THE FRENALE ON THE FORESUS HAS TORNED: what to do if the frenulum ruptures

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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Treatment of frenulum rupture and other operations in the intimate area is performed by Dr. BABIKIN A.V.

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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.

What to do if the frenulum of the penis is torn

Considering that in most cases, frenulum rupture occurs in the evening or at night, getting qualified medical help on time can be problematic. In this regard, you have to solve the problem yourself:

Dr. Babykin A.V.

  1. Keep calm. The frenulum can bleed quite heavily and for a long time.
  2. To stop bleeding, use your fingers to firmly press the torn frenulum against the head of the penis for 5-10 minutes (the thumb lies on the head from above, the rest presses the frenulum from below). Attention ! Do not squeeze the penis too hard to avoid ischemia of the head of the penis. You shouldn’t unclench your fingers every minute and check whether the bleeding has stopped or not. Be patient: you can check in 5-10 minutes.
  3. After the bleeding has stopped, you can treat the wound with a solution of hydrogen peroxide or another skin antiseptic (you can use vodka).
  4. Do not apply tight circular bandages to the hollow penis: involuntary erections occur during sleep, and the head of the penis may be strangled in the bandage. The bandage should be applied very loosely.
  5. Contact your urologist as soon as possible to decide whether to perform a frenuloplasty to prevent the formation of a rough scar and subsequent tears. Plastic surgery of the frenulum after rupture

Get frenuloplasty from a genital surgeon

Advantages of frenuloplasty As a result of frenuloplasty, the frenulum lengthens, becomes strong and elastic. Pain, discomfort and risk of tearing disappear. Only in 10% of men the problem persists and they require complete removal of the foreskin with the formation of a new frenulum. Does frenuloplasty affect urination, erections or fertility? If the procedure is performed correctly, there is no risk to erection, urination or reproductive function. On the contrary, the man’s quality of life improves. He feels confident, gets rid of anxiety and unpleasant sensations.

How long does it take to abstain from sex after frenuloplasty? 7-10 days.

When can I return to sports after surgery? You can return to fitness the next day if you do not feel weakness or pain. To contact and heavy sports after complete healing of the wound.

Anesthesia To perform frenuloplasty, local anesthesia is used. The patient remains conscious, does not feel pain and can go home an hour after the procedure. None of the patients complained of pain during the procedure.

The essence of frenuloplasty is to cut the frenulum transversely and then stitch it along its length. The suture is made with absorbable material, which is used in facial plastic surgery. The suture technique is strictly controlled by a doctor using surgical glasses with magnification. The suture and wound are sealed with surgical glue at the end of the entire operation. It prevents bacteria from entering this area, and also additionally holds the tissues together. Minimizes the risk of wound infection and suture dehiscence.

The whole procedure takes place very quickly – 10-20 minutes.

You can shower 24 hours after surgery. There is no need to specifically soap or rub the wound, just let the soapy water roll over it. Do not dry the wound with a towel. Allow it to air dry without wearing underwear, or blot with a sterile paper towel.

The day after frenuloplasty, you can return to work if it does not involve heavy physical labor and high activity. Otherwise, a 2-3 day rest is necessary. Many patients choose Friday or Saturday for the procedure to allow for recovery time ahead.

During the first 48 hours, small drops of blood may be released. The use of surgical glue reduces such cases to almost 0, but if this happens: a few drops, this is the norm. Apply a sterile cloth, apply light pressure and observe the wound.

During the first day, swelling or a small hematoma may persist.

As we have already written, frenuloplasty does not affect urination in any way, so there should be no problems with this either in the first or subsequent hours after the operation. An erection can cause pain until the wound has healed, so use behavioral methods to reset an erection (get distracted, think about something unpleasant, apply cold to the perineum) or consult your doctor about what medications can temporarily reduce libido.

Alarming symptoms of complications: increasing redness, severe bleeding, increasing swelling, discharge of pus, increased body temperature

Patients often confuse short frenulum with cicatricial phimosis. In both cases, they experience difficulty exposing the head. But with phimosis, this cannot be done due to the narrow ring of the foreskin, and with a short frenulum, the foreskin, when lowered, creates a strong tension and even a downward tilt of the head.

There are several techniques for cutting, releasing and suturing the frenulum. Our goal is maximum functional and aesthetic results.

Surgical correction of the frenulum in case of rupture

Penis frenuloplasty is performed under local anesthesia and is absolutely painless. After the operation, the frenulum is removed, and in its place a thin, invisible scar is formed. The head of the penis then opens freely. Read more about frenuloplasty

A contraindication for frenuloplasty in case of rupture is the presence of phimosis - narrowing of the foreskin. In this case, circumcision of the foreskin is performed with simultaneous plastic surgery of the frenulum.

Photos before and after frenuloplasty

Functions of the foreskin

The foreskin performs important functions. Among them:

  • protection from external influences (this includes dirt, infections, mechanical irritation);
  • moisturizing the sensitive head of the penis, keeping it moist, warm, soft;
  • immunological protection due to the glands of the foreskin, which secretes antibacterial and antiviral proteins;
  • gives an additional pleasant sensation from sexual contact when stretched, since the prepuce is rich in many nerve endings.

The presence of foreskin in a man is a protection given by nature and an increase in erotic sensations. It is highly undesirable to remove it by cutting. Therefore, the flesh should be kept healthy. At the first adverse symptoms, consult a doctor.

Symptoms and diseases of the foreskin:

  • Swelling of the foreskin
  • Foreskin rupture
  • Inflammation of the foreskin
  • Redness of the foreskin
  • Foreskin removal
  • Narrowing of the foreskin
  • Ulcers on the foreskin
  • Herpes on the foreskin
  • Red spots on the foreskin
  • Sores on the foreskin
  • Dryness of the foreskin

Causes of the defect

A short frenulum of the tongue in a newborn is a congenital anomaly

, which is formed in the first months of fetal development, when all organs are formed. There are several reasons for its appearance:

  • The presence of a hereditary predisposition: if the parents had such a feature, it can be inherited.
  • The older the expectant mother, the more likely her child is to develop a short frenulum due to the increased risk of developing anomalies.
  • The defect can develop if a woman has an infection during pregnancy or suffers from chronic diseases.
  • Severe early toxicosis can lead to a lack of nutrients, which is why the fetal organs do not form correctly.
  • Exposure to any teratogenic factors: radiation, toxic substances, drugs that are harmful to the body, alcohol, tobacco and drugs.
  • Accidents involving injuries to pregnant women.

Some of these reasons do not depend on the actions of future parents, especially genetic predisposition. Other risk factors should be avoided: a pregnant woman should not work in hazardous work, drink, smoke, self-medicate, or expose herself to the risk of falls when playing sports.

The essence of the problem

Photo: this is what a normal frenulum looks like in a child’s mouth

The tongue is attached to the base of the mouth by its root part. Between the tongue and the lower edge of the mouth there is a small fold of skin - the frenulum. Normally, it should be such a length that a person can easily move his tongue, stick it slightly beyond the lips, touch the front surface of the teeth, and pronounce sounds.

A shortened frenulum of the tongue greatly limits its mobility, speech capabilities and ability to eat normally.

, especially in children. The same problems arise if it is not attached correctly, when it is in close proximity to the tip of the tongue.

The consequences are:

  • Photo: this is what an incorrectly positioned frenulum looks like

    During the period of breastfeeding, the baby is unable to suckle normally, as the tongue is limited in its movements. Because of this, children become very anxious, cry, and lose weight.

  • Lack of nutrition can have a negative impact on any developing system of the body, causing stomach diseases.
  • A child with a short frenulum develops an incorrect bite, which causes dental diseases and their displacement.
  • After teething, when trying to stick out the tip of the tongue, the baby will injure it on the lower incisors.
  • In older children, a short hyoid frenulum complicates the formation of sounds: it is difficult for them to pronounce words, and the process of learning speech is delayed.
  • The breathing mechanism changes: the baby gets used to breathing through the mouth. Symptoms of the pathology

The frenulum in newborns normally has a length of about 8 mm

or more, and for five-year-old children it increases to 17. But mothers are not always able to take measurements at home, especially if the baby is very active. And only specialists can understand whether everything is located correctly in the oral cavity.

You can determine whether a child has a short frenulum by some external signs:

  • In infants, due to their low ability to suck milk, loud smacking and clicking sounds appear.
  • The baby attaches incorrectly to the breast, does not cover the areola with his mouth, so he often bites the nipple, which then becomes inflamed.
  • The baby is nervous, arches, twists his arms and legs when feeding, often throws and applies to the breast again. Does not gain weight or even lose it.
  • The tip of the tongue may be bifurcated due to shortening of the septum. What a child’s forked tongue looks like with a short frenulum, look at the photo on the right.
  • Older children have noticeable speech defects, their voice is nasal and quiet.
  • Saliva production increases.
  • Apnea attacks are possible.
  • Due to insufficient food processing, digestive problems occur.

If parents suspect a problem, they should contact their pediatrician or dentist. But in many cases, the defect is determined by a neonatologist in the maternity hospital.

Correction using gymnastics for the tongue

Only a doctor can determine whether it is worth performing surgery on a child’s short frenulum of the tongue or whether it is better to remove the defect with the help of exercises. Therefore, even if parents are not inclined to undergo surgery, they still need to go to a pediatrician or dentist for consultation and surgery or correct individual selection of exercises.

The opportunity to conduct gymnastic classes appears when the baby can already repeat some given actions. But there are simple exercises even for newborns: they are given a silver spoon to lick, milk is dripped onto their upper lip, which makes them try to lick it, and at a slightly older age they are smeared with jam.

When the baby is able to understand the mother’s requests to repeat certain actions, you can do more complex gymnastics:

  • Close your mouth and feel the side walls of your tongue, palate and lower part of your mouth.
  • Open your mouth and reach as far as possible to the outer surface of your lips.
  • Click your tongue.
  • Place the tongue on your lower lip and hold it in this position for 10 seconds.
  • Stick your tongue out as far as possible and hold for 10 seconds. You can also ask the baby in a playful way to show how long his tongue is.

Rehabilitation

  1. If the doctor's recommendations are fully followed, full recovery occurs within a month. At this time, it is important to give up intimacy.
  2. After frenulotomy, avoid getting water on the penis, rinse it with antibacterial drugs prescribed by the doctor and chilled chamomile decoction.
  3. Avoid lifting weights and playing sports.

Almost all specialists in narrow fields work at the Heratsi Medical Center. You will be able to undergo diagnosis and treatment. Our clinic employs only experienced doctors with high professional training. Own diagnostic equipment (ultrasound) of expert class and laboratory. The cost of all services of the medical center can be viewed in the “Price” section or by calling the 24-hour hotline.

Causes of tongue frenulum anomaly

Most children have mild pathology, but severe forms are also not uncommon. The size of a child’s tongue frenulum is most often determined by heredity, as well as the following factors:

  • viral infection in the mother in the first and last trimesters;
  • late toxicosis;
  • exacerbation of chronic diseases during pregnancy;
  • injuries in the abdominal area during gestation;
  • taking potent drugs by the expectant mother.
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