Scar on the frenulum of the glans?
Hello Doctor, last December during winter, I slipped and fell while walking on ice.
After returning home, I noticed blood stains on my penis.
Initially, I didn't think much of it, but later I found that retracting the foreskin was painful during an erection, and I couldn't fully retract it.
Now, after more than five months, pulling down the foreskin still causes pain.
I consulted a family physician, who indicated that a circumcision is necessary, but I can't get an appointment for the surgery until next year.
I would like to ask if this could be due to a scab or fibrosis from the injury? Is it okay to wait that long? Besides circumcision, are there any other treatment options available? Thank you for your response.
M, 20~29 year old female. Ask Date: 2022/05/13
Dr. Du Shixi reply Urology
Hello: The information provided here is for reference only and cannot replace a doctor's examination and tests.
It is common for wounds to scar, and pulling during an erection may cause pain.
If a doctor has recommended surgery, it is likely that surgery is the only solution.
If one hospital has a long wait time, you may consider visiting another hospital's urology department.
Wishing you good health.
Reply Date: 2022/05/13
More Info
In your case, it sounds like you have sustained an injury to the frenulum, which is the sensitive tissue that connects the underside of the penis to the foreskin. The presence of pain and difficulty retracting the foreskin after an injury can indicate scarring or fibrosis, which may have developed as a result of the trauma you experienced during your fall.
Scarring from an injury can lead to a condition known as frenulum breve, where the frenulum is too short, causing pain during erections or when attempting to retract the foreskin. This can be exacerbated by the formation of scar tissue, which can restrict movement and cause discomfort. The fact that you are experiencing pain and difficulty retracting the foreskin suggests that there may be some degree of scarring or adhesions present.
Regarding your concerns about waiting for surgery, it is important to note that while waiting for a circumcision may not pose an immediate risk, it is essential to monitor the situation closely. If you experience increased pain, signs of infection (such as redness, swelling, or discharge), or any other concerning symptoms, it would be prudent to seek medical attention sooner rather than later. Infections can complicate healing and may require more urgent intervention.
As for treatment options, while circumcision is a definitive solution for many cases of frenulum injury and scarring, there are other approaches that may provide relief in the interim. Here are a few options you might consider discussing with your healthcare provider:
1. Topical Treatments: Over-the-counter topical corticosteroids may help reduce inflammation and scarring. These should be used under the guidance of a healthcare professional.
2. Gentle Stretching: If tolerated, gentle stretching of the foreskin may help improve mobility over time. However, this should be done cautiously to avoid further injury or pain.
3. Hygiene Practices: Maintaining good hygiene is crucial, especially if there is any discomfort. Ensure that the area is kept clean and dry to prevent infections.
4. Pain Management: Over-the-counter pain relievers, such as acetaminophen or ibuprofen, can help manage discomfort while you wait for your surgical appointment.
5. Follow-Up: Regular follow-up with your healthcare provider is essential to monitor the situation. If the pain worsens or if you develop any new symptoms, it may be necessary to expedite your surgical evaluation.
In summary, while it is understandable to be concerned about the wait for surgery, monitoring your symptoms and considering alternative treatments can help manage your condition in the meantime. It is crucial to maintain open communication with your healthcare provider and to seek immediate care if any concerning symptoms arise.
Similar Q&A
Managing Frenulum Injury: Tips for Healing and Infection Prevention
During intercourse with my girlfriend, I may have been too vigorous, resulting in a wound on my frenulum. I'm unsure if it's a scrape or a tear. I noticed the wound on the first day (Sunday) and sought medical attention on the third day (Tuesday). I received Bacitracin ...
Dr. Liu Mingyue reply Urology
Hello, if the frenulum is injured and there is no infection, the wound will gradually heal. However, the newly healed frenulum may feel uncomfortable when stretched, and it usually takes about a month to return to normal.[Read More] Managing Frenulum Injury: Tips for Healing and Infection Prevention
Understanding Frenulum Injuries: Symptoms, Treatment, and When to Seek Help
The condition you are describing appears to be a tear or laceration of the frenulum, which is the band of tissue on the underside of the penis that connects the glans to the shaft. If the tear has not healed properly and has become larger, along with the presence of pain and chan...
Dr. Xu Weikai reply Urology
Mr. Hong: Hello, the wound is healing poorly, resulting in a chronic ulcer. It is recommended to have a physician assess the severity to determine if debridement surgery is necessary to accelerate healing. If there are any unclear points, feel free to ask again for further discus...[Read More] Understanding Frenulum Injuries: Symptoms, Treatment, and When to Seek Help
Understanding Frenulum Adhesion: Managing Pain and Treatment Options
Hello doctor, this morning I woke up and noticed pain in my penis, specifically around the frenulum, where there is about a 1mm wound. Upon closer inspection, it seems that part of the foreskin is still attached to the frenulum, possibly due to not being fully resolved after a pa...
Dr. Du Shixi reply Urology
Hello: Yes, you can use tetracycline ointment, but be careful and take it slowly, otherwise it may cause skin tearing. Wishing you good health.[Read More] Understanding Frenulum Adhesion: Managing Pain and Treatment Options
Understanding Scar Formation After Frenulum Injury: What to Do Next
A few days ago, due to masturbation, I developed two small holes in the foreskin. The doctor prescribed anti-inflammatory medication and ointment for balanitis (the ointment's instructions indicate that it is for skin infections caused by Staphylococcus, Streptococcus, or ot...
Dr. Du Shixi reply Urology
Hello: If the wound is healing, just keep it clean and dry. If it gets wet, make sure to dry it. You can stop using anti-inflammatory medication if there is no redness around the wound. It's difficult to determine if someone has keloid tendency; observation is the only optio...[Read More] Understanding Scar Formation After Frenulum Injury: What to Do Next
Related FAQ
(Urology)
Wound(Urology)
Trauma(Urology)
Balanitis(Urology)
Vas Deferens(Urology)
Exposed Glans(Urology)
Post-Electrocautery(Urology)
Bleeding(Urology)
Interstitial Cystitis(Urology)
Folliculitis(Surgery)