Managing Frenulum Issues: Tips for Hygiene and Healing - Urology

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Frenulum problems of the glans?


Hello doctor, I have a small wound on my foreskin that does not bleed, but it has not completely healed even though I haven't engaged in any DIY activities for a while.
Because I have phimosis, I have to retract the foreskin to wash during showers, which causes the wound to come into contact with water, and some dirt accumulates around the wound.
What methods can I use to keep it dry while also cleaning the dirt inside? Additionally, is a more aggressive treatment approach to apply iodine solution and antibiotic ointment twice a day?

Ian, 10~19 year old female. Ask Date: 2021/06/27

Dr. Du Shixi reply Urology


Hello: You can simply rinse with clean water every day and dry with a cotton swab.
If the wound is deeper, please seek medical attention.
Wishing you good health.

Reply Date: 2021/06/27

More Info


Managing issues related to the frenulum, particularly when there is a small wound present, requires careful attention to hygiene and healing practices. The frenulum is a small fold of tissue that secures the movement of an organ in the body, and in the context of the male anatomy, it connects the underside of the penis to the foreskin. When there is a small injury or irritation in this area, it can be uncomfortable and may lead to further complications if not managed properly.


Hygiene Tips
1. Gentle Cleaning: It is crucial to keep the area clean without causing further irritation. Use mild, unscented soap and warm water to gently cleanse the area. Avoid using harsh soaps or scrubbing too vigorously, as this can exacerbate the injury.

2. Drying: After washing, gently pat the area dry with a clean, soft towel. Avoid rubbing, as this can irritate the wound. Keeping the area dry is essential for healing, as moisture can promote bacterial growth.

3. Avoid Irritants: Be mindful of any products that may come into contact with the area, such as lotions or scented products, which can cause irritation.
4. Covering the Area: If the wound is in a location that is prone to friction or exposure to moisture, consider using a sterile, non-stick bandage to protect it. Change the bandage regularly to maintain cleanliness.


Healing Tips
1. Topical Treatments: Applying a topical antiseptic, such as iodine solution, can help prevent infection. However, be cautious with the frequency of application, as excessive use can irritate the skin.
2. Antibiotic Ointment: Using an over-the-counter antibiotic ointment (like Neosporin) can promote healing and prevent infection. Apply a thin layer to the wound after cleaning and drying the area.

3. Avoiding Further Injury: Be mindful of activities that may aggravate the wound, such as vigorous sexual activity or excessive stretching of the foreskin.
4. Moisture Control: If you are concerned about moisture from bathing, consider using a protective barrier, such as a waterproof bandage, while showering to keep the area dry.

When to Seek Medical Attention
If the wound does not show signs of improvement within a few days, or if you notice increased redness, swelling, or discharge, it is essential to consult a healthcare professional. Persistent issues may require further evaluation to rule out underlying conditions, such as infections or frenulum tears that may need more intensive treatment.


Conclusion
Managing a small wound on the frenulum involves a combination of good hygiene practices and appropriate topical treatments. Keeping the area clean and dry is paramount for healing. While using iodine and antibiotic ointments can be beneficial, it is essential to monitor the wound for any signs of infection or complications. If the condition does not improve, seeking medical advice is crucial to ensure proper care and healing.

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