pain, swelling, or discharge, it’s essential to seek medical attention promptly.

4. Follow Up with Your Urologist: Since you have already scheduled a follow-up appointment, make sure to discuss the new symptoms with your urologist. They may want to examine the area more closely and could provide alternative treatments or recommendations based on your specific situation.

5. Consider Alternative Treatments: If the Diclofenac gel is not suitable for you, your doctor may suggest other options for managing any discomfort or inflammation you are experiencing.

6. Be Cautious with Self-Diagnosis: While it’s good to be informed, avoid jumping to conclusions about your condition without professional guidance. Your urologist will be able to provide a proper diagnosis and treatment plan.

In summary, while the symptoms you are experiencing may not be alarming, it is essential to take them seriously and consult with your healthcare provider. They will be able to assess the situation accurately and guide you on the best course of action. Remember, your health and comfort are paramount, and it’s always better to err on the side of caution when it comes to any changes in your body.

Take care, and I hope you find relief soon.

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