and Treating Frenulum Tears: A Guide for Men

Laceration of the foreskin?

Hello Doctor, for the past year, I have experienced slight fissures at the tip of my foreskin whenever I masturbate or have intercourse with my girlfriend.
The wounds generally heal in about three days, but they are very painful when exposed to water during that time.
I never had this issue before, but now it happens every time.
Upon observation, I noticed that the elasticity at the tip of my foreskin seems to have significantly decreased, making it difficult for the foreskin to retract.
Even when I am careful to retract it, I still experience fissures during intercourse.
I am wondering if there is any ointment I should apply to improve this condition.
Thank you for your response.
~Steven

Steven, 20~29 year old female. Ask Date: 2009/12/13

Dr. Yan Dawei reply Urology

It is recommended to visit the urology outpatient clinic for examination.

Reply Date: 2009/12/13

More Info

Hello Steven,
Thank you for reaching out with your concerns regarding the recurrent tearing of the frenulum during sexual activity and masturbation. This issue can be both uncomfortable and distressing, and it's important to address it properly.

From your description, it sounds like you may be experiencing a condition known as frenulum breve, which is a short or tight frenulum that can limit the movement of the foreskin and lead to tearing during sexual activity. This condition can cause pain and discomfort, especially if the skin is not able to stretch adequately. The fact that you have noticed a decrease in the elasticity of the skin at the tip of your penis could also indicate that the skin is becoming less flexible, which can happen for various reasons, including dryness, irritation, or even a lack of proper lubrication during sexual activities.

Here are some steps you can take to help manage and treat this condition:
1. Use Lubrication: When engaging in sexual activity or masturbation, using a water-based or silicone-based lubricant can significantly reduce friction and help prevent tearing. This is particularly important if you are experiencing dryness or if the skin is not stretching as it should.

2. Gentle Stretching: If you feel comfortable, you might try gently stretching the frenulum and the surrounding skin. This should be done carefully to avoid further tearing. Gradual stretching can help improve elasticity over time.

3. Topical Treatments: Applying a topical ointment, such as a healing ointment or a steroid cream (like hydrocortisone), may help reduce inflammation and promote healing. However, it's crucial to consult with a healthcare provider before applying any medication to ensure it's appropriate for your situation.

4. Avoid Irritants: Be mindful of any products that may irritate the area, such as scented soaps or lotions. Stick to gentle, unscented products to minimize irritation.

5. Consult a Healthcare Provider: Since this issue has been persistent for a year, it would be wise to consult a urologist or a dermatologist specializing in genital health. They can provide a thorough examination and may suggest treatments such as a frenuloplasty, a minor surgical procedure to lengthen the frenulum if necessary.

6. Hygiene Practices: Ensure that you maintain good hygiene by cleaning the area gently with mild soap and water. This can help prevent infections that may complicate healing.

7. Monitor Symptoms: Keep track of any additional symptoms you may experience, such as increased pain, swelling, or discharge, and report these to your healthcare provider.

It's essential to address this issue not only for comfort but also to prevent potential complications, such as infections or scarring. Remember, you are not alone in this, and many men experience similar issues. Seeking professional help can provide you with the best course of action tailored to your specific needs.

Take care, and I hope you find relief soon.

Best regards.

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