Frenulum Tears: When to Seek Medical Attention - Urology

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Frenulum tears, particularly those occurring during sexual activity, can be a source of concern and discomfort. The frenulum is a sensitive band of tissue located at the base of the penis, and tears in this area can result from vigorous activity or insufficient lubrication. In your case, it sounds like you experienced a significant tear that required suturing, which is not uncommon in such situations.

Firstly, it’s important to understand that while some bleeding can be expected after a frenulum tear, especially if it was severe enough to require stitches, the amount and duration of bleeding can vary from person to person. The fact that you experienced bleeding during ejaculation and required three stitches indicates that the injury was substantial. After such an injury, it is typical for the area to be sensitive and for some residual bleeding or oozing to occur, particularly in the first few days following the injury.

Regarding your concern about the stitches, it is generally expected that absorbable sutures will dissolve within a week or two, but this can vary based on several factors, including the type of suture material used, the location of the tear, and individual healing rates. If you are still seeing the stitches after a week, it may be a sign that they are taking longer to dissolve than anticipated.
The presence of slight bleeding or oozing from the wound site can also be normal, especially if the area is still healing. However, if you notice that the bleeding is significant, or if you experience increased pain, swelling, or signs of infection (such as redness, warmth, or pus), it is crucial to seek medical attention promptly.
In terms of when to seek medical attention, here are some guidelines:
1. Persistent Bleeding: If the bleeding does not stop or worsens, you should contact your healthcare provider.

2. Signs of Infection: If you notice any signs of infection, such as increased redness, swelling, warmth, or discharge that is yellow or green, you should seek medical care.

3. Severe Pain: If you experience severe pain that is not relieved by over-the-counter pain medications, it’s advisable to consult a doctor.

4. Concerns About Healing: If you have concerns about the healing process or if the stitches do not seem to be dissolving, it’s a good idea to follow up with your healthcare provider.

In the meantime, it’s important to take care of the area by keeping it clean and avoiding any activities that could aggravate the injury, such as vigorous sexual activity or excessive friction. You may also want to consider using a topical antibiotic ointment if recommended by your doctor, to help prevent infection.

Lastly, if you have any ongoing concerns about your sexual health or the implications of this injury for future sexual activity, discussing these with a healthcare provider can provide you with reassurance and guidance tailored to your specific situation.
In summary, while some bleeding and the presence of stitches after a frenulum tear can be normal, it’s essential to monitor your symptoms closely and seek medical attention if you notice any concerning changes. Your health and comfort are paramount, and addressing any issues early can help ensure a smooth recovery.