Frenulum Tears: Symptoms, Healing, and Treatment Options - Urology

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Issues with the frenulum of the glans?


Hello doctor, it seems that the frenulum between my foreskin and glans is slightly injured, and it feels like it has a bit of a tear.
At first, there was some pain but no bleeding; later, the pain almost disappeared, although it still doesn't look healed.
A month later, after masturbating once or twice, I experienced some pain the next day, but it went away after a few days.
However, it still doesn't seem to be healing, as I've heard that a torn frenulum usually heals in about one to two weeks.
I'm wondering why, after two months, it still doesn't look healed.
Should I apply any medication? Also, there are some white debris in the grooves on both sides of the frenulum where the injury is; should I clean that off, or is it unnecessary?

Mr. Li, 10~19 year old female. Ask Date: 2022/07/30

Dr. Du Shixi reply Urology


Hello: It is likely not fully healed.
I recommend being cautious with DIY activities and not pulling too hard.
Wishing you good health, and remember to keep the area clean and dry.
If you notice any redness, please seek medical attention.
Wishing you good health.

Reply Date: 2022/07/30

More Info


Frenulum tears, particularly in the context of the penis, refer to injuries to the frenulum, which is the band of tissue that connects the underside of the glans (the head of the penis) to the shaft. These types of injuries can occur due to various reasons, including friction during sexual activity, masturbation, or even from tight foreskin (phimosis). Understanding the symptoms, healing process, and treatment options for frenulum tears is essential for proper care and recovery.


Symptoms of Frenulum Tears
The primary symptoms of a frenulum tear include:
1. Pain or Discomfort: Initially, there may be sharp pain or discomfort, especially during erections or sexual activity.

2. Swelling or Redness: The area may appear swollen or red, indicating inflammation.

3. Bleeding: While you mentioned that there was no bleeding initially, some individuals may experience minor bleeding at the time of the injury.

4. White Discharge: The presence of white discharge or a buildup of dead skin cells can occur, especially if the area is not kept clean.

5. Delayed Healing: As you noted, if the injury does not seem to heal after a few weeks, it may indicate a more significant issue.


Healing Process
Typically, minor frenulum tears can heal within one to two weeks. However, several factors can affect healing time:
- Severity of the Tear: Deeper or more severe tears may take longer to heal.

- Hygiene: Maintaining proper hygiene is crucial to prevent infection, which can delay healing.

- Activity Level: Engaging in sexual activity or masturbation too soon after the injury can exacerbate the tear and prolong recovery.


Treatment Options
1. Hygiene: Keeping the area clean is vital. Gently wash the area with mild soap and water. If there is a buildup of white discharge, it is advisable to clean it off to prevent irritation or infection.

2. Topical Treatments: Over-the-counter topical antibiotics (like Neosporin) can be applied to prevent infection. However, avoid using any harsh chemicals or irritants.

3. Avoid Irritation: Refrain from sexual activity or masturbation until the area has healed completely. This will help prevent further irritation and allow the tissue to recover.

4. Pain Management: If you experience pain, over-the-counter pain relievers like ibuprofen or acetaminophen can help manage discomfort.

5. Consult a Healthcare Provider: If the tear does not show signs of healing after a few weeks, or if you experience increased pain, swelling, or signs of infection (such as pus or fever), it is essential to consult a healthcare provider. They may recommend further treatment, which could include prescription medications or, in rare cases, surgical intervention.


When to Seek Medical Attention
You should seek medical attention if:
- The pain persists or worsens.

- There are signs of infection, such as increased redness, swelling, or discharge.

- The tear does not show signs of healing after two weeks.

- You have concerns about the appearance of the frenulum or any other symptoms.

In conclusion, while minor frenulum tears can often heal on their own with proper care, it is crucial to monitor the injury and maintain good hygiene. If healing does not occur as expected, or if you have any concerns, do not hesitate to reach out to a healthcare professional for advice and treatment.

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