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.
- Minor bruising or minor bleeding from a vein. These manifestations are not considered complex, but can still cause a lot of discomfort.
- Swelling that occurs as a result of trauma to the skin and hematoma.
- The presence of pain when opening the head of the penis.
- Difficulty urinating.
- Irritation of the flesh due to urea getting on its surface.
Laser surgery
Laser surgery for frenulum tears is a relatively new method of correcting the problem, which has proven to be simple and very effective. With its help, you can make the external effect as aesthetically pleasing as possible in a short time. But the main advantage of this procedure is the absence of bleeding and the need for stitches - the edges of the skin are sealed with radiation. In this case, tissue damage is minimal, and the rehabilitation period is significantly reduced.
Laser surgery should only be performed by a highly qualified surgeon , since the slightest mistake can cause a new problem to appear - during an erection, the edges of the wound may diverge. In this case, you will have to apply stitches, and possibly more than once. This will lead to dysfunction of the penis due to the scar, and will significantly spoil the aesthetics of the penis.
The manipulation is performed under local anesthesia, so the patient does not feel pain. Within 10-15 minutes, having received all the doctor’s recommendations, the patient can go home.
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.
How to understand that a gap has occurred?
With such an injury, there is severe pain and a very unpleasant tingling sensation. Severe, albeit short-lived bleeding also opens. In case of such damage, you should press the wound with clean fingers. You should not press too hard, as you just want to stop the bleeding. Next, you need to treat the torn skin with a skin antiseptic and apply a loose bandage.
Many men stoically refuse to see a urologist with such an injury, but they are making a mistake. Firstly, without the operation necessary in this case, the frenulum will grow together, but will lose elasticity, which will provoke further ruptures. Secondly, it will become shorter, which, in combination with the previous point, can lead to erectile dysfunction in a man. Psychological problems will arise, such as an inferiority complex, dissatisfaction with life and irritability.
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.
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.
If it is not developed and is short, then the following exercises should be used:
- “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.
- “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.
- 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.
- 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.
- “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.
- "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.
If the problem has not been solved in the first months of life, then the following rules should be followed:
- The operation to trim the frenulum of the upper and lower lips is recommended to be performed at 6-8 years of age. This is necessary for the eruption and formation of permanent central teeth.
- The best time to trim the hyoid frenulum in children should be determined by the doctor individually, depending on the functional impairment.
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.
- A small transverse incision is made on the foreskin with a surgical scalpel.
- After this, sutures are placed, but not across, along, to reduce the level of skin stretching.
- 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.
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:
Name | Advantages | Flaws |
Laser | The advantage of this type of intervention is the absence of blood - the laser beam, when cut, instantly cauterizes the sutures | The only drawback is that the edges of the wound may separate when stretched in an erect state. |
Radio knife | This 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 vessels | The 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.
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
- 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.
- 2Tear is accompanied by bleeding of varying intensity.
- 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:
- 1In first place in terms of importance is stopping bleeding.
- 2All activities are recommended to be performed under sterile conditions (using antiseptics and sterile gloves).
- 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.
- 4After the bleeding has stopped, apply a sterile bandage to the wound area and visit a urologist within the first 24 hours.
- 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.
What part of the body is this, where is it located, what does it look like in the photo?
The frenulum connects the head of the penis to its shaft. If the genital organ is in an erect state, the frenulum is clearly visible from the urethra to the crown of the glans. This is a flat strip of skin, thin and shiny, but in color it does not differ from the skin of the head.
The frenulum contains a large number of nerve endings and small blood vessels. The frenulum consists of the same tissues that make up the head of the male genital organ, but since it is in a tense state, it is quite vulnerable.
Reference! Circumcised men do not have a frenulum because the fold of skin is excised along with the foreskin. If there is no skin fold, then there is no need to tighten it, therefore, there is no need to maintain the frenulum.
In the pictures below you can see what the bridle looks like:
Preventive actions
In order to prevent the problem from occurring, experts recommend taking a few simple preventive actions.
- Contacting a hospital for circumcision before phimosis manifests itself.
- If you experience discomfort during sexual intercourse, you should immediately contact a specialized doctor.
- 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.
- Before sex, spend enough time on foreplay so that your partner develops a sufficient amount of lubrication. If necessary, use special lubricants.
- Avoid sudden friction during sexual intercourse.
- It is important to show children over 3 years of age to a urologist in a timely manner.
- 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.
ethnoscience
As for the use of traditional medicine for frenulum tears, bactericidal and antiseptic baths are recommended, which are prepared based on decoctions of medicinal herbs. However, their main purpose is to prevent damage to the male genitourinary system by various pathogenic microorganisms.
It is best to use baths made from an infusion of chamomile or based on a decoction of calendula for this purpose. It is recommended to soak the penis in medicinal infusions several times a day. The course of treatment may take up to a month.
It is important to understand that alternative treatment is not a guarantee that re-tearing of the frenulum will not occur, so you should not dwell on them for a long time, it is better to contact a urologist as soon as possible.
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.”
Prevention
There are no specific measures to prevent frenulum tears; experts recommend closely monitoring the condition of your genitals and regularly performing proper hygiene. Also, during intimacy, you should not practice very bold experiments that can cause injury to the foreskin.
If there is a possibility of traumatic situations during sexual relations, a man should immediately go to an appointment with a urologist. It is advisable to visit a doctor before the first injury occurs. You also need to understand that it is impossible to lengthen the foreskin on your own and with traditional medicine, and removing the foreskin yourself can lead to very serious complications associated with damage to the arteries.
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.
Prices
Order number | Name | Cost, rub. |
1 | Consultation with examination by a urologist-andrologist | 1000 |
2 | Repeated consultation with a urologist-andrologist | 700 |
3 | Consultation with examination by urologist-andrologist Ph.D. | 1500 |
4 | Repeated consultation with urologist-andrologist Ph.D. | 1200 |
5 | Consultation with examination by urologist-andrologist, MD. | 2000 |
6 | Repeated consultation with urologist-andrologist Ph.D. | 1500 |
7 | Consultation with a treatment plan (depending on the complexity of treatment) | 1000-4000 |
8 | Plastic surgery of the frenulum of the foreskin | 7000 — 15 000 |