Fracture in the frenulum: Causes, initial care measures, and when to consult a physician
In the realm of men's health, a condition known as frenulum tears is a topic that deserves attention. This article aims to shed light on the causes, symptoms, and treatments of this condition.
Frenulum tears are often the result of injury or trauma, particularly during vigorous sexual activity or masturbation. The frenulum, a sensitive ridge of tissue connecting the head of the penis to the shaft, can become stretched or torn due to sudden bending or overextension. A tight frenulum, or frenulum breve, increases the risk of tearing due to restricted skin movement. Other contributing factors include phimosis, the inability to retract the foreskin fully, which can cause excess tension on the frenulum leading to tears [1].
Symptoms of a frenulum tear can include sharp, throbbing pain near the head of the penis, light bleeding, and difficulty pulling back the foreskin. However, more severe symptoms such as continued pain, tenderness, warmth, swelling, redness, pus or discharge, loss of sensation, a burning sensation when urinating, urinating more frequently, and a tear that refuses to heal may indicate an infection [2].
In most cases, a torn frenulum can heal by itself if kept clean and treated gently. However, a bacterial or viral infection could complicate the healing process. To aid in the healing process, it is recommended to clean the area thoroughly, stop the bleeding, and prevent infection by keeping the wound clean and dry [2].
Preventive measures include maintaining treatment, abstaining from sexual activity for a few weeks, using water-based lubrication during sexual activity, avoiding using condoms until the wound has healed, and avoiding sports and strenuous activity for a few weeks. Wearing loose-fitting clothing around the groin and protective gear during sports activities can also help prevent injuries to the frenulum [3].
In cases where the frenulum does not heal over time or frequently tears, surgical procedures such as frenuloplasty or frenulectomy may be necessary. Frenuloplasty involves the surgical alteration or lengthening of the frenulum to relieve tightness and prevent further tears, while preserving the foreskin [3]. Frenulectomy, on the other hand, involves the complete removal of the frenulum to alleviate pain and improve range of motion [2]. Both procedures are minimally invasive and typically result in rapid recovery [2][3].
In conclusion, frenulum tears are most commonly caused by trauma related to sexual activity, especially when compounded by a tight frenulum. Treatment ranges from conservative care to minor surgical procedures such as frenuloplasty or frenulectomy. It is essential to practice good hygiene, wear protective gear during sports activities, and seek medical attention if symptoms persist or worsen [1][2][3].
References: [1] Mayo Clinic. (2021). Frenulum tear. Retrieved from https://www.mayoclinic.org/diseases-conditions/frenulum-tear/symptoms-causes/syc-20375546 [2] Healthline. (2021). Frenulum tear: Causes, symptoms, and treatment. Retrieved from https://www.healthline.com/health/frenulum-tear [3] Medscape. (2021). Frenuloplasty. Retrieved from https://emedicine.medscape.com/article/1293638-overview
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