How to treat a broken frenulum

Tear of the penis ligament (frenulum tear)

The foreskin ligament (penis ligament, frenulum) is a remnant of skin from the embryonic development of the foreskin. It connects the foreskin to the underside of the glans. If it is too short, it can lead to pain during sexual intercourse or even to a tear.

If the foreskin is pulled back roughly, a penis ligament that is too short can tear. This leads to heavy, usually short bleeding. The pain subsides quickly.

A so-called frenulum breve (too short foreskin ligament) exists in a significant proportion of the male population. In most cases, however, it does not interfere with erection or sexual intercourse and therefore cannot be treated.

Due to the excessive tension of the penis shaft skin, if the cord is too short during the erection, additional manipulation will result in the penis cord tearing.

A penis cord that is too short can lead to painful sexual intercourse or painful erections and also to a bloody tear. Sometimes you also notice a curvature of the penis due to the downward pulling ribbon.

The diagnosis is easy: the specialist can establish the diagnosis through a simple clinical examination of the penis and recommend an appropriate surgical rehabilitation even before a tear occurs. After the tear has taken place, the first approach is hemostasis; after the acute tear has healed, surgical rehabilitation follows.

A urologist should repair the ligament in a simple operation, otherwise it can scar and shorten even further.

If the ligament is anatomically too short, a lengthening operation can be performed under local anesthesia. Controlled incision leads to the lengthening of the foreskin ligament by cutting into the stretching "sail" and making it noticeable.

In addition to preventive surgical repair of a too short foreskin ligament, the use of a lubricating cream can also help during sexual intercourse, especially if the sexual partner is tightly built or relatively dry.

Danger! However, insufficient lubrication of the vagina is also to be seen as a signal that the woman is either not (yet) ready for sexual intercourse and / or - if symptoms persist or recurring - there are arousal disorders or hormonal disorders (e.g. after the menopause).