Frenulum Issues: Healing and Care After Injury - Urology

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Frenulum problems?


During masturbation, I used lubricant and applied too much force, resulting in what seems like a tear and pain in the frenulum.
The foreskin has also become more retractable than before (no bleeding, no phimosis).
The next day, I experienced some pain only during erections, but by the following day, the pain subsided, although a small red area on the frenulum is still visible.
What type of medication should I apply for recovery? Are there any potential complications or precautions I should be aware of? If there is no pain in the future but the frenulum does not heal back, what could happen?

Niming, 10~19 year old female. Ask Date: 2015/07/22

Dr. Li Xinyi reply Urology


Frenulum: It secures the position of the penis and the foreskin during an erection.
Laceration: It is generally preferred to keep it intact.
It is advised not to engage in vigorous activities.
Allow time for healing.

Reply Date: 2015/07/22

More Info


It sounds like you are experiencing an injury to the frenulum, which is the band of tissue that connects the foreskin to the glans of the penis. This type of injury can occur due to excessive force during masturbation, especially when using lubricants that may lead to increased friction or slippage.

Healing Process and Care
1. Initial Care: Since you mentioned that there was no bleeding and the pain has subsided after a couple of days, it seems that the injury is not severe. The redness you observe is likely a sign of inflammation, which is a normal part of the healing process.
2. Topical Treatments: For the redness and to promote healing, you can apply a topical antibiotic ointment, such as Neosporin, to prevent any potential infection. Make sure to apply it gently and avoid any harsh rubbing. If you prefer a more natural approach, aloe vera gel can also be soothing and may help with healing.

3. Avoiding Irritation: During the healing period, it’s important to avoid any activities that could further irritate the area, such as vigorous masturbation or sexual intercourse. Allowing the area to heal without additional trauma is crucial.

4. Hygiene: Maintain good hygiene by gently washing the area with mild soap and water. Avoid using any scented products or harsh soaps that could cause irritation.


Potential Long-term Effects
1. Sensitivity Changes: After healing, some individuals may notice changes in sensitivity in the area. This can vary from person to person and may normalize over time.

2. Frenulum Shortening: If the frenulum does not heal properly or if it has been significantly torn, it may result in a shorter frenulum. This could potentially lead to issues such as discomfort during erections or sexual activity in the future.

3. Reattachment: If the frenulum has torn but is not reattached, it may heal in a way that does not return to its original state. This could lead to a more retractable foreskin, which might not be a problem for many, but could cause discomfort for some during sexual activity.


When to Seek Medical Attention
- If you notice any signs of infection, such as increased redness, swelling, warmth, or discharge, it’s important to consult a healthcare provider.

- If the pain returns or worsens, or if you experience any other unusual symptoms, seek medical advice.

- If you have concerns about the appearance of the frenulum or if you experience discomfort during sexual activity after healing, it may be beneficial to consult a urologist or a healthcare provider specializing in sexual health.


Conclusion
In summary, your injury seems to be healing well, but it’s essential to take care of the area and avoid any further irritation. Using a topical antibiotic and maintaining good hygiene will help promote healing. If you have any concerns about the healing process or potential long-term effects, don’t hesitate to reach out to a healthcare professional for personalized advice. Remember, it’s always better to be cautious and seek help if you’re unsure about your symptoms.

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