Frenulum Issues: Pain, Healing, and Treatment Options - Urology

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Hello Dr. Du, I would like to inquire about the issue of the frenulum of the foreskin?


Hello Dr.
Du! I apologize for bothering you, but I would like to ask you a few questions.

1.
Previously, on August 30, after a DIY procedure, I noticed a stinging sensation while showering.
Upon retracting the foreskin, I observed slight indentations on the frenulum of the glans (see images 1 and 2), but there was no bleeding.
I am unsure how it originally looked, so I cannot confirm if it is a tear or a rupture.
However, after searching online, I found that other images of the frenulum do not show such indentations.
Additionally, when the foreskin is fully retracted, the indentations appear white, similar to image 3.
I would like to ask if this indicates a near rupture.
2.
I would also like to inquire if it is safe for me to apply Betadine and tetracycline eye ointment (which has been stored for over a year).
3.
If this is indeed a rupture, I have read that healing may take 4-6 weeks.
I would like to ask you, Dr.
Du, since I currently have no stinging sensation and the indentations appear to be smaller, based on the photos, is it possible for this to heal and return to its original state? How much longer will it take for the indentations to fill in and for the frenulum to regain its original strength, to the point where I can resume sexual activity?
Images:
1.
https://upload.cc/i1/2020/10/03/7lJ5OE.jpg
2.
https://upload.cc/i1/2020/10/03/q5DzLv.jpg
3.
https://upload.cc/i1/2020/10/03/S71E9K.jpg
4.
https://upload.cc/i1/2020/10/03/BmdXbk.jpg

You Yu Huo, 30~39 year old female. Ask Date: 2020/10/03

Dr. Du Shixi reply Urology


Hello: A diagnosis cannot be made without examination in this facility.
1) It is difficult to say, as some individuals may experience this condition.
2) It is not recommended to use it for a year.
3) It is advised to consult a urologist.
Wishing you good health.

Reply Date: 2020/10/03

More Info


Understanding issues related to the frenulum, particularly in the context of potential injuries or abnormalities, is crucial for maintaining sexual health and comfort. The frenulum, which is the band of tissue connecting the underside of the penis to the glans (the head), can be sensitive and prone to injury, especially during activities that involve friction or stretching, such as sexual intercourse or vigorous cleaning.

1. Identifying the Injury: Based on your description, it seems you may have experienced a minor injury to the frenulum. The presence of a "凹痕" (indentation) without bleeding suggests that it might not be a complete tear, but rather a superficial injury. The fact that you are no longer experiencing pain is a positive sign, indicating that the area is healing. Injuries to the frenulum can vary in severity, and while some may heal quickly, others might take longer depending on the extent of the damage.

2. Use of Topical Treatments: You mentioned using iodine and tetracycline ointment. While iodine can be effective for disinfecting minor wounds, it is essential to ensure that any topical treatment is appropriate for sensitive areas. Tetracycline ointment is an antibiotic that can help prevent infection, but it is crucial to check the expiration date, as using expired medications can lead to ineffective treatment or irritation. If the ointment has been stored properly and is within its shelf life, it may still be safe to use, but consult a healthcare provider for confirmation.

3. Healing Process: If the frenulum is indeed torn, the healing process typically takes about 4-6 weeks, as you mentioned. During this time, it is essential to avoid activities that could further irritate the area, including sexual activity, until you are confident that it has healed. The fact that the indentation is becoming smaller is a good sign of healing. However, complete restoration of the frenulum's original appearance and strength may take time, and individual healing rates can vary.

4. Recovery and Sexual Activity: As for when you can resume sexual activity, it is advisable to wait until you are entirely pain-free and the area appears healed. Engaging in sexual activity too soon can risk re-injury. Once you feel comfortable and the area looks normal, you can gradually resume sexual activities, but it is wise to proceed with caution and listen to your body.

5. Consulting a Healthcare Provider: If you have any concerns about the healing process or if the indentation does not improve, it is essential to consult a healthcare provider. They can assess the area, provide guidance on appropriate treatments, and ensure that there are no underlying issues that need to be addressed.

In summary, while minor injuries to the frenulum can be concerning, they often heal well with proper care. Monitoring the healing process, using appropriate topical treatments, and consulting with a healthcare provider if needed will help ensure a smooth recovery. If you have any further questions or concerns, do not hesitate to reach out for professional medical advice.

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