Dealing with Frenulum Injury: Pain and Solutions for Urological Issues - Urology

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Frenulum problems of the glans?


Doctor, I accidentally injured my frenulum while doing a DIY project.
Now it has lost its elasticity, and when I have an erection, the foreskin retracts and the frenulum gets pulled, causing significant pain.
What should I do?

A Yuan, 20~29 year old female. Ask Date: 2022/01/23

Dr. Du Shixi reply Urology


Generally, there should be no pain.
If there is a wound, it is recommended to consult a urologist at the hospital.
Wishing you good health.

Reply Date: 2022/01/23

More Info


Dealing with a frenulum injury can be quite distressing, especially when it affects your sexual health and comfort. The frenulum, a sensitive band of tissue located on the underside of the penis, plays a crucial role in sexual function and sensation. When injured, it can lead to pain, discomfort, and complications during erections, as you've described.


Understanding the Injury
From your description, it seems that the injury has resulted in a loss of elasticity in the frenulum, which can cause it to stretch uncomfortably during an erection. This can lead to pain and may even affect your ability to maintain an erection or enjoy sexual activity. The pain you experience when the frenulum is pulled during an erection is likely due to the tissue being overstretched or inflamed.


Immediate Solutions
1. Avoid Further Irritation: Until you can see a healthcare provider, it's essential to avoid any activities that may further irritate the area, including sexual activity or any form of vigorous physical activity that could exacerbate the injury.

2. Pain Management: Over-the-counter pain relievers such as ibuprofen or acetaminophen can help manage pain and reduce inflammation. However, be sure to follow the recommended dosages and consult with a healthcare provider if you have any underlying health conditions or are taking other medications.

3. Topical Treatments: Applying a gentle, non-irritating moisturizer or a topical antibiotic ointment (if there are any open wounds) may help soothe the area and promote healing. Avoid using harsh soaps or products that may irritate the skin.


Seeking Medical Attention
Given that the injury is affecting your quality of life and causing significant discomfort, it is advisable to consult a urologist or a healthcare provider specializing in sexual health. They can provide a thorough examination and may recommend the following:
1. Assessment: A physical examination will help determine the extent of the injury and whether there are any other underlying issues that need to be addressed.

2. Possible Treatments:
- Surgical Options: In some cases, if the frenulum is severely damaged or scarred, a minor surgical procedure may be necessary to repair it. This can restore elasticity and alleviate pain during erections.

- Frenuloplasty: This is a surgical procedure that can help lengthen the frenulum and reduce tension during erections, which may alleviate pain.

- Counseling: If the injury has led to anxiety or stress regarding sexual performance, speaking with a therapist or counselor who specializes in sexual health may be beneficial.

3. Follow-Up Care: After treatment, follow-up appointments may be necessary to monitor healing and ensure that the injury does not lead to further complications.


Long-Term Considerations
In the long term, maintaining good genital hygiene and being cautious during sexual activities can help prevent future injuries. If you engage in any activities that could potentially cause trauma to the area, consider using protective measures or avoiding those activities altogether.


Conclusion
In summary, dealing with a frenulum injury requires a careful approach to pain management and a consultation with a healthcare provider for a proper assessment and treatment plan. Don't hesitate to seek medical attention, as addressing the issue early can lead to better outcomes and a return to normal sexual function. Remember, your health and comfort are paramount, and there are solutions available to help you manage this condition effectively.

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