THE FRENALE ON THE FORESUS HAS TORNED: what to do if the frenulum ruptures

A rupture of the frenulum of the foreskin of the penis is one of the most common reasons for young people to visit a doctor (except for genital infections). There is even a widespread misconception on the Internet that the frenulum must break at the beginning of sexual activity. Those. breaking the frenulum is a kind of analogue of deflowering girls. But in reality, the frenulum should not be torn or damaged during sex.

What to do if the frenulum on the head is torn →

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Our clinics perform a full range of operations in the field of intimate surgery, including plastic surgery for ruptured frenulum of the penis. We can also perform surgical correction after unsuccessful operations performed in OTHER clinics. If you decide to have surgery with us, please visit our forum and look at photos of what the penis will look like after frenuloplasty.

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Rupture of the frenulum of the penis occurs most often during rapid sexual intercourse, defloration or insufficient hydration of the partner’s vagina. But the main reason is, of course, the initially short frenulum of the foreskin.

Since blood vessels and nerves pass through the frenulum, a rupture is always accompanied by severe pain and severe bleeding, which can be difficult to stop. If a torn frenulum heals on its own, in the vast majority of cases a scar forms at the site of the rupture (or tear). This scar, in the process of its formation, contracts and shortens the frenulum. In this case, the same problems arise as with congenital shortening of the frenulum, but the scar is not elastic and very quickly the frenulum ruptures again. The situation repeats itself and the shortening of the frenulum worsens. That is why it is preferable to perform the operation without waiting for re-damage, and if this happens, then to prevent the formation of a rough scar, because the foreskin may be involved in the cicatricial process, and this in turn leads to the development of cicatricial phimosis.

Reasons for the development of pathology

In the vast majority of cases, a short frenulum is a consequence of a developmental abnormality and is combined with phimosis - a narrowing of the foreskin with the impossibility of exposing the head of the penis. According to statistics, up to 5% of uncircumcised men suffer from insufficient extensibility of the folds of skin on the penis. This anomaly is accompanied by a number of painful and unpleasant symptoms:

• curvature of the penis in an erect state;
• pain during sexual intercourse;
• premature ejaculation;

• the frenulum breaks as a result of active movements during intercourse.

With normal development, the frenulum is of sufficient length and can stretch significantly, providing comfortable and painless movement of the foreskin. A fold of skin that is too short causes a lot of trouble and can cause serious complications.

Possible complications and repeated visits to the doctor

Having discovered such a delicate problem, a man should immediately contact a specialist. Otherwise, the negative consequences of a torn frenulum on the head will not keep you waiting. They may appear as:

• abundant growth of connective tissue at the site of injury (formation of scars);
• decreasing the length of the foreskin with each subsequent tear;
• deterioration of the emotional background and well-being, provoked by the experience of severe pain;
• the appearance of phobias and fears of sex;
• decreased libido;
• deterioration of erection;
• inability to perform full sexual intercourse.

If you notice the possibility of microtrauma to the genital organ, then it is worth organizing a trip to the hospital to prevent complications from occurring. At the same time, resorting to traditional medicine methods or trying to increase the length of the frenulum on your own is not recommended. In this case, negative consequences are fraught with infection of the genitourinary system with infectious diseases, damage to the arteries, and heavy blood loss.

Possible triggers

Other possible causes of pathology are:

• Chronic inflammatory diseases of the penis
  . Balanitis and balanoposthitis, in most cases occurring with the presence of pathogenic microflora, lead to structural tissue changes in the area of ​​the head of the penis.

• Chronic injuries to the foreskin
  . Even microdamages to the delicate skin of the penis without proper and timely response can lead to improper tissue fusion. Such injuries occur when playing certain sports or wearing too tight underwear and clothes.

• Diabetes mellitus in the stage of decompensation
  . In this case, tissue changes are caused by a characteristic sign of the disease - a disruption of the regeneration process, as a result of which cicatricial deformities begin to appear in the tissues of the frenulum.

Most often, the pathology is diagnosed when a man begins to have an active sexual life. That's when the real problems begin. Especially if the disease is not detected and treated in time.

Causes of pathology in children

It is not possible to identify a pathological condition in a small child. The main symptoms appear only during puberty. Indirect indications of the presence of an anomaly are:

• Phimosis
  . Although physiological phimosis is present in almost all newborns, by the 3rd year of life in 90% of boys the head opens completely. Only in 1-5% of children the pathology persists until adulthood - and, as a rule, is accompanied by a short frenulum.

• Heredity
  . Genetic factors influence the transmission to subsequent generations of most abnormal deviations, including those in the structure of organs and systems. If one of the parents has such a pathology in the family, there is a high probability that the anomaly will manifest itself in the child.

It is possible to detect the presence of a pathological condition of the frenulum of the penis in a boy only by indirect signs, since the child prefers to endure discomfort. However, if you regularly cry while urinating, a thorough examination of the penis is necessary. Possible signs of pathology are:

• redness or swelling in the foreskin area;
• the presence of phimosis - the inability to expose the head;
• the appearance of bloody discharge during water procedures;
• accumulation of smegma (preputial lubricant), causing pain and burning.

All these symptoms indicate the possible presence of pathology in the genitals. The presence of alarming signs requires mandatory medical consultation. And in case of diagnosing a pathology - timely treatment.

Causes of pathology in adolescents

At the age of 13-18 years, rapid development of the genital organs occurs and the reproductive system is formed. This period is characterized by the possible occurrence of hormonal imbalances, as well as disruption of the normal functionality of certain systems and organs.

It is during puberty that there is a high probability of a discrepancy between the growth rate of skin tissue and the rapidly developing cavernous bodies in the penis.

As a result of the rapid onset of puberty, the frenulum of the penis becomes short in comparison with the size of the organ itself and is unable to painlessly perform its functions - to help the foreskin cover the glans.

If a teenager in this state begins to have sex (masturbation), there is a high probability that the skin fold will rupture or cracks will appear on it. Mini-damages of this kind must be treated with an antiseptic and consult a doctor.

Otherwise, not only mechanical damage, but also psycho-emotional discomfort may occur.

In the long term, this can lead to a decrease in confidence in one's sexual capabilities. And even cause impotence. During adolescence, not only puberty occurs, but also psychological foundations are formed. Therefore, the young person is especially vulnerable.

How does circumcision occur?

This method allows you to get rid of phimosis - a problem caused by a lack of length of the skin fold, which does not allow the head to be fully exposed. It is also called circumcision. The oldest operation is performed by removing part of the skin located on the edge of the penis. After removal, stitches are placed at the wound site. In this case, the patient does not need to stay in a hospital hospital. He can go through the rehabilitation process at home by following simple doctor’s recommendations.

It is recommended to resort to this method of treatment without waiting for a relapse if a man has torn the frenulum on the head for the first time. This is due to the fact that secondary damage to this area of ​​the body complicates the process of surgical intervention and can provoke complications.

Methods of treating the pathological condition

Although a short frenulum is not an independent disease, such an anomaly requires qualified help and drug treatment. As a method of correcting the situation, traditional medicine offers exclusively surgical intervention.

It is emphasized that the earlier the pathology is identified, the less traumatic the treatment will be: the volume of surgical intervention in childhood is minimal, and the psyche adapts much better than in a mature man.

For adult men, the main sign by which an anomaly can be suspected is pain and discomfort of the penis during an erection.

In addition to a visual examination, the specialist conducts laboratory and hardware tests, after which he individually selects the most optimal type of surgical operation.

Frenulotomy or frenuloplasty

Dissection of the frenulum or frenulotomy is the most effective type of surgical intervention used in medical practice. Although it lasts no more than 20 minutes. and is performed under local anesthesia on an outpatient basis (for adolescents - with general anesthesia), requires full preparation for surgical intervention:

• blood and urine tests;
• passing tests for allergies to painkillers;
• additional blood tests (Rh factor, group, clotting rate).

2-3 days before surgical treatment, it is recommended to switch to a diet. It is necessary to stop drinking alcoholic beverages. Immediately before the operation, hair in the intimate area should be removed and careful hygiene should be carried out.

How is frenulotomy performed?

On the day of the operation, you need to come to the clinic in advance (about an hour) in loose outer clothing. The patient is asked to assume a supine position on the operating table. After that:

• the genital area is disinfected;
• local or general (injection into a vein) anesthesia is performed;
• the doctor makes a transverse incision on the frenulum, straightening the fold to the desired size;

• if there are scars, the surgeon excises them during the operation;
• the edges of the incisions are stitched with threads that dissolve during the rehabilitation process;
• the final stage is applying a napkin with an antiseptic (for at least 12 hours).

This is what the operation looks like using a regular scalpel. However, advances in technology have made it possible to expand the variability of frenuloplasty offerings. Clinics offer frenuloplasty using the following tools:

At the end of the medical procedures, the patient goes home, having first listened to the doctor’s recommendations. The hygienic bandage should be removed after 12-24 hours. A longer period (days) is preferable, but you should not leave the bandage on the wound too long.

Rehabilitation period

After this, it is necessary to carry out regular hygiene of the operated area and ensure that you do not develop new injuries or cracks in the skin of the penis:

• exclude increased physical activity;
• refuse sexual intercourse and masturbation;
• temporarily stop visiting baths and saunas.

The rehabilitation period lasts up to 3 weeks. This type of intervention has another important advantage - the cosmetic effect in this case is maximum. There are practically no scars or seams left.

When is VUplasty used?

The method is rarely used because it leaves noticeable scars on the penis that cannot be hidden by the foreskin. The surgeon makes a V-shaped incision in the frenulum, then sutures the edges in such a way as to increase the length of the fold.

In addition to cosmetic discomfort, this type of intervention can provoke phimosis, since after the operation there is a narrowing of the foreskin.

However, VU-plasty is performed in cases where other types of intervention are contraindicated.

But only after examination and doctor’s recommendation.

In what cases is circumcision recommended?

The cutting technique is similar to frenulotomy. The preparatory period, duration of the operation, anesthesia, and postoperative care are the same. The differences are as follows:

• Problem solving mechanism
  . In this case, not only the frenulum is cut, but the entire fold of the foreskin is removed - the doctor leaves a small area of ​​skin around the circumference (0.5-1 cm) so that there is no strong tension during an erection.
• Duration of rehabilitation
  . With circumcision, the recovery period is longer (up to 8 weeks), since a large area is injured.

The doctor recommends trimming the foreskin in cases where signs of phimosis are present. During one surgical procedure, a specialist can solve two problems at once: trim part of the skin fold, while simultaneously lengthening the frenulum. And forever rid a man of self-doubt.

Contraindications to surgical treatment

During preparation for surgery, a number of studies are required. However, the doctor may not be aware of any pathology in the patient. Therefore, it is necessary to familiarize yourself with the list of contraindications:

• diseases that cause decreased blood clotting;
• functional disorders in the liver and kidneys;
• oncology;

• injuries or ulcers in the operated area;
• inflammation of the MPS organs and STDs (sexually transmitted diseases).

The last contraindication is relative. It may be removed from the list after preliminary treatment.

Questions about the article

Peter 20 years old

July 28, 2022 at 00:00

Doctor, hello. We performed a frenuloplasty operation, the operation was bloodless, the doctor did not use a scalpel. On the third day, sex occurred at night. In the morning I noticed very small specks of dried blood on the wound. Please tell me, is this dangerous? Could it be fraught with the formation of a rough scar or any other complications?

drrotov

July 29, 2022 at 15:30

No, I don't think it's dangerous. This area is healing well.

Ivan 21 years old

April 15, 2022 at 00:00

Hello. I had a quadruple operation at once: straightening the inverter (there was a downward tilt), lengthening the frenulum, complete circumcision and ligamentotomy.

drrotov

April 16, 2022 at 12:00

Great! You forgot to ask a question...

Non-surgical methods

Traditional medicine categorically denies the effectiveness of such techniques. However, if there are contraindications to surgical treatment, it is worth trying home methods for stretching the skin fold. There are several of them:

1. The thumbs are carefully inserted into the prepuncial sac and begin to slightly stretch the skin. In this case, the feeling of discomfort should not develop into pain.

2. Before the procedure, take a warm 15-minute shower or hot bath to soften the skin. Then the foreskin is retracted as much as possible and fixed for several minutes - this slightly stretches the frenulum and makes it more elastic.

Like any unconventional methods, such treatment will only work if used for a long time - more than 3 months minimum. The effectiveness will also depend on the individual characteristics of the organism. Such as age, physiology, regularity and correctness of execution.

Symptoms of a rupture

Regardless of what the causes of the torn frenulum on the head were (congenital pathology or excessive exposure), the symptoms are the same. This is evidenced.

1. Minor bruising or minor bleeding from a vein. These manifestations are not considered complex, but can still cause a lot of discomfort.
2. Swelling that occurs as a result of trauma to the skin and hematoma.
3. The presence of pain when opening the head of the penis.
4. Difficulty urinating.
5. Irritation of the flesh due to urea getting on its surface.

What to do if the frenulum of the foreskin is torn?

As a result of careless movements or sudden entry into the vagina, injuries or tears in the skin fold are possible. If there is pain near the frenulum or there is a rupture, do not panic. The actions should be as follows:

• First of all, stop the bleeding. To do this, it is enough to press the gap with your fingers for at least 15 minutes. At the same time, try to fix only the damaged area, without completely pinching the vessels of the penis.
• The second step is treatment with an antiseptic. Hydrogen peroxide is most suitable, since alcohol can burn delicate skin.
• Seek advice from a specialist who will assess the extent of the damage and give recommendations on further actions.

In most cases, if the frenulum is torn, the doctor will refer you for surgery. Anyone who has torn it once may be injured in the future. And with consequences of varying complexity.

Plastic surgery (frenulotomy) on the short frenulum of the penis at the Juhelp clinic

We provide medical care to highly qualified specialists who perform surgical interventions with a minimal incision, which significantly reduces the risk of complications. After completion of penile plastic surgery, our patients are under the supervision of doctors for some time. They receive comprehensive consultations regarding the specifics of the rehabilitation period after plastic surgery. Every patient who contacts us is guaranteed polite treatment and modern medical care, allowing us to achieve excellent treatment results.

Why have surgery?

Some men live happily with a short frenulum all their lives because they do not experience discomfort. However, the appearance of pain, especially at an early age, is an alarming signal.

Indeed, in the future, discomfort during sex can become a trigger mechanism for the development of impotence. If the anomaly is acquired (due to balanoposthitis or other inflammatory diseases), then surgical treatment is the only way to avoid further injuries.