Frenulum Injuries: Symptoms, Treatment, and When to Seek Help - Urology

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Frenulum injuries, particularly those involving the penile frenulum, can be quite uncomfortable and may lead to complications if not properly managed. The frenulum is a sensitive band of tissue that connects the glans (tip) of the penis to the shaft. Injuries to this area can occur due to excessive force during cleaning, sexual activity, or other forms of trauma.

Symptoms of Frenulum Injuries
In your case, the symptoms you describe include:
- Pain during urination: This can occur due to irritation or inflammation of the injured area.

- Increased size of the wound: A wound that enlarges may indicate that the healing process is not proceeding normally, possibly due to repeated trauma or infection.

- White discoloration around the wound: This could suggest a few things, including irritation, a fungal infection, or the presence of dead tissue.

- Persistent pain or discomfort: This is a common symptom associated with frenulum injuries, especially if the area is repeatedly stressed.


Treatment Options
1. Rest and Avoidance of Irritation: The first step in managing a frenulum injury is to avoid any activities that may further irritate the area, such as vigorous cleaning or sexual activity until healing has occurred.

2. Topical Treatments:
- Antiseptics: You mentioned using iodine solution (碘伏) for disinfection, which is a good initial step. However, it’s important to avoid overusing strong antiseptics, as they can irritate the tissue further.

- Moisturizing Ointments: Consider using a gentle, non-irritating ointment such as petroleum jelly or a specialized healing ointment that can help keep the area moist and promote healing.

- Hydrocortisone Cream: If there is significant inflammation, a mild hydrocortisone cream may help reduce swelling and discomfort, but this should be used sparingly and not for prolonged periods.

3. Pain Management: Over-the-counter pain relievers such as acetaminophen or ibuprofen can help manage discomfort.


When to Seek Medical Attention
Given the symptoms you are experiencing, it is advisable to seek medical attention for the following reasons:
- Persistent or Worsening Symptoms: If the pain continues or worsens, or if the wound does not show signs of healing after a few days of conservative treatment.

- Signs of Infection: If you notice increased redness, swelling, warmth, or discharge from the wound, these could be signs of an infection that requires medical treatment.

- Difficulty Urinating: If you experience significant pain during urination or any changes in urination patterns, it is important to consult a healthcare provider.

- Concern About Healing: If the wound appears to be enlarging or not healing properly, a healthcare professional can assess the injury and may recommend further treatment options, such as suturing or other interventions.


Conclusion
Frenulum injuries can be painful and may require careful management to ensure proper healing. While initial home care is important, do not hesitate to seek medical advice if your symptoms persist or worsen. A healthcare provider can offer a thorough examination and tailored treatment options to help you recover effectively.