How to treat a short foreskin frenulum

A short foreskin frenulum can be improved by adjusting living habits, physical therapy, medication, surgery, etc. A short foreskin frenulum may be related to congenital developmental abnormalities, local inflammatory stimulation, trauma and other factors. It usually presents with symptoms such as erection pain, discomfort during sexual intercourse, and bleeding from frenulum tears.

1. Adjust living habits

It is necessary to avoid excessive pulling on the foreskin frenulum in daily life and be gentle during sexual intercourse. Choose loose, breathable cotton underwear to reduce friction, and wash your perineum with warm water every day to keep it clean. If there is a problem of excessive foreskin or phimosis, it needs to be dealt with in time to reduce the tension of the frenulum.

2. Physical therapy

Improving frenulum extensibility through progressive stretching training should be performed under the guidance of a doctor. Water-soluble lubricants can be used to reduce friction, and local hot compresses can be used to promote blood circulation. Physical therapy is suitable for patients with mild frenulum shortness and no acute inflammation, and needs to be continued for 3-6 months.

3. Drug treatment

In case of combined infection, antibiotic ointments such as erythromycin ointment and mupirocin ointment can be used as directed by the doctor. For patients with severe pain, short-term topical lidocaine gel can be used to relieve symptoms. If there is a fungal infection, clotrimazole cream must be used in combination. Sexual intercourse is prohibited during the medication.

4. Frenuloplasty

The frenulum is lengthened through Z-shape or VY plasty, and the operation time is about 20 minutes. The incision needs to be disinfected regularly after surgery, and compound polymyxin B ointment should be used to prevent infection. Avoid erections and strenuous exercise for 2 weeks. Most patients can resume sexual life 1 month after surgery.

5. Circumcision

It is suitable for patients with combined phimosis or repeated frenulum tears. Surgery can completely relieve the frenulum tension. Pressure dressing is required for 3 days after surgery, and cefaclor dispersible tablets are taken orally to prevent infection. Complete healing takes 2-4 weeks, during which time bathing and straddling are prohibited.

After surgery, the wound should be kept dry and clean, and disinfected with iodophor 1-2 times a day. Eat a light diet and avoid spicy and irritating foods. Wear loose clothing to reduce friction and avoid sexual intercourse for 6 weeks after surgery. Regularly review and evaluate the healing status. If redness, swelling and exudation occur, seek medical attention promptly. For those who have not undergone surgery, it is recommended to check the elasticity of the frenulum every six months.