Short bridle of the foreskin: causes, symptoms, diagnosis and methods of correction
Skladochku skin, connecting the head of the penis with the foreskin, is called a bridle.With her help, the foreskin returns to the closed position after the head is exposed. The position of the head during erection depends on the length of the bridle.
When the bridle is shortened, the man experiences its tension during sexual intercourse or simply exposing the head.This can be accompanied by pain syndrome, tears or cracks in the penile frenulum.About insufficient length speaks and inclination of a head of a penis forward.Contents: Symptoms of shortening of the frenum of the foreskin Causes and forms of the disease Diagnosis of the pathology Operation: plastic of the short frenulum of the penis Complications with the shortened frenum
The shortened bridle significantly shortens the duration of the sexual intercourse and leads to premature ejaculation.
After tearing, the problem defect can be solved independently, when the required length of the bridle is achieved as a result.However, as a rule, a scar is formed on the site of the tear, which leads to the fact that the fold becomes even shorter.This provokes repeated tears during intercourse.
Symptoms that indicate a moderate shortening of the frenum, or a pronounced :
- with moderate shortening, pain occurs only during coition.A man has to constantly change his posture to find a position where pain will be felt least.Already at this stage it is necessary to consult a specialist;
- with a pronounced shortening the pain occurs already at the beginning of an erection.At this stage, the curvature of the penis is observed.The pain syndrome is strong enough, but if a man suffers pain, there is a risk of rupture of the bridle during the frictions.There may be a bleeding, which can not be eliminated on its own.This is due to the fact that a large arterial vessel passes through the bridle, which can tear.
Congenital pathology is detected only during puberty, when a teenager starts spontaneous erections in the morning .
Causes and forms of the disease
As a rule, the short frenum is a hereditary pathology, that is, it has an innate form. This deviation is detected only when the teenager begins to experience an erection.
Factors that lead to the development of the acquired form:
- complications of genitourinary inflammatory-infectious pathologies, as well as against the background of sexually transmitted infections;
- diabetes mellitus;
- injury of the frenulum of normal length, when the scars formed after the tear, lead to its shortening.Such injuries can be obtained with insufficient lubrication, excessive coarse intercourse, defloration, etc.
Diagnosis of pathology
A short bridle of foreskin is found on a routine examination of a urologist.The doctor conducts a survey to find out about the time and circumstances under which pain occurs.
Men who have a bridle short because of injuries need to demonstrate their condition during an erection.
This will help the specialist to determine which variant of the severity of the patient's pathology.In anamnesis, there should be information about previous inflammations or other disorders in the genitourinary system.
Complications, which can result in a short frenum :
- pain syndrome of varying intensity;
- premature ejaculation;
Operation: plastic of the short frenulum of the penis
The short bridle can only be corrected by surgical intervention.
Before the operation, the patient is scheduled to undergo a series of tests for HIV, syphilis, blood clotting and hepatitis, a general blood test.
Men suffering from this disorder are treated with frenulotomy .This is a simple operation that does not require special training.Careful hygiene of the genitals before surgery is the only requirement.
In the operating penis, the patient is treated with a disinfectant and local anesthesia is administered. Anesthesia is possible if the operation is performed by a child .The bridle is cut across.A few days after the procedure, a soft scar is formed at the site of the incision, and the bridle itself is markedly elongated.The wound is carefully treated after the operation, and if necessary, a bandage is applied.
An experienced surgeon will perform the operation painlessly and without complications .By time, it takes no more than half an hour.After frenouulotomy, rehabilitation is not required, so the patient can return to the workplace after surgery.
The operation is performed with both a scalpel and special radio wave blades.The cuts made with such a knife do not bleed and are further sterilized by radio wave radiation, which means that the development of postoperative complications is completely excluded.
For several days the patient needs to carry out a regular treatment of the dissection site with the drug prescribed by the doctor. For a month, until the wound is healed, sexual intercourse and erection are contraindicated to the operated man.
In some cases, circumcision is shown. An operation is performed, usually in childhood, to reduce the risk of developing pathology.Circumcision is prescribed if, in addition to a short frenum, the patient has a narrowing of the foreskin.
Complications with a shortened frenum
This defect is not only a painful sensation for a man, but also leads to certain complications.A short frenum does not allow the head of the penis to completely exit, which leads to the accumulation of smegma under the foreskin, which provokes various inflammatory processes.
In advanced cases, a short frenum leads to partial or complete erectile dysfunction.
During sexual intercourse or masturbation, the bridle may burst, resulting in bleeding.An infection can enter the wound that has formed.At the site of the rupture, after healing, a painful scar is formed, which further shortens the bridle.
It is important to immediately contact a specialist when the first signs of a pathology appear.
Radevich Igor Tadeushevich, a sexually-pathological andrologist of the 1st category