How to Treat a Scar on the Penis After a Zipper Injury - Urology

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Penile abrasion


Hello doctor, I recently accidentally scraped my penis with my zipper while urinating, and now there is a large, hard scar on my penis.
This has made me hesitant to engage in sexual activity, as I am concerned it may cause discomfort for my partner.
What methods are available to treat this scar? I would appreciate your guidance.
Thank you.

tony, 20~29 year old female. Ask Date: 2005/06/14

Dr. Zhang Chengye reply Urology


Hello: If it is indeed a scar, it should not be a concern, but an examination is necessary to confirm.
I recommend that you visit the outpatient clinic for a check-up.
Sincerely, Dr.
Chang Cheng-yeh, Attending Physician, Department of Urology, Hsinchu Hospital, Ministry of Health and Welfare.

Reply Date: 2005/06/14

More Info


When dealing with a scar on the penis resulting from a zipper injury, it is essential to approach the situation with care and consideration for both physical and emotional well-being. Scarring can occur due to various factors, including the depth of the injury, the healing process, and individual skin characteristics. Here’s a comprehensive guide on how to manage and treat the scar effectively.


Initial Assessment and Care
1. Consult a Healthcare Professional: The first step is to consult a urologist or a dermatologist who specializes in skin conditions. They can assess the scar's severity and provide tailored advice based on your specific situation.

2. Avoid Self-Treatment: While it may be tempting to use over-the-counter creams or home remedies, it is crucial to avoid self-treatment without professional guidance. Some products may irritate the sensitive skin of the penis or exacerbate the scar.


Treatment Options
1. Topical Treatments: Depending on the scar's characteristics, your doctor may recommend topical treatments. These can include:
- Silicone Gel Sheets: These are often used to flatten and soften scars. They work by hydrating the scar tissue and can be effective for raised scars.

- Hydrating Creams: Creams that contain ingredients like hyaluronic acid can help keep the scar moisturized, which is essential for healing.

- Scar Creams: Some creams specifically designed for scar treatment may contain ingredients like onion extract (found in products like Mederma) that can help improve the appearance of scars.

2. Injections: For more pronounced scars, corticosteroid injections may be an option. These can help reduce inflammation and flatten raised scars.

3. Laser Therapy: If the scar is particularly bothersome, laser treatments can be considered. Laser therapy can help reduce redness, improve texture, and promote collagen remodeling in the scar tissue.

4. Surgical Options: In some cases, if the scar is significant and causing functional or aesthetic issues, surgical revision may be an option. This involves removing the scar tissue and closing the area in a way that minimizes future scarring.


Lifestyle and Home Care
1. Gentle Cleansing: Keep the area clean with mild soap and water. Avoid harsh scrubs or chemicals that could irritate the skin.

2. Moisturization: Regularly apply a gentle moisturizer to the scar to keep it hydrated. This can help improve its appearance over time.

3. Sun Protection: Protect the scar from sun exposure, as UV rays can darken scars. Use a broad-spectrum sunscreen if the area is exposed to sunlight.

4. Avoid Irritation: Wear loose-fitting underwear to avoid friction against the scar, which can lead to irritation and discomfort.


Emotional Considerations
It’s important to acknowledge that scars, especially in sensitive areas, can lead to anxiety or embarrassment. If you find that the scar is affecting your self-esteem or sexual relationships, consider speaking with a mental health professional. They can provide support and coping strategies to help you manage any emotional distress.


Conclusion
In summary, treating a scar on the penis after a zipper injury involves a combination of professional assessment, appropriate topical treatments, and lifestyle adjustments. Always consult with a healthcare provider to determine the best course of action tailored to your specific needs. Remember that healing takes time, and with the right approach, the appearance of the scar can improve significantly, allowing you to regain confidence in your body and intimate relationships.

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