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

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.

If you suspect a short frenulum or have a rupture of the frenulum on the head, you can create a topic on the forum and get a free consultation.

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.

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.

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.

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.

Method one: done by the child himself

Many parents wonder whether it is possible to stretch the frenulum on a child’s head? In the process itself, however, it is only possible if you follow all the advice of a professional and begin treatment as early as possible.

So, the most common method of performing this operation is that the boy needs to carefully climb into the preputial sac with two fingers and lower it, pulling it in different directions. In no case should adults carry out such impacts, as their fingers are much larger.

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If it is not developed and is short, then the following exercises should be used:

1. “Mushroom” - you need to open your mouth wide and smile. Then suck your tongue to the roof of your mouth so that the tip does not curl up. And you still need to smile. Exercises should be done for one minute, then increase the time every day. This way, the ligament will gradually stretch and will not be damaged.
2. “Painter” - you need to open your mouth and smile. Run the tip of your tongue across the roof of your mouth from your teeth to your throat and back. And this needs to be done several times without moving the lower part of the jaw.
3. Smiling, open your mouth. You need to stretch your tongue to your nose, then to your upper lip. The tongue should not be constricted; it should be in a relaxed state. It won't work out right away, but over time everything will work out. During this exercise, you need to make sure that your lips and lower jaw do not move.
4. Smiling, place your tongue as in the “Mushroom” exercise and open and close your mouth. There may be some pain in the ligament area, but this is normal as this exercise helps stretch the hyoid ligaments.
5. “Horse” - you need to put your tongue in the “Mushroom” position and click your tongue, as if imitating the clopping of a horse. You have to suck your tongue and click, suck and click. In this exercise, only the tongue works, the lower jaw is motionless.
6. "Kitty". This exercise is reminiscent of how a cat laps milk. So a person needs to try this, sticking his tongue out.

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All these exercises will bring results only when a person does them every day and several times.

If you don’t want to perform this complex, then you can simply stretch your tongue to your nose. This exercise should be done frequently over a long period of time. It’s not for nothing that they say: “If you suffer for a long time, something will work out.” Therefore, you need to put in as much effort as possible.

This is the main way to lengthen your tongue at home; exercises can be done at any age. Kids will be able to cope with them from the age of two years.

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The most favorable and best treatment is excision of the frenulum immediately after birth in the maternity hospital. In the first days of life, this area of ​​the mucous membrane does not have nerve endings and significant blood supply. The operation is quick, painless for the baby and easy for the doctor.

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.

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.

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.

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 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.

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.

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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.”

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.