Foreskin Issues: When to See a Urologist

On the foreskin?

I would like to consult a doctor.
After the foreskin has retracted, there was a tear at the junction between the glans and the foreskin during intercourse, which resulted in bleeding.
However, there was no pain.
Afterward, when using the restroom or during subsequent intercourse, there was no discomfort, but the healing of the original tear seems a bit unusual.
It does not appear smooth like before; it looks somewhat like dead skin, as it is slightly raised and uneven.
When I tried to trim it with scissors, it bled a little and was somewhat painful, but the situation remains the same afterward.
Should I directly make an appointment to see a urologist at the hospital? Thank you for your help.

Xiao P, 20~29 year old female. Ask Date: 2001/06/08

Dr. Liu Jianting reply Urology

I can imagine the panic and frustration you must have felt at that moment; similar situations are often seen in the emergency room, just with varying degrees of bleeding from the wound.
The main reason for this is that there was no lubrication applied to the "tool" before intercourse, which led to a rupture of the penile frenulum due to dryness and excessive motion.
Once the wound heals, it may not be perfectly smooth.
If it does not affect your "function," please do not attempt to fix it yourself; it is best to consult a urologist for further evaluation and to ask for advice on "maintenance."

Reply Date: 2001/06/08

More Info

When it comes to foreskin issues, particularly those involving the glans (the head of the penis) and the frenulum (the band of tissue connecting the foreskin to the glans), it is important to approach the situation with care and awareness of potential complications. Based on your description, it sounds like you experienced a tear at the connection point during intercourse, which led to bleeding and subsequent changes in the appearance of the skin in that area.

Firstly, it is not uncommon for individuals to experience minor injuries in the genital area during sexual activity, especially if there is insufficient lubrication or if the skin is particularly sensitive. The fact that you did not experience pain immediately after the injury is a positive sign, as severe pain could indicate a more serious issue. However, the presence of bleeding and the unusual healing of the skin, which you described as having a "dead skin" appearance and being uneven, warrants further evaluation.

The changes you are observing, such as the raised and uneven texture of the skin, could be a result of scar tissue formation. When the skin heals after an injury, it can sometimes form scar tissue that may not have the same texture or elasticity as the surrounding skin. This can lead to areas that feel different or appear raised. If you are experiencing bleeding when attempting to trim this area, it is crucial to avoid self-treatment, as this could lead to further injury or infection.

Given these symptoms, it is advisable to see a urologist. Urologists specialize in the urinary tract and male reproductive system, and they can provide a thorough examination of your condition. They will be able to assess the injury, determine if there are any underlying issues such as a frenulum breve (a short frenulum that can cause tearing), and recommend appropriate treatment options. Treatment may include topical medications to promote healing, advice on sexual practices to avoid further injury, or, in some cases, surgical intervention if the issue is persistent and problematic.

In summary, yes, you should definitely make an appointment with a urologist. They will be able to provide you with a comprehensive evaluation and address your concerns effectively. It is important to address these issues promptly to prevent complications such as infections or chronic pain. Additionally, maintaining open communication with your healthcare provider about any changes or concerns you have regarding your genital health is essential for your overall well-being.

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