Cuts and Tears in the Foreskin: Causes, Treatment and When to See a Doctor
The foreskin in men is delicate and prone to minor cuts or tears during sexual activities. While these cuts usually heal within a week, knowing their cause, how to care for them, and when to seek specialist urologist advice are essential. Possible causes of foreskin cuts or tears include rough sex, tight foreskin, diabetic complications, skin lesions like lichen sclerosis (BXO), STDs, and fungal infections. Treatment options include simple care, medications, controlling underlying conditions, and surgery, e.g. circumcision or preputioplasty in some cases.
This blog will explore the potential causes of foreskin cuts or tears, treatment options, and when to see a specialist.
Causes of Foreskin Cuts or Tears
Rough Sex
Friction during sexual activity can cause minor tears. While these minor cuts usually heal within a week, it is essential to know how to care for them in case you have some medical conditions.
Tight Foreskin
A condition called phimosis can make it difficult to retract the foreskin over the head of the penis, leading to tearing during retraction.
Diabetic Complications
Poorly controlled diabetes can decrease blood flow and slow healing, making the foreskin more susceptible to cuts and infections. The repeated infection will require prompt treatment, and tight freoskin will require circumcision in diabetes.
Skin Lesions
Eczema, Balanitis Xerotica Obliterans (BXO) or other skin conditions on the foreskin can cause cuts or tears.
Balanitis
Balanitis is an infection and swelling of the foreskin and the tip of the penis (called the glans penis). Balanoposthitis is called a more severe infection of the head of the penis along with the foreskin.
Sexually Transmitted Diseases (STDs)
Certain STDs can cause sores or ulcers on the penis, including the foreskin.
Fungal Infections
Yeast infections can irritate and inflame the foreskin, making it more prone to tearing.
Treatment Options
Simple Care
For minor cuts, gentle cleansing with warm water and a saline solution, followed by applying petroleum jelly or lubricant, can promote healing.
Medical treatment
Depending on the cause, your doctor might prescribe:
Antifungal creams for fungal infections.
Antibiotic creams to prevent bacterial infections.
Steroid creams to reduce inflammation in early BXO
Controlling Underlying Conditions
If diabetes or an STD is the culprit, managing those conditions can help prevent future cuts and promote healing.
Surgical Options
In some cases, surgery might be necessary. Here are some potential procedures:
The Dorsal Slit
A small incision was made on the upper side of the foreskin to relieve tightness and prevent future tearing.
Preputioplasty
Preputioplasty repositions the foreskin to allow for easier retraction and reduce the risk of tears.
Circumcision
Complete or partial removal of the foreskin.
Biopsy
Sometimes, a small tissue sample might be taken to rule out more serious conditions or BXO.
Post-Operative Care:
Following surgery, your doctor will provide specific instructions on wound care, pain management, and follow-up appointments after circumcision or other procedures. This might include using steroid creams to reduce inflammation in BXO and monitoring for signs of recurrence of BXO on different parts of the penis.
When to See a Urologist
See our specialist if you experience any of the following:
* Severe pain or bleeding
* Signs of infection, such as redness, swelling, pus, or fever
* Difficulty urinating
* The cut doesn't heal within a week
* The foreskin is exceptionally tight
* You suspect an STD
Conclusion
Most foreskin cuts heal with simple care. However, seeking medical attention is crucial if you experience any concerning symptoms. Early diagnosis and treatment can prevent complications and ensure a speedy recovery.
Disclaimer
This blog is for informational purposes only and should not be a substitute for professional medical advice. Always consult with our consultant urologist for diagnosis and treatment.
