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

Pathologies of the frenulum of the penis cause serious discomfort during sexual intercourse and can lead to serious complications for the patient’s health.

A timely visit to our clinic will help to diagnose the disease in time and take appropriate measures to eliminate it.

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Answers to frequently asked questions on the topic of the frenulum of the penis:

• Which doctor treats frenulum of the foreskin?
• Where to go with a problem on the frenulum of the foreskin?
• What tests should be taken if there are problems with the frenulum of the penis?
• Diagnosis of diseases of the frenulum of the penis
• Is it possible to remove the frenulum of the penis?
• Swollen frenulum of the penis
• Rash on the frenulum of the penis
• Herpes on the frenulum of the penis
• How does the foreskin affect sensitivity?
• How to stretch the foreskin?
• What is the foreskin for?
• Diagnosis of diseases of the foreskin?
• Why doesn't the foreskin open completely?
• What to do if the foreskin is swollen?
• Have plaque appeared under the foreskin?
• Do you perform foreskin plastic surgery at your clinic?

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.

Why does the frenulum on the head hurt?

All reasons that may cause pain in the frenulum can be divided into 4 groups: anatomical abnormalities or mechanical damage, systemic disorders (diabetes mellitus, autoimmune pathologies), infectious diseases, psychogenic problems.

Main organic causes:

1. Mechanical microtrauma received during active sex, masturbation or as a result of exercises to stretch the frenulum. This could be chafing or micro-tears. Often a man discovers a problem after a few days. If there are microdamages during sex, the frenulum will hurt, and when urinating, it will pinch. The discomfort gradually subsides as the tissue heals completely.
2. Short bridle. It may be like this from birth or shortened after a break. In the latter case, connective tissue is formed, which is inelastic and significantly reduces the amplitude of movement of the foreskin (prepuce). With a short frenulum, pain occurs mainly during an erection. In the process of penis enlargement, the skin straightens and stretches, the head opens, but not completely (this phenomenon is called phimosis), sometimes even tilts downwards (ptosis of the head). The shorter the frenulum, the more severe the pain.

A short frenulum can also affect the shape of the penis, pulling the head down. As a result, during an erection it cannot fully straighten and looks shorter

Have you ever had a frenulum tear?

1. Starting sexual activity too early after circumcision or frenuloplasty. Officially, doctors allow their patients to have sex after 2-3 weeks, but for some, the healing process is delayed and the nerve endings are restored more slowly. The frenulum may hurt for 1-2 months during sex. In such cases, the doctor prescribes ointments that soften scars (“Contractubex”), and products with vitamin E.
2. Genital herpes. Herpetic rashes look like red blisters with liquid contents. They provoke pain and itching at the same time, ripen, burst, leaving ulcers. If they appear in the area of ​​the frenulum, then the discomfort will be constant, increasing during any touch. Herpes goes away on its own in 1-2 weeks. You can speed up the process with the help of antiviral ointment (Cycloferon), taking Acyclovir, and immunomodulators.
3. Candidiasis. A fungal infection is accompanied not only by pain and itching, but also by white cheesy discharge and the appearance of plaque on the head. This often happens after unprotected sex with a new partner. After 1-2 days, the man sees a white plaque on the head that is difficult to wash off, then the frenulum begins to hurt.
4. Papillomas, condylomas. These neoplasms are almost invisible (small pointed or papillary processes), but periodically they can become inflamed, causing pain along with itching. This usually occurs after active mechanical impact (sex, masturbation).

Condylomas are viral growths on the skin and mucous membranes, which are often localized in the genital or anal area

1. Balanoposthitis, fasting. Infectious inflammation of the foreskin and glans. In such cases, swelling, redness, and discharge from the urethra appear. Pain may be concentrated in the frenulum area, as it is rich in nerve endings.
2. Allergic dermatitis. Frenum pain may occur as a reaction to the detergent, lubricant, condom material, laundry detergent, or fabric softener used in the laundry.

Pain in the frenulum may be a manifestation of neuralgia. There is no itching or stinging. The pain may be shooting and is often accompanied by a chilling sensation when touched. The condition often occurs as a consequence of severe stress or hypothermia. In this case, non-steroidal anti-inflammatory drugs (Nurofen, Ibuprofen) and thermal procedures can help.

Pain in the frenulum before sexual intercourse may be a manifestation of a psychogenic disorder. It has been proven that poor sexual compatibility with a partner is expressed in the form of pain symptoms (source https://core.ac.uk/download/pdf/46594683.pdf) . Organic causes in such cases cannot be found, the pain is considered idiopathic. In some cases, the sexual partner has nothing to do with it; stress is to blame.

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.

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...

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 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.

Causes

Only a doctor can determine the factors that provoke painful sensations. The reason could be this:

1. Allergies that cause swelling and pain.
2. Pathogenic bacteria that develop with sore throat and affect the bottom of the mouth.
3. Mechanical bruises, injuries, damage to blood vessels, soft tissues, nerves.
4. If the frenulum under the tongue becomes inflamed due to phlegmon, pus appears.
5. Ordinary caries, which was not cured in time.
6. Infection when the salivary gland becomes the source of the disease.

Patients with a short fold are more likely to be injured, even during normal conversation. Improper hygiene and dangerous cleaning of the oral cavity can also lead to the problem. Congenital bone asymmetry occurs.

Visual inspection

It is important to visit the clinic in time to correct the situation. The first consultation will allow the doctor to carefully examine the patient’s oral cavity and assess whether his throat hurts. If there is contamination, soft plaque removal is prescribed. This prevents the formation of hard deposits on the crowns. The doctor also asks the patient in detail what exactly is bothering him. Of particular importance is the presence of diseases that provoke pathology. The examination will help to objectively assess the condition of the soft tissues and draw up a treatment plan.

Determining the nature of plaques on crowns, the hygienic condition, damage to bone tissue, and the level of the inflammatory process makes it possible to make the right recommendations for the patient. Palpation can be used to identify associated anomalies, tissue consistency, bleeding gums, and tooth mobility. Tapping with the instrument will show what changes there are in the bone tissue. If additional diagnostic procedures are needed, other specialists are involved.

Painful sensations

Inflammation causes the following symptoms in patients:

• Severe pain can spread throughout the entire oral cavity, reaching the ears. The nature of the pain is shooting.
• The patient's body temperature rises.
• Swelling appears and the patient complains of discomfort.
• Swallowing and chewing become difficult.
• Movements of the tongue cause sharp pain.

If it hurts under the tongue on the right, a purulent focus or abscess could have formed there. Its appearance is explained by the fact that infections, streptococcal or staphylococcal microflora penetrate into the mucous membranes. Jaw movements, speech, and breathing are impaired. Profuse salivation appears. The patient's general condition is deteriorating, appetite and sleep are absent.

When there is pain under the tongue on the left at the root, this may be a side effect of diseases of the gastrointestinal tract, nervous system, or hormonal disorders. There is a burning sensation, tingling, tingling, and dry mouth. Discomfort at the base of the speech organ may indicate that the patient’s body is deficient in useful microelements and vitamins. Patients complain of swelling in the sublingual area. Microtraumas and external irritants have a negative effect on the frenulum. Violation of the integrity of the epithelium contributes to the development of infection. Injuries and burns in the oral cavity appear under the influence of acids, formaldehyde, alkalis, and alcohol. Such painful ulcers take a long time to heal. After thermal damage, glossitis may appear.

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.

Structure of the area under the tongue

Everything that is located under the tongue is called the floor of the mouth. This:

• nerve endings;
• hyoid bone;
• hypoglossal muscles;
• salivary gland;
• connecting folds called frenulums;
• vessels.

Each element of the floor of the mouth serves its own purpose and is irreplaceable. Only if all muscles, tissues, glands and nerves are healthy does the tongue function normally. If there is pain under the tongue, then we are talking about pathology.

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.

Associated symptoms

In most cases, pain in the frenulum is accompanied by additional symptoms. A significant tear cannot be ignored - sharp pain and a lot of blood immediately appear. Microtraumas sometimes manifest themselves only after a few days, when, against the background of damage, inflammation of the frenulum of the foreskin develops. It swells slightly, turns red, and is painful to touch with your hands.

Infectious inflammation of the foreskin (posthitis) is rarely isolated. Usually the head is also involved in the process (balanoposthitis). When you try to retract the foreskin, itching and pain occur. Common causes of posthitis are poor hygiene and phimosis. In the fold at the head, a large amount of secretions (smegma) accumulates, which are produced by the inner lobe of the foreskin for lubrication. Bacteria actively develop in them. Posthitis can manifest itself acutely - with the discharge of pus, increased temperature, redness and swelling of the inner part of the foreskin. But sometimes its only symptoms are pain in the frenulum, dryness, and cracks in the prepuce.

An allergy to condom lubrication can manifest itself immediately or the next day. Symptoms: isolated dull pain in the frenulum, rash on the head, swelling, itching (optional). In such cases, you need to take a Suprastin or Tavegil tablet. In the future, you need to change the brand of condoms. The cause of the allergy is the lubricant inside or the material itself, you should pay attention to them when choosing. Immediately after sex, it is advisable to thoroughly rinse the head with hypoallergenic products.

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.

What to do if the frenulum of the foreskin hurts

You should consult a doctor in the following cases:

• Severe tearing of the frenulum, profuse bleeding. The danger here is not so much in blood loss as in the future scar. It may form unsuccessfully, the foreskin will be pulled, tears and bleeding will become constant companions of sex, and plastic surgery will have to be done. It is better to immediately contact a good doctor (you can send a photo to the forums of Petrovich R. Yu. or Babykin A. V.). If necessary, he will adjust the shape of the frenulum according to the fresh tear.

Doctors recommended on forums

• There are signs of infectious inflammation: discharge from the urethra, swelling of the foreskin, ulcers, erosion. This may be candidiasis, syphilis, chronic gonorrhea, manifestations of diabetes. It is necessary to take a blood test to check for these diseases and sugar levels.
• Phimosis and paraphimosis (pinching of the head by a ring of narrow foreskin). In the latter case, you should consult a doctor immediately. In case of phimosis, circumcision is necessary in any case. The frenulum is usually removed, but at the patient’s request it can be left in place.

In case of minor abrasion or microtrauma, there is no need for medical intervention. To prevent the frenulum from becoming inflamed, you need 2 weeks of abstinence (without sex and masturbation), careful hygiene and treatment with antiseptics after each urination. It is better not to use brilliant green and iodine, especially when it comes to a child. These drugs burn the wound, cause pain and prevent rapid healing. The best option is chlorhexidine, Miramistin, baths with furatsilin, a weak solution of manganese. Swelling and redness of the frenulum will be relieved by Streptomycin and Levomekol ointments, but you don’t need to get carried away with them so that the wound doesn’t get wet. It is better to sprinkle with ordinary powder streptocide, “Baneocin”.

If you have pain in the frenulum due to diabetes, you need to stabilize your sugar levels, stop drinking alcohol and smoking. The restoration of nerve endings is facilitated by the intake of antioxidants, the most effective of which is thioctic acid (alpha lipoic acid).

The cost of thioctic acid in Russian pharmacies starts from 345 rubles

To speed up healing, you can take warm baths with decoctions of sage, chamomile, and oak bark. The procedures are carried out 3-4 times a day for 5 minutes. Aloe juice is a good wound-healing and antibacterial agent. Some recommend lubricating the damaged frenulum with honey, but side effects such as severe burning and allergies are possible.

In case of severe bleeding, you need to fill the wound with an antiseptic and press it with a sterile napkin for 5-10 minutes (press with your fingers). If the frenulum continues to bleed, you should hold it longer. A blood clot should form in the damaged vessel.

Physiotherapy

Physiotherapeutic effects help relieve pain of a neurological and psychogenic nature. Methods used:

1. UHF.
2. Ozone therapy.
3. Electrophoresis with antibacterial drugs.
4. Galvanization.
5. Magnetic and laser therapy.

These procedures are carried out as prescribed by a doctor.

Pain in the frenulum of unknown origin in some cases goes away after good rest and relaxation. It may be due to impaired blood flow or pinched nerve endings. Whole body massage, pine and mud baths, hirudotherapy (leech treatment), and acupuncture have a beneficial effect.

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.

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.

Treatment of frenulum diseases in our clinic

The “Your Doctor” clinic uses only modern equipment and sterile instruments for diagnostic measures to identify and subsequently eliminate pathology.

The appointment is conducted by experienced doctors with experience who will accompany the patient at every stage of treatment and help to go through the rehabilitation period after surgery, if required.

To effectively combat various ailments, our clinic has:

• specialized rooms for diagnostic procedures;
• laboratories for studying the obtained tests;
• modern operating rooms with all necessary equipment and technical tools.

High-quality service and an individual approach to each patient allow us to achieve the best results from treatment.

Useful information on problems associated with the frenulum of the penis:

• Calling a urologist to your home
• Balanitis
• Balanoposthitis
• Frenum plastic surgery
• Urethral swab
• Prostate massage
• Circumcision
• Tests for STIs
• Treatment of sexually transmitted diseases
• Ultrasound at home
• Frenum of the penis
• Pyelonephritis
• Ultrasound of the bladder
• Diagnosis of sexually transmitted infections
• How to prepare for an appointment with a urologist?
• How to get tested for urological diseases?
• What tests can be done by a urologist?
• What diseases does a urologist treat?
• What symptoms should you consult a urologist for?
• How to make an appointment with a urologist at the clinic?

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.”

Surgical intervention

In case of serious damage to the frenulum of the penis, surgical correction is required, and in some cases, circumcision. Our doctors determine the required therapeutic course for the patient based on the diagnostic results. If it is possible to avoid surgical intervention, they will definitely be used.

In cases where surgery is inevitable, there is no room for panic. All surgical procedures are performed painlessly and in the shortest possible time with effective local anesthesia.

Useful information on the topic:

• Consultation with a urologist
• Diagnosis of urological diseases
• Examination by a urologist
• Treatment of urological diseases
• Appointment with a urologist
• Urology - the science of men's health
• Pediatric urologist
• Male doctor
• Paid urologist