Growths on the Frenulum: Urology Insights and Guidance - Urology

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Frenulum breve?


Hello, Doctor Hsu.
A few days ago, while taking a shower, I suddenly noticed that there is a growth (possibly a granuloma?) on the frenulum of my foreskin.
It seems there are also one or two small bumps around the inside of the foreskin (as shown in the video linked below, password 2611) http://vlog.xuite.net/play/QmlZT0V5LTUyOTI0MTguZmx2.
I have never had this before.
I have always practiced hygiene and used condoms during sexual intercourse, but every time I remove the condom, the glans and frenulum hurt.
Could you please tell me what this might be? (I have a habit of smoking and have been experiencing a severe cold recently.) Additionally, since I am currently abroad, what should I say when seeking medical attention? Which department should I visit? Could you provide me with the English terms for my symptoms?

Larry, 20~29 year old female. Ask Date: 2012/08/13

Dr. Xu Weikai reply Urology


LANY: Hello, due to hospital system restrictions, I apologize for the inconvenience.
For safety reasons, we are unable to access external videos.

Reply Date: 2012/08/13

More Info


When it comes to growths on the frenulum, or any unusual changes in the genital area, it's essential to approach the situation with care and seek appropriate medical advice. Based on your description, it sounds like you may have developed some type of growth or lesion on the frenulum, which is the band of tissue that connects the foreskin to the glans (tip) of the penis. Here’s a comprehensive overview of what you might be experiencing and how to address it.


Understanding Growths on the Frenulum
1. Types of Growths: The growths you are describing could be several things, including:
- Pearly Penile Papules: These are small, harmless bumps that can appear around the glans and are often mistaken for warts or other lesions.

- Frenulum Breve: This is a condition where the frenulum is shorter than normal, which can cause discomfort during sexual activity.

- Irritation or Inflammation: If you have been experiencing pain during sexual activity, it could be due to irritation or inflammation of the frenulum or surrounding tissues.

- Infections or Lesions: Conditions such as genital warts, herpes, or other infections could also present as growths or lesions.

2. Symptoms and Pain: The pain you experience when removing the condom could indicate that the frenulum is being stretched or irritated. This could be due to the growth itself or the tension on the frenulum during sexual activity.
3. Hygiene and Care: Maintaining good hygiene is crucial, especially in the genital area. Ensure that you are cleaning the area gently but thoroughly, particularly after sexual activity. If you notice any changes, such as increased pain, bleeding, or changes in the appearance of the growths, it is important to seek medical attention.


Seeking Medical Help
Given that you are currently abroad and may need to seek medical attention, here are some tips on how to communicate your symptoms effectively:
- What to Say: When visiting a healthcare provider, you can say:
- "I have noticed some growths on the frenulum of my penis."
- "There is pain when I remove my condom after sexual activity."
- "I have a history of smoking and have recently had a severe cold."

- Which Specialist to See: You should look for a urologist, as they specialize in male reproductive health and urinary tract issues. If you are unable to find a urologist, a general practitioner can also provide initial evaluation and guidance.


Conclusion
In summary, while the growths you are experiencing may be benign, it is essential to have them evaluated by a medical professional to rule out any serious conditions. Your symptoms of pain during sexual activity and the presence of growths warrant a thorough examination. Remember to communicate clearly with your healthcare provider about your symptoms and any relevant medical history. Taking these steps will help ensure that you receive the appropriate care and guidance for your situation.

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