Managing Tears at the Penis and Foreskin Junction: Healing Tips

Tear at the junction of the foreskin and the glans?

Hello Doctor: I have phimosis, but I can retract the foreskin.
However, I cannot exert pressure on the penis, as it causes pain.
Yesterday, during intercourse, I experienced internal ejaculation and a sharp pain, and upon inspection, I noticed bleeding due to a laceration at the junction of the foreskin and glans.
I'm hesitant to see a urologist.
Can you recommend any ointments available at the pharmacy to promote healing of the wound, and how should I care for the injury?

Niming, 20~29 year old female. Ask Date: 2014/12/10

Dr. Xu Wencang reply Urology

If the area is too tight or frequently experiences bleeding from裂開 wounds, it is advisable to have a physician evaluate the situation for potential circumcision.
If there are wounds, applying an ophthalmic antibiotic ointment may be less irritating and help prevent infection.

Reply Date: 2014/12/10

More Info

Managing tears at the penis and foreskin junction can be a sensitive issue, and it's important to approach it with care. Based on your description, it seems that you have experienced a tear during intercourse, which can be quite painful and concerning. Here are some steps and recommendations for managing this type of injury:
1. Initial Care: After noticing the tear, it’s crucial to keep the area clean to prevent infection. Gently wash the area with mild soap and warm water. Avoid using harsh soaps or scrubbing the area, as this can cause further irritation.

2. Topical Treatments: Over-the-counter topical ointments can help promote healing and provide relief from pain. Look for products that contain ingredients like:
- Aloe Vera Gel: Known for its soothing properties, it can help reduce inflammation and promote healing.

- Hydrocortisone Cream: This can help reduce inflammation and itching, but should be used sparingly and not for extended periods.

- Antibiotic Ointments: Such as Neosporin, can help prevent infection if there is an open wound. Apply a thin layer to the affected area after cleaning it.

3. Pain Management: If you are experiencing significant pain, over-the-counter pain relievers such as ibuprofen (Advil, Motrin) or acetaminophen (Tylenol) can help alleviate discomfort. Be sure to follow the dosage instructions on the packaging.

4. Avoid Irritation: It’s important to avoid any activities that may irritate the area while it heals. This includes sexual activity, vigorous exercise, or any activity that may put strain on the area. Allowing time for healing is crucial.

5. Moisture Control: Keeping the area dry is important, but you may also want to consider using a protective barrier like a non-stick gauze pad if the area is particularly sensitive. Change the dressing regularly to keep the area clean.

6. Monitor for Infection: Keep an eye on the injury for signs of infection, which can include increased redness, swelling, warmth, or pus. If you notice any of these symptoms, it’s important to seek medical attention.

7. Consult a Healthcare Professional: While you may be hesitant to visit a urologist, it is highly recommended to do so, especially if the pain persists or if you notice any unusual symptoms. A healthcare professional can provide a thorough examination and may prescribe stronger medications or treatments if necessary.

8. Long-term Considerations: If you have recurrent issues with tearing or pain during intercourse, it may be worth discussing options for managing your foreskin, such as circumcision or other surgical options, with a healthcare provider.

In conclusion, while minor tears can often heal on their own with proper care, it’s essential to monitor the injury closely and seek medical advice if symptoms worsen or do not improve. Taking care of your sexual health is important, and addressing these issues with a professional can lead to better outcomes and peace of mind.

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