Inflammation of the Frenulum: Symptoms and Treatment Options - Urology

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Suspected inflammation of the frenulum of the glans?


Hello, Doctor: Recently, during sexual intercourse, I felt pressure on the frenulum of the glans.
At the time, I didn't think much of it, but yesterday I noticed that when I apply pressure to the coronal sulcus while urinating, there is discomfort and mild pain.
Today, upon closer examination, I found that if I press on the frenulum and the coronal sulcus area, yellow discharge (which I believe is pus) oozes from a small wound at the junction of the urethral opening and the frenulum, approximately the size of a pinprick.
During cleaning, it resembled the pus discharge from folliculitis (acne): when I press on the inflamed area, pus comes out, and eventually, a little blood can be squeezed out.
However, after cleaning it once, several hours later, pressing still causes discomfort and mild pain.
I would like to ask the doctor what this issue might be and whether it can heal naturally or if I should just buy over-the-counter medication (such as antibiotic ointment) to apply?

J, 20~29 year old female. Ask Date: 2021/09/13

Dr. Li Xinyi reply Urology


If there is pus, a thorough examination is necessary.
It is recommended to visit a urologist for evaluation and discuss with the physician.

Reply Date: 2021/09/13

More Info


Inflammation of the frenulum, particularly in the context you described, can be a concerning issue, especially when accompanied by symptoms such as pain, discomfort, and purulent discharge. The frenulum is a sensitive area, and trauma or irritation can lead to inflammation, which may manifest as localized pain and discharge.

Based on your description, it seems that you may be experiencing a condition known as frenulumitis or possibly a localized infection such as folliculitis, particularly if you are noticing yellowish discharge that resembles pus. The presence of blood upon squeezing the area could indicate that there is some degree of injury or irritation to the tissue, which may be exacerbated by any further manipulation.


Symptoms and Diagnosis
The symptoms you are experiencing—pain upon pressure, discharge, and the presence of blood—suggest that there may be an underlying infection or inflammation. The yellow discharge could be indicative of pus, which often signifies an infection. It is important to differentiate between a simple irritation and a more serious infection that may require medical intervention.


Treatment Options
1. Self-Care Measures:
- Hygiene: Maintain good hygiene by gently cleaning the area with mild soap and water. Avoid any harsh soaps or irritants that could exacerbate the condition.

- Avoid Manipulation: Refrain from squeezing or manipulating the area further, as this can worsen the inflammation and increase the risk of introducing bacteria.

- Warm Compresses: Applying warm compresses to the area may help reduce discomfort and promote healing.

2. Topical Treatments:
- Over-the-counter antibiotic ointments (like Neosporin) may be beneficial if you suspect a superficial infection. However, if the area is significantly inflamed or if you notice worsening symptoms, it is advisable to consult a healthcare provider.

- If you suspect folliculitis, topical antiseptics may also be helpful.

3. Medical Evaluation:
- If symptoms persist for more than a few days, worsen, or if you develop systemic symptoms such as fever, it is crucial to seek medical attention. A healthcare provider may perform a physical examination and possibly culture the discharge to identify any bacterial infection.

- In some cases, oral antibiotics may be necessary if a bacterial infection is confirmed.

4. Avoid Irritants:
- Avoid any activities that may further irritate the area, including sexual activity until the symptoms have resolved.


When to Seek Help
It is essential to seek medical attention if:
- The pain becomes severe or unmanageable.

- You notice an increase in swelling or redness.

- There is a persistent or worsening discharge.

- You develop fever or systemic symptoms.


Conclusion
In summary, while minor cases of frenulum inflammation may resolve with self-care and topical treatments, your symptoms warrant careful observation. If there is no improvement or if the condition worsens, a consultation with a healthcare provider is necessary to rule out any serious infections or complications. Remember, timely intervention can prevent further complications and promote quicker healing.

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