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

The frenulum of the penis is a strip of skin connecting the glans to the foreskin. If it is of normal length, the head is easily exposed during frictions. Sometimes during coitus it ruptures completely or partially. Men who encounter this phenomenon panic, but do not rush to the doctor, believing that everything will heal on its own. This is partly true - everything heals, but the consequences of “self-healing” are very unpleasant.

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.

Health care

Remember that pain in the frenulum of the penis can only be overcome with qualified medical help. First, the doctor needs to find out the cause of their appearance and, after establishing the correct diagnosis, appropriate treatment will be prescribed.

If we are talking about severe damage to the frenulum or its rupture, surgery will probably be needed. However, you should not be afraid of anything, since our specialists are excellent at surgical procedures, use the most advanced equipment and the best anesthesia. One way or another, we will ensure that you are healthy and feel great.

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?

This article is posted for educational purposes only and does not constitute scientific material or professional medical advice.

Author:

Kasabov Vadim Vladimirovich Dermatovenerologist
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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.

Causes of frenulum damage

So, what are the main causes of skin fold tears? Most often this happens when:

• Insufficient amount of natural (or lack of artificial) lubrication from the partner, which increases the friction of the penis against the vagina;
• Too active and sudden movements of the pelvis by a man during sex;
• Short bridle;
• Too intense masturbation.

Some statistics: a frenulum tear in every 4th case occurs precisely because of insufficient “hydration” of the partner.

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.

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.

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.

Prices

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.

Plastic surgery of the frenulum of the penis

Posted at 14:56h in Services by doctor
The quality of men's intimate life is determined by many factors. The anatomical structure of the penis plays an important role. Among the structure of the organ, the frenulum deserves special attention - a longitudinal fold of the skin located between the foreskin and the head of the reproductive organ. Normally, the frenulum is thin and elastic, stretches well, and there is no discomfort. If it is short, it prevents the head from being exposed, which leads to pain and serious problems in sex. Plastic surgery of the frenulum, a surgical procedure, helps solve them. Let's consider the indications for surgery, the progress of the procedure and possible complications.

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.

Questions about the article

Peter 20 years old

July 28, 2021 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, 2021 at 15:30

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

Ivan 21 years old

April 15, 2021 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, 2021 at 12:00

Great! You forgot to ask a question...

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.

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.

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.

“Prevention” of ruptures of delicate tissue

To avoid frenulum rupture in the future, you need to follow several preventive recommendations. If the initial cause of the damage is a narrowing of the foreskin, it is better to immediately resort to circumcision.

Pain during ejaculation and sexual intercourse indicates insufficient extensibility of the frenulum. The problem can only be solved with the attending physician, who will advise the safest and most acceptable method of correction.

Men who have previously experienced frenulum rupture should use a lubricant during sex that reduces the intensity of friction.

It is advisable to avoid too harsh frictions, anal sex, and the use of sex toys for the penis. You cannot self-medicate. This may cause aggravation of injury, narrowing of the flesh, psychological fear, which negatively affects the quality of sexual life in general.

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.”

Performing frenuloplasty

Frenulotomy of the foreskin is not a complicated technique. It is performed under local/general anesthesia and takes up to 40 minutes, taking into account the preoperative preparation of the patient; the procedure is performed on an outpatient basis.

1. The patient lies on the couch, and the anesthesiologist administers anesthesia. In some cases, general anesthesia is given, sometimes local anesthesia is administered.
2. After the anesthesia begins to take effect, the doctor makes a transverse incision on the frenulum, as a result of which the skin fold on the penis is straightened to the required length.
3. Then the frenulum is sutured in the longitudinal direction.
4. If a man has scars on the penis that are the result of previous tears in the frenulum, they must be eliminated.
5. They are stitched using a special thread, which dissolves on its own after a certain period of time.
6. Then apply a sterile bandage to the wound surface. It should not be touched for 12 hours. At the end of this time, the bandage is removed or replaced with another one.

After about 7-10 days, be sure to visit a doctor. He must monitor the healing process of the skin and exclude the development of an infectious or inflammatory process. The man is also given recommendations for rehabilitation in order to eliminate possible complications after cutting.