Healing Time for Frenulum Tear: What to Expect and Care Tips - Urology

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Regarding the healing time for the frenulum of the glans?


Hello, Director! I consulted you about a ligament tear on the 20th of last month.
It has been three weeks, but the V-shaped wound (about 1 millimeter deep) has not healed to a normal flat state.
I would like to ask again if this wound can only heal on its own over time? When I shower or use the restroom, the area gets pulled down; will this cause the wound to reopen, or should I avoid pulling it down for cleaning? It feels similar to a skin injury on the knee, where moving around causes the wound to stretch.
Additionally, I have diabetes and my blood sugar is controlled at around 5.5; could this also contribute to slower healing? I have refrained from sexual activity for three weeks.
If the wound can only heal on its own, does that mean I should continue to abstain from sexual activity until the indentation heals? Thank you, Director!

Yang, 30~39 year old female. Ask Date: 2022/11/10

Dr. Du Shixi reply Urology


Hello: Recovery takes time, and cleanliness is essential; please be as gentle as possible.
With diabetes, wound healing may take longer.
If you're not too concerned, sexual activity can be approached with caution.
Wishing you good health.

Reply Date: 2022/11/10

More Info


Healing from a frenulum tear can be a delicate process, and it's understandable to have concerns about the recovery timeline and care tips. A frenulum tear, often occurring in the context of oral or genital tissue, can vary in severity, and the healing time can depend on several factors, including the extent of the tear, your overall health, and any underlying conditions such as diabetes.


What to Expect During Healing
1. Healing Timeline: Generally, minor frenulum tears can take anywhere from a few days to a couple of weeks to heal. However, deeper or more extensive tears may take longer. Given that you mentioned a V-shaped wound that is approximately 1.5 mm deep and has not yet returned to a normal state after three weeks, it is important to monitor the healing process closely.

2. Signs of Healing: You should look for signs of healing such as reduced pain, less swelling, and the gradual closing of the wound. If the wound appears to be getting worse, or if you notice increased redness, swelling, or discharge, it may be a sign of infection, and you should seek medical attention.


Care Tips for Recovery
1. Avoid Irritation: It is crucial to avoid any activities that may irritate the area, including pulling or stretching the skin. When washing, be gentle and avoid any vigorous scrubbing. You can clean the area with mild soap and water, but be cautious not to exacerbate the tear.

2. Hygiene: Keeping the area clean is essential to prevent infection. After bathing, gently pat the area dry with a clean towel. If you are concerned about the wound reopening during activities such as using the restroom, consider using a soft cloth to support the area without applying pressure.

3. Sexual Activity: It is wise to abstain from sexual activity until the area has fully healed. Engaging in sexual activity too soon can lead to reopening the wound and prolonging the healing process. It is advisable to wait until the area feels normal and the skin has returned to its typical appearance.

4. Diabetes Considerations: Since you have diabetes, it is important to manage your blood sugar levels effectively, as high blood sugar can impede the healing process. Maintaining your blood glucose levels within the normal range (as you mentioned, around 5.5) is beneficial, but it is also essential to monitor for any fluctuations that could affect healing.

5. Consultation with Healthcare Provider: If you have concerns about the healing process or if the wound does not seem to be improving, it is advisable to consult with your healthcare provider. They can assess the wound and determine if any additional treatment is necessary, such as topical antibiotics or other interventions.


Conclusion
In summary, healing from a frenulum tear requires patience and careful management. Avoiding irritation, maintaining good hygiene, and abstaining from sexual activity until full recovery are key steps. Given your diabetes, keeping your blood sugar levels stable will also support the healing process. If you have any concerns or if the wound does not improve, do not hesitate to reach out to your healthcare provider for further evaluation and guidance. Your health and comfort are paramount, and ensuring proper care will facilitate a smoother recovery.

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