Some men, especially during sex, experience a small bump on the underside of their penis that can tear and bleed. This can be a scary and embarrassing experience. But the important thing to know is that this is something that happens to many people and there are simple solutions. Today we're going to talk about the part of the penis called the 'Frenulum' that can cause this.
What is this frenulum on the penis?
Simply put, the frenulum is a small, stretchy strip of skin on the underside of your penis, where the glans and foreskin meet. If you're circumcised, you may have a small piece of this area left, or it may be completely gone. It's usually shaped like the letter "V."
Some people call this a "banjo string" in colloquial terms. Frenulums like this exist in other parts of our bodies, for example, the small membrane under your tongue.
What is the function and importance of this frenulum?
The frenulum is a very sensitive area. This means that it responds quickly to even the slightest touch. Therefore, this part has an important function in sexual arousal and sexual satisfaction. Also, it helps to pull the foreskin back from the glans penis.
But this is where the problem begins. Some people's frenulum is born a little short. When it's that short, when the penis becomes erect, there's not enough room for the skin to stretch, and it starts to cause pain.
What are the common problems that can occur with the frenulum?
There are several main problems that can occur with the frenulum. Let's take a look at what they are. To make this information easier to understand, let's put it in a table like this.
| Name of the problem (Medical Term) | Simply put, what will happen from this? |
|---|---|
| Frenulum Breve | This is the most common condition . It means that the frenulum is congenitally short. This can cause the skin to tear and bleed during strenuous activities, such as sexual intercourse. |
| Scarring | When the frenulum is repeatedly torn, white scar tissue forms as the wounds heal. This scarring can further reduce the elasticity of the skin, making the problem worse. |
| Frenular Chordee | Because the frenulum is short, when the penis becomes erect, the glans penis bends downward, as if someone is pulling it from underneath. This is how this condition is named. |
| Dyspareunia | This means that there is pain during sexual intercourse. One of the main reasons for this is a shortened frenulum. |
| Premature ejaculation | Doctors are still researching whether there is a link between a short frenulum and premature ejaculation. They are also investigating whether surgery can possibly alleviate the condition. |
How do I know if I have this problem? (Symptoms)
If you also have a problem with your frenulum, you may have one or more of these symptoms.
- Pain during sexual intercourse or when the penis becomes erect .
- When the penis is erect, the glans penis is bent downwards .
- Tearing and bleeding of the frenulum during sexual activity.
- Difficulty pulling the foreskin back completely. (This is similar to a symptom of another condition called `Phimosis`, so it is important to see a doctor.)
If you have something like this, please don't be ashamed or afraid and see a doctor . These are very common problems.
What are the treatments for this?
The good news is that there are simple and effective treatments for this. Your doctor will recommend the most suitable treatment for you based on your condition.
Things you can do at home
If the frenulum is torn and slightly injured, the first thing to do is wait until it heals.
- Rest: Avoid having sex or masturbating until the wound heals.
- Painkillers: If necessary, you can take a painkiller like paracetamol on the advice of your doctor.
But if the wound doesn't heal, the pain is severe, or it tears frequently, definitely see a doctor.
Treatments that the doctor may recommend
| Treatment method | Description |
|---|---|
| Stretching Exercises | According to the doctor's advice, you can do exercises that slowly stretch the frenulum. But this doesn't work for everyone. |
| Steroid Creams | Sometimes, your doctor may prescribe a steroid cream to increase the elasticity of the skin. |
| Frenuloplasty | This is a very simple, minor surgery that takes just a few minutes . What is done here is to cut a small section of the frenulum and sew it back together to lengthen it. This will allow enough room for the skin to stretch. |
| Frenulectomy | This surgery involves removing the entire frenulum. This is a good solution if you have frequent tearing and scarring. |
| Circumcision | If other treatments are unsuccessful or there are other problems, your doctor may recommend circumcision, a surgical procedure that completely removes the foreskin. |
Both these surgeries, called `Frenuloplasty` and `Frenulectomy`, are usually performed by a urologist in an outpatient department and can be completed quickly. Therefore, there is no need to worry too much about this.
How do you usually care for the frenulum?
There's no need to do anything special. The most important thing is to keep your penis clean and dry . When you shower every day, pull the foreskin back, wash it with water only, without soap, and dry it well. Wear clean underwear.
Also, be aware of your body's normal behavior. If you notice any changes, pain, or anything unusual, don't ignore it and talk to a doctor.
Take-Home Message
- The frenulum of the penis is a normal, natural part of the penis. Almost every man has it.
- This shortening (Frenulum Breve) is a common condition. This can cause pain and bleeding during sexual activity.
- Most of the time, a minor laceration will heal on its own. However, if it happens frequently or the pain is severe, you should definitely seek medical advice.
- Don't be ashamed or afraid of this problem. There are very simple, quick, and effective treatments (minor surgeries) for these.
- Be aware of your body. If there is anything unusual, talk to your doctor immediately.
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