Managing Frenulum Injury: Tips for Care and Healing - Urology

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Frenulum problems of the glans?


Hello doctor, I suspect I have a ligament tear with bleeding while doing DIY work.
I visited a urology clinic, and the doctor prescribed oral medication and ointment for me to use.
Currently, if the foreskin is not retracted, there is no bleeding.
However, when I try to retract it to clean the wound and apply the medication, it starts to bleed again.
I'm also concerned about pain or bleeding during morning erections.
How should I clean the wound? The doctor advised me not to retract the foreskin for now, but if I don't, I can't clean it or apply the medication.

Mr. Hsu, 20~29 year old female. Ask Date: 2022/10/08

Dr. Jian Weihong reply Urology


Hello: It's okay not to open it for 1-2 days, but if it's too long, it's necessary to push it down for cleaning.
If you're not comfortable handling it yourself, you can come back for a follow-up.
Wishing you good health.

Reply Date: 2022/10/08

More Info


Managing a frenulum injury, particularly in sensitive areas, requires careful attention to hygiene and healing practices. Based on your description, it seems you have experienced a significant injury that may involve the frenulum, which is a sensitive band of tissue. Here are some tips for care and healing, along with additional medical insights.


Immediate Care and Cleaning
1. Avoid Unnecessary Manipulation: As your doctor advised, it is crucial to avoid forcibly retracting the foreskin if it causes bleeding. This can exacerbate the injury and lead to further complications, including infection.

2. Gentle Cleaning: When cleaning the area, use mild soap and warm water. Avoid any harsh chemicals or scrubbing, as this can irritate the injury. Pat the area dry with a clean towel instead of rubbing it.

3. Topical Treatment: If your doctor prescribed an ointment, apply it gently to the affected area. If the area is bleeding upon retraction, consider waiting until it has healed sufficiently before attempting to apply medication. You might want to apply the ointment when the area is less sensitive, such as after a warm bath when the skin is more relaxed.

4. Monitor for Signs of Infection: Keep an eye on the injury for any signs of infection, such as increased redness, swelling, warmth, or discharge. If you notice any of these symptoms, contact your healthcare provider immediately.


Managing Pain and Discomfort
1. Pain Management: If you experience pain, over-the-counter pain relievers like acetaminophen or ibuprofen can be helpful. However, consult your doctor before taking any medication, especially if you are already on prescribed medications.

2. Morning Erections: Morning erections (morning wood) can be uncomfortable with a frenulum injury. If you anticipate this causing pain, consider wearing loose-fitting underwear to minimize discomfort.
3. Avoid Sexual Activity: It’s advisable to abstain from sexual activity until the injury has healed completely. Engaging in sexual activity too soon can lead to reopening the wound and prolonging the healing process.


Healing Process
1. Timeframe for Healing: The healing time for a frenulum injury can vary based on the severity of the injury. Minor injuries may heal within a week or two, while more significant injuries may take longer. Follow up with your doctor if you have concerns about the healing process.

2. Follow-Up Appointments: Attend any follow-up appointments with your healthcare provider to ensure that the injury is healing properly. They may want to assess the area and provide further recommendations based on your recovery progress.


Psychological Considerations
1. Managing Anxiety: It’s natural to feel anxious about an injury, especially in a sensitive area. Consider discussing your concerns with a healthcare professional who can provide reassurance and guidance.

2. Avoiding Overexamination: Try to avoid frequently checking the injury, as this can lead to unnecessary anxiety and may irritate the area. Instead, focus on following your care routine and allow your body the time it needs to heal.


Conclusion
In summary, managing a frenulum injury requires a balance of careful cleaning, pain management, and patience. Follow your doctor's advice closely, avoid unnecessary manipulation of the area, and monitor for any signs of complications. If you have any doubts or if the condition worsens, do not hesitate to reach out to your healthcare provider for further assistance. Healing takes time, and with proper care, you should see improvement.

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