Rupture of the frenulum on the head in men: 5 ways to get rid of a delicate problem

The frenulum in men is represented by an elastic fold of skin that connects the head of the penis to the foreskin and is needed to hold the latter in place. Her injury is accompanied by severe pain and bleeding.

Usually its damage occurs due to a congenital short frenulum or its scar deformation. This can also occur in an infant when parents try to forcefully expose the head of the penis.

Rough sexual contact and masturbation are among the most common causes of frenulum tearing and rupture. Men with genital piercings are also at risk. A foreign body or jewelry causes injury during sexual intercourse, changing clothes or hygiene procedures.

Anatomical features of the frenulum

At its core, the frenulum is a small fold of skin that connects the head of the penis to its body. Its structure depends on the individual characteristics of the male body. But it affects orgasm during intercourse. The foreskin returns to its normal position after erection. Often men are faced with the problem of a short frenulum length, which provokes penile dysfunction. A short frenulum provokes pain during sexual intercourse with a sexual partner or self-satisfaction. As a result of intense movement of the skin fold, it may tear. To the question of whether it is possible to break the frenulum on the head, the answer is unequivocal - yes.

The problem becomes noticeable upon visual inspection of the penis. During an erection, the head of the penis will be directed towards the frenulum because the skin pulls it towards itself. Outwardly, it may seem that the genital organ has a curvature, but this is not the case.

A torn frenulum on the head in men provokes bleeding and pain. Therefore, it is important to seek medical help in a timely manner to avoid the further formation of scars, scars, and erection problems.

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.

Factors causing the problem

Experts distinguish between two factors that provoke the problem: congenital defects and those acquired in life.

It is impossible to predict possible injuries to this part of the body. This is due to the fact that even with a short type of skin fold, it is no different from normal. At the birth of a male baby, specialists cannot unambiguously determine this pathological condition. The defect becomes noticeable during puberty in boys during adolescence. Then the anatomy and possible pathologies become more noticeable.

Acquired factors indicating how the frenulum on the head can be torn are associated with:

  • rough and intense movements during masturbation;
  • “dry vagina” syndrome in a sexual partner;
  • active movements during sex;
  • defloration;
  • repeated rupture at the site of scar tissue formation.

Short frenulum of the penis

The pathology is common among men who have not undergone circumcision (circumcision). In this group, its incidence is 5%.

Shortening the fold leads to impaired retraction of the foreskin. This, in turn, may be accompanied by painful sensations during sex, masturbation, and the inability to completely expose the head of the male genital organ.

Rough attempts to retract the foreskin can lead to the frenulum breaking. The tear is accompanied by acute pain and can cause a man to fear repeated sexual contact and erectile dysfunction.

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 types of treatments are used?

If the frenulum in the penis is torn, then, as a rule, the doctor prescribes surgical treatment. However, it all depends on the extent of the damage. For example, if the tear is minor and the bleeding is slight, then a frenulum tear in men is treated at home. The wound is carefully washed with a weak solution of potassium permanganate. It is imperative to maintain hygiene for quick healing.

When the tear is huge and there is bleeding, you should go to a doctor who will stitch it up. However, this does not mean that the issue has been resolved; unpleasant results from the injury lie ahead. A huge scar forms in the area of ​​the rupture, and this becomes a factor that leads to premature ejaculation, for which just a few frictional movements are enough, as a result, sexual intercourse turns out to be defective and unsatisfactory.

What to do if you have such symptoms?

For many men, the relevant question is when the frenulum on the head is torn - what to do? There is no need to panic initially. All actions must be extremely careful and safe. If bleeding and bruising are present, you need to treat the damaged surface with peroxide or other antiseptic preparations on hand (with the exception of iodine solution) to minimize the risk of infection. First, you need to pinch and press the frenulum against the penis with your fingers to stop the bleeding. The manipulation must be done carefully, since strong squeezing and pressing is fraught with negative consequences. You can keep your penis in this position for no more than 10 minutes. Next, you need to apply a bandage at the site of the tear, but do not wrap the penis completely. This can cause stagnation of blood in the vessels. After this, you can perform hygiene procedures, but we must not forget about the obligatory trip to the hospital.

In case of swelling, a compress of gauze soaked in cool boiled water will help relieve symptoms.

Local inflammations that provoke irritation of the dermis can be removed using a gauze bandage and water hygiene procedures.

But in any case, comprehensive treatment prescribed by a specialist will be required.

First aid

Each representative of the stronger sex is required to have information about first aid in the event that a rupture of the frenulum of the genital organ occurs. The first actions should be aimed at urgently stopping the bleeding:

  1. You need to press down the gap area with clean fingers as soon as possible, pressing the frenulum to the head of the penis, and hold it in this state for at least 10 minutes.
  2. There is no need to press very hard to avoid possible ischemia of the head.
  3. When the bleeding has completely stopped, treat the frenulum with the existing disinfectant in the first aid kit and bandage it with a clean gauze bandage (preferably a sterile bandage).
  4. As soon as possible, go to the clinic for consultation.
  5. The site of the frenulum defect must be examined by a specialist.

If there is a rupture, it is best to contact a urologist. He will assess the size of the injury and give advice on preventing the formation of scars on the frenulum, which can cause loss of elasticity and reduction in length.

Methods of therapeutic treatment of the problem

Every male can experience a tear in the foreskin. It is for this reason that modern medicine offers several effective methods of therapeutic intervention on how to treat a torn frenulum on the head. Experts resort to:

  • frenulotomy;
  • circumcision;
  • VY-plasty;
  • laser surgical treatment;
  • surgery based on radio waves.

The method of surgery depends on the degree of damage to the flesh.

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.

Frenulotomy method

This method can eliminate the consequences of the injury to the foreskin and remove the root cause of its occurrence. The procedure is painless, quick (only 20 minutes) and, most importantly, without mental trauma for the patient.

The technology itself is essentially a plastic procedure of an elementary form. During its implementation, the length of the skin increases. Specialists carry out the following manipulations.

  1. A small transverse incision is made on the foreskin with a surgical scalpel.
  2. After this, sutures are placed, but not across, along, to reduce the level of skin stretching.
  3. After healing, an invisible suture along the penis remains at the intervention site.

The wound heals within 5 days, and does not cause any inconvenience to the patient. As a result, the foreskin will be able to freely pull down after the operation and expose the head without pain or discomfort. You will be able to return to having sex after half a month from the date of going to the hospital.

This method is advisable to use in cases where there is a pathologically short length of the frenulum.

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.

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:

NameAdvantagesFlaws
LaserThe advantage of this type of intervention is the absence of blood - the laser beam, when cut, instantly cauterizes the suturesThe only drawback is that the edges of the wound may separate when stretched in an erect state.
Radio knifeThis technology is the safest from the point of view of the development of complications, since the effect is only on a narrowly targeted area without touching healthy tissues and blood vesselsThe most expensive method available

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.

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.

Tear or complete rupture

Symptoms of a frenulum tear:

  • Severe pain in the area of ​​the head and torn frenulum.
  • Bleeding.
  • Swelling of the skin in the area of ​​injury.
  • Change in color of the head and surrounding tissues. They may be red (hyperemic).
  • Changing the contours of the skin flap covering the head.

First aid:

  1. 1In first place in terms of importance is stopping bleeding.
  2. 2All activities are recommended to be performed under sterile conditions (using antiseptics and sterile gloves).
  3. 3After treating the damaged area with Chlorhexidine/Miramistin (vodka or alcohol solutions cannot be used), the rupture site must be pressed with a sterile gauze pad for 15 minutes.
  4. 4After the bleeding has stopped, apply a sterile bandage to the wound area and visit a urologist within the first 24 hours.
  5. 5If the bleeding cannot be stopped, you must urgently contact the emergency department of a urological hospital.

Recovery of the body after surgery

After surgery, the patient will need to undergo a period of rehabilitation. When asked how long it takes for a torn frenulum on the head to heal after surgery, it is difficult to give a definite answer. This depends not only on the individual characteristics of the body, but also on the chosen method of eliminating the problem. Moreover, the rehabilitation period is the same in all cases. A man needs:

  • abstain from sexual intercourse for a period of 2 weeks to 2 months;
  • deny yourself self-satisfaction;
  • minimize physical activity;
  • pay great attention to personal hygiene (after surgery, it is recommended to treat the surface after each trip to the toilet);
  • regularly visit a specialist who monitors the wound healing process.

Methods of frenulum surgery in men

The procedure is performed on an outpatient basis.
The operation to lengthen the frenulum of the penis lasts no more than half an hour. An anesthetic is injected directly into the penis for an adult patient; general anesthesia is indicated for children and adolescents. Frenuloplasty is possible in several ways:

VU-plasty. Several V-shaped incisions are made on the foreskin, then the tissue is sewn together, leaving the required length of the frenulum. The method is not used as often as others, because the postoperative period lasts longer and a noticeable suture remains.

Frenulotomy of the frenulum. During the operation, the doctor dissects the tissue with surgical instruments and stitches it longitudinally. As a result of the procedure, the frenulum is stretched to the required length. After the operation, an inconspicuous seam remains on the inside of the flesh.

Circumcision. If the pathology is complicated by phimosis, frenulotomy and VU-plasty will not only not bring the desired result, but will aggravate the situation. In this case, circumcision of the frenulum and foreskin is necessary. The doctor performs skin excision around the circumference. The procedure does not require general anesthesia or a long hospital stay. After 2-3 hours the patient can go home.

Laser plastic surgery of the frenulum. Cutting tissue with a laser beam takes place with virtually no pain or blood, because the edges are immediately welded together. Additional advantages of the procedure are: the absence of stitches and the impossibility of infection. But it should be taken into account that after plastic surgery of the frenulum of the foreskin with a laser, the seam may diverge, because the organ is mobile. Therefore, it is necessary to make enhanced fixation of the wound edges.

Torn frenulum

Most often, this trouble occurs when the partner’s vagina is not sufficiently moistened, during rapid sexual intercourse or defloration.

The frenulum contains many blood vessels and nerves.

The rupture will be accompanied by both severe pain and heavy bleeding. As a rule, stopping this bleeding without the help of a doctor is impossible.

First aid:

  • Bleeding may be severe and prolonged. You should remain calm;
  • To stop bleeding on the head of the penis, you need to press your fingers firmly for 5-10 minutes;
  • After the bleeding has stopped, the wound is treated with a skin antiseptic solution;
  • Apply a loose rather than tight bandage;
  • Contact a urologist to resolve the issue of frenuloplasty and avoid problems in the future.

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Preventive actions

In order to prevent the problem from occurring, experts recommend taking a few simple preventive actions.

  1. Contacting a hospital for circumcision before phimosis manifests itself.
  2. If you experience discomfort during sexual intercourse, you should immediately contact a specialized doctor.
  3. Do not neglect the use of optimal positions for sexual contact with your partner, in which there will be minimal friction of the head against the vaginal walls.
  4. Before sex, spend enough time on foreplay so that your partner develops a sufficient amount of lubrication. If necessary, use special lubricants.
  5. Avoid sudden friction during sexual intercourse.
  6. It is important to show children over 3 years of age to a urologist in a timely manner.
  7. The rules of genital hygiene should not be neglected.

If you are still wondering whether the frenulum on the head should be torn, seek additional advice from a urologist. Although, taking into account the above information, we can say that such a measure will become a serious complication in the functioning of the reproductive organ.

Prices

Order numberNameCost, rub.
1Consultation with examination by a urologist-andrologist1000
2Repeated consultation with a urologist-andrologist700
3Consultation with examination by urologist-andrologist Ph.D.1500
4Repeated consultation with urologist-andrologist Ph.D.1200
5Consultation with examination by urologist-andrologist, MD.2000
6Repeated consultation with urologist-andrologist Ph.D.1500
7Consultation with a treatment plan (depending on the complexity of treatment)1000-4000
8Plastic surgery of the frenulum of the foreskin7000 — 15 000

Answers to pressing questions

Alexey, 24 years old: “Thank you for your information, a very useful article. But I had one question: is it possible to heal a torn frenulum with herbal decoctions?”

Answer: “Herbal infusions can be used as a way to relieve inflammatory processes and nothing more. There is no list of drugs or other folk remedies that allow you to get rid of the foreskin without surgery.”

Igor, 42 years old: “Relevant information for me, since I myself recently encountered a similar problem. Tell me, are there any other treatment methods besides the above?”

Answer: “To date, the five surgical treatment methods have shown to be positively effective. Although it is better to perform circumcision immediately, since this method has virtually no contraindications and relapses.”

Damage options

  1. 1Microtear is characterized by severe pain and is rarely accompanied by bleeding. Subsequently, the injury site heals with the formation of a scar, which further reduces the extensibility of the tissue. Thus, a new injury occurs with less load.
  2. 2Tear is accompanied by bleeding of varying intensity.
  3. 3If the elasticity of the skin fold is significantly impaired (with repeated tears, inflammation), it may completely rupture with bleeding.

Surgery

Surgical treatment is required in cases where the frenulum, after a tear, scars and becomes short or is often damaged. For diagnosis, a visual examination by a urologist is sufficient. The main surgical methods of treatment: circumcision, frenuloplasty (frenulotomy, frenuloplasty) and its complete excision. Contraindications to such operations:

Oncology; Liver pathologies; Venereal diseases; Active inflammatory processes (no matter what location); Immune system disorders.

Frenumplasty is the best option for men who want to maintain the most natural appearance of the penis. The procedure takes 20-30 minutes. The operation is performed under local anesthesia. A solution of novocaine or lidocaine is injected into the penis, which eliminates pain sensitivity.

The doctor’s task is to carefully cut the scar crosswise and give it a longitudinal shape. The technique is called VY. Thus, the bridle becomes 1-1.5 cm longer and more elastic. Sensitivity is preserved and the quality of orgasm will not be affected. Much less often, frenulotomy is performed using the Z-technique - the frenulum is cut in the shape of the letter Z, and then the resulting triangular flaps are sewn together.

Scheme of frenuloplasty

The operation is performed with a scalpel (traditional method) or laser. Advantages of the second method:

  1. More precise, crisp cuts.
  2. No blood.
  3. There is no risk of wound infection (the laser heats the tissue up to 400 ˚C).
  4. Accelerated healing.
  5. No scars (the edges are laser welded, no stitches need to be removed).

Rehabilitation

The patient is sent home on the day of surgery after two hours of rest in the ward. Physical activity, including sex, should be avoided for two weeks. All this time, the wound is treated daily (with antiseptic solutions, not alcohol or brilliant green). For 10-14 days after the operation, slight discomfort may be felt, especially during nocturnal erections (for many men at first they are frequent) and when urinating. For two months after surgery, sexual intercourse should be carried out only with the use of lubricant.

If swelling, bleeding, or suppuration occurs, you should immediately consult a doctor. As for the appearance of the frenulum after healing (there may be compactions, depressions), this issue should be discussed in advance with the surgeon. They may not resolve within 1-2 months, as promised in such cases, and correction is not cheap.

Urologist-andrologist, venereologist Ekaterina Makarova talks about the consequences, rehabilitation and sensitivity of the head after frenulum rupture

The main indicator of a well-performed frenulotomy is the absence of a feeling of tightness when retracting the frenulum. Minor tension may appear after 6-12 months, but it should not cause discomfort or interfere with sexual intercourse.

The cost of frenuloplasty ranges from 5 to 27 thousand rubles. The price increases in proportion to the complexity of the case. The cheapest plastic is a short but intact bridle. Correction of ruptures and correction of the results of operations performed in other clinics are more expensive.

Doctors warn that you should never cut the frenulum yourself to lengthen it. This is fraught with necrosis of the head, loss of sensitivity, bleeding, and deformation. Many men come to surgeons to correct the consequences of their own “operations,” the technique of which they “learned” on forums. It will cost significantly more than regular plastic surgery after a rupture.

Surgical treatment

The indication for surgery is the presence of a short frenulum in combination with:

  • Difficulty in completely removing the skin from the head.
  • Pain during sex, during erection.
  • Tears and bleeding during sex.
  • Curvature of the penis during erection.

Types of operations:

  1. 1Plasty of the frenulum (frenuloplasty, in everyday life - “cutting”).
  2. 2 Its complete removal (frenectomy).

6.1. Frenuloplasty

Rice. 1 – Frenuloplasty. Source -

  1. 1Local anesthesia is required. With a short frenulum, an incision is made in the transverse direction, followed by stitching longitudinally.
  2. 2The duration of the operation is about 30 minutes.
  3. 3The postoperative dressing is removed after two to three days.
  4. 4The wound heals in the absence of complications on the 10-12th day.
  5. 5 The stitches are removed on the 10-14th day.

6.2. Frenectomy

Rice. 2 – Penis after frenectomy. Source -

  1. 1The operation consists of complete excision of the frenulum and suturing of the skin defect with separate sutures.
  2. 2The duration of the operation is 30 minutes.
  3. 3The bandage can be removed on the second day.
  4. 5 The stitches are removed on the 10-14th day.

If treatment is not done in a timely manner, undesirable consequences may occur:

  • Psychological problems (fear of sexual intercourse, erectile dysfunction).
  • Repeated tears, up to complete rupture.
  • Attachment of infection with the development of severe inflammation and swelling of local tissues.

Other reasons and how to eliminate them

In addition to the listed diseases, the head may hurt in the presence of priapism. This is a rare pathological condition characterized by prolonged erection, causing discomfort. With increased sensitivity of the penis, pain may also occur.

Other reasons include:

  1. The partner’s unpreparedness for sex - in this case, the vaginal lubrication is not enough, as a result of which the head is subjected to mechanical stress during friction.
  2. Hypothermia - may cause temporary discomfort in the form of tingling.
  3. Friction by underwear - occurs when wearing tight swimming trunks made from synthetic fabrics.
  4. Poor hygiene leads to the accumulation of large amounts of smegma and irritation.
  5. Psychogenic pain syndrome - its cause is a spontaneous spasm caused in the sensitive muscles of the organ. This pain is usually short-lived but severe.
  6. Interstitial cystitis - with this disease, pain occurs on the head. Another symptom is frequent urination.

Prostatitis is an inflammation of the prostate gland, a man’s second heart. Just like with urethritis, it can be painful at the time of orgasm. Go to a urologist, get examined, take measures for treatment. In general, visit a urologist at least once a year to examine your prostate. Especially after 40 years.

Ulcers on the skin of the glans and foreskin of the penis. There are different reasons. It’s also better to go to a urologist. He will find why this happened and prescribe treatment.

Phimosis is a narrow foreskin. The head of the penis cannot be exposed. The result is pain during sex. The problem is quite common. Phimosis can be congenital or acquired. When having sex, there may be no pain at first, but it appears during the active phase.

This thing is dangerous due to pinching of the head, which can happen during sex, or when the foreskin is forced back to expose the head. The head at its base may be pinched by the narrow foreskin, like a tight rubber band. Edema develops, and then you cannot do without urgent help from a urologist or even a surgeon.

Phimosis is a dangerous complication - balanoposthitis may develop, inflammation between the head and the skin of the foreskin, and there may even be purulent discharge. We urgently go to see a urologist. Before going to the urologist, several times a day we disinfect the end of the penis in a weak (pink) solution of potassium permanganate, immersing it in a glass with the solution for 2 - 3 minutes. After treatment, it is better to remove the foreskin, because often after balanoposthitis, adhesions (accretion) form between the head and the skin of the foreskin.

If you have phimosis, but balanoposthitis has not yet occurred, still remove this problem from the penis and get rid of phimosis in the hospital. The surgeon will remove the foreskin, and your penis will become “circumcised.” The operation under local anesthesia is not dangerous and does not affect the quality of sex at all. Over time, the skin on the uncovered head thickens a little and it becomes less sensitive. This just makes sex last longer, orgasm comes later.

There are advisers with disservices like you can stretch the foreskin with your fingers. Do not do it! Only a surgeon can help.

Beware of infection! The same balanoposthitis can happen even without phimosis. And all only because his owner did not at all monitor the cleanliness of his friend.

The natural fat-like lubricant (spegma) between the glans and the skin of the foreskin can become dirty and serve as an excellent breeding ground for all sorts of bad bacteria. As a result, the matter will lead to inflammation. Phimosis aggravates the situation and contributes to such pollution.

Once again, do not treat balanoposthitis at home! Contact a urologist, and before visiting him, several times a day, immerse the head of your penis in a glass with a weak solution of potassium permanganate and hold it there for 2 to 3 minutes.

To avoid this trouble, we observe basic hygiene. Every day before going to bed, we wash our penis with warm water and soap, and also expose the head to wash it. And after sex, washing is absolutely necessary!

Don't be fooled by an erection. The most unpleasant thing a man can have is priapism, a persistent and persistent erection, without orgasm and ejaculation. Increasing pain occurs. Failure to take action risks chronic arousal of the penis. Only the help of a doctor can save you.

What is the problem with the incorrect structure of the frenulum of the tongue?

In infants, an abnormal frenulum structure can cause difficulty sucking. In this case, the problem is solved in the maternity hospital by pruning. If the baby is still able to eat normally, doctors try to leave the situation alone, giving, as they say, time to grow. Indeed, in many cases, along with the growth of the jaw, the frenulum gradually stretches and takes on a normal shape.

In older children, a short hyoid frenulum creates some speech therapy difficulties:

  • Difficulties arise with the pronunciation of hissing sounds.
  • Correct reproduction of sonorants is not possible.

To pronounce the so-called upper lingual sounds, you need to raise the tip of your tongue upward. An insufficiently elastic bridle prevents this from being done.

However, it is very important to understand that it is not “responsible” for all speech problems. So if a child has a delay in speech development, syllables and sounds are “confused” in speech, a limited vocabulary or other problems, a short frenulum has nothing to do with it. The speech therapist will suggest effective methods of correction.

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