Post-Electrosurgery Complications: Managing Bleeding from Frenulum Issues

Post-electrocautery surgery, there is bleeding from the ligature?

Hello Doctor, last year I discovered warts on both sides of the penile frenulum.
After repeated treatments with medication (Aldara), the lesions could not be completely removed, so I underwent electrosurgery to remove the warts.
Before the surgery, the doctor mentioned that there might be issues with the frenulum afterward, but I was focused on the wart treatment at the time, and some other medical advice was overlooked.
Recently, during sexual intercourse with my partner, the frenulum has bled due to excessive force, even filling the entire condom.
Therefore, I would like to ask the doctor if the frenulum will become more elastic after several instances of stretching, or if there are other appropriate solutions? Thank you.

A Da, 20~29 year old female. Ask Date: 2017/02/07

Dr. Du Shixi reply Urology

A physician must not administer treatment, prescribe medication, or provide a diagnosis without a personal examination.
Hello: If there is bleeding, it indicates that the skin has not healed.
You should return for a follow-up appointment.
Additionally, if you have undergone electrosurgery, it is recommended to wait at least 3 months without recurrence (preferably longer) before engaging in sexual intercourse without protection.
Otherwise, if there is a recurrence, your partner could be infected, so please be cautious.
Thank you for your inquiry.

Reply Date: 2017/02/07

More Info

Post-electrosurgery complications, particularly related to the frenulum of the penis, can indeed be a concern, especially after procedures aimed at removing warts or other lesions. The frenulum, which is the band of tissue on the underside of the penis that connects the glans to the shaft, can be sensitive and may be prone to bleeding after surgical interventions.
In your case, it sounds like the electrosurgery was performed to remove warts, but now you are experiencing bleeding during sexual activity due to the tension on the frenulum. This is not uncommon, as the area may still be healing and can be sensitive to friction or pressure.

Understanding the Healing Process
After electrosurgery, the tissue in the frenulum may take time to heal completely. The initial healing phase can involve inflammation and sensitivity, which might lead to bleeding during activities that exert pressure on the area, such as sexual intercourse. Over time, as the tissue heals, it may become more resilient and elastic, potentially reducing the likelihood of bleeding. However, this process can vary significantly from person to person.

Recommendations for Management
1. Gentle Care: During the healing process, it is essential to be gentle with the area. Avoiding vigorous sexual activity until you feel comfortable and the area has healed can help prevent further irritation and bleeding.

2. Lubrication: Using a water-based lubricant during sexual activity can reduce friction and help prevent tearing or irritation of the frenulum. This can be particularly helpful if the area is still sensitive.

3. Monitoring Symptoms: Keep an eye on the bleeding. If it is minor and occurs only occasionally, it may be a normal part of the healing process. However, if you experience significant bleeding or if it continues over time, it is crucial to consult your healthcare provider.

4. Follow-Up with Your Doctor: Since you mentioned that your doctor had indicated potential issues with the frenulum post-surgery, it would be wise to schedule a follow-up appointment. They can assess the healing process and determine if there are any underlying issues that need to be addressed. They may also provide additional treatment options, such as topical medications or further surgical interventions if necessary.

5. Consider Sexual Activity Timing: If you notice that certain positions or levels of intensity during sexual activity lead to more bleeding, it may be beneficial to adjust your approach. Communicating openly with your partner about what feels comfortable can help both of you navigate this period of healing.

Potential Long-Term Solutions
If the bleeding persists despite conservative measures, your doctor may suggest additional treatments. Options could include:
- Surgical Revision: In some cases, a minor surgical procedure may be necessary to address any structural issues with the frenulum that could be causing recurrent bleeding.

- Physical Therapy: Some healthcare providers may recommend pelvic floor physical therapy to help strengthen the area and improve elasticity.

Conclusion
In summary, while post-electrosurgery bleeding from the frenulum can be concerning, it is often manageable with careful attention and gentle practices. Healing takes time, and patience is essential. If symptoms persist or worsen, do not hesitate to reach out to your healthcare provider for further evaluation and guidance. Your health and comfort should always be the priority, and there are solutions available to help you navigate this situation effectively.

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