Frenuloplasty how long does it heal. Removal of the frenulum of the foreskin by surgical and laser methods

. This phenomenon is quite common and at the same time extremely unpleasant. because it brings a lot of discomfort.

It is especially difficult for men who have a fully established sex life. After all, every time during the next sexual intercourse or masturbation, he is not only obliged to endure pain, but also risk, in fact, his own health.

Pain during intercourse and without breaking the frenulum can easily lead to potency disorder.

Just on a psychological level sex in a man can gradually begin to be associated with pain, and this, of course, will not lead to anything good.

Besides, medicine knows, unfortunately, many sad cases when the bridle was torn right during sex, and the man had to urgently go to the hospital. Just imagine a situation where the caresses of a loved one sharply develop into an attempt to stop the bleeding.

BUT rupture of the frenulum always threatens with non-weak bleeding due to the fact that the blood supply to the body is very large. In such a situation, it is unlikely that you will be able to stop the blood on your own, you can’t do without the intervention of a doctor.

If the problem is not eliminated, but simply sewn up the gap, then at first everything, of course, will go well. The wound will heal and the pain will go away, but the first sexual contact will show how complicated the situation is.

And the point is that the rupture site heals with a rough scar stuffed to the eyeballs with skin nerves.

The sensitivity of the frenulum then becomes so high that ejaculation starts after a couple of fictions. It is not worth explaining that such early ejaculations catastrophically spoil any relationship with a girl.

Therefore, young people with a short frenulum should not wait until it breaks itself, but be operated on in advance. In this case, all consequences can be avoided.

And with such a pathology, even just achieving a normal, mutually satisfying sexual intercourse is unlikely to come out due to the fact that during an erection, the position of the head changes greatly. So it turns out that even if you manage to do without some particularly frightening incidents, you still can’t do without consequences.

Causes

An accidental injury can lead to a shortening of the frenulum, but this pathology is usually congenital. This type of deviation cannot be detected at an early age, it is possible only after puberty of a teenager.

Worst of all, boys are often embarrassed to talk about such problems with their parents. and instead of eliminating the deviation in the early stages, they delay until the situation becomes critical, which makes everything very difficult.

How is the operation on the frenulum of the penis

But be that as it may, a short frenulum, even if it is eliminated only by surgery, is actually not so scary. Such plastic surgery takes on average 20 minutes and is usually performed under local anesthesia.

In addition, the patient can safely go home on the day of the operation (almost immediately after its implementation). Postoperative recovery lasts an average of 2 weeks, and the procedure itself is not considered difficult. It has its own name, which is widely used among specialists -.

The plasticity of the frenulum of the penis is transverse sections of the frenulum produced by the surgeon's light hand. Thanks to these incisions, the frenulum stretches by itself and becomes a normal size. Therefore, in order to avoid severe bleeding and other complications, neat cosmetic sutures are applied along the frenulum.

Healing occurs very quickly, because in fact this operation is cosmetic in nature, although it greatly affects men's health. After a couple of months, the postoperative scar completely disappears and becomes a natural continuation of the seam that runs along the penis from the frenulum to the scrotum.

What to do before surgery

In order for the operation to be as simple as possible, and the healing process to be very fast and painless, it is worth setting several goals for yourself and achieving them before the operation.

First things first try lose weight if it exists and quit smoking. Any heart, lung or blood pressure problems should be discussed with the doctor in advance in order to prevent all possible complications.

It is very important that at least one of your relatives or friends can visit you in the hospital or take you home if necessary, as well as observe your condition and the healing process for seven days after the operation.

If you are taking any pills or medications, you should take them with you to the hospital.

Still need to be outpatient preliminary examinations a couple of weeks or even months before the operation, so that at the preparation stage all concomitant diseases can be identified.

After surgery in the hospital

But it is not necessary for the patient to immediately return home after the operation. If you think that it will be better for you to recover under the supervision of doctors - the postoperative period better to be in the hospital.

After the frenuloplasty is performed, you may feel discomfort, sometimes even pain. In such cases, the patient is always provided with the pills and injections he needs.

If the pain for some reason does not subside, then you should ask for an additional portion of the painkiller. After about a week in the place where the operation was performed, the discomfort will stop. Despite some discomfort, the patient can safely get out of bed within 1-2 hours.

It is quite natural that you will have to move away from general anesthesia, experiencing some absent-mindedness, discoordination and slowness over the next 24 hours. During this period, it is better to avoid the use of complex mechanisms, driving and making important decisions to the maximum.

And of course there is no way to immediately restore your full sexual life. For the safety of the patient, this should be delayed until the scar is completely healed.

And it will happen in within two weeks. When the rehabilitation period is finally over, the patient can fully return to his former life without any restrictions.

Possible complications after surgery

Complications after frenuloplasty are extremely rare and almost never serious.. If the patient feels that something is not going as it should, then it is worth contacting a doctor. The first 2-3 days of an erection will most likely bring pain, but this issue is easily resolved with the help of painkillers.

Cases of infectious infections are extremely rare, because the infection is constantly controlled by taking antibiotics throughout the healing process. Pain and discomfort after surgery can last a maximum of 2 months.

To date, some especially advanced and equipped clinics use a laser in such an operation. This not only makes the postoperative scar smaller, but also allows you to spend less time on healing.

A penile frenuloplasty is not a very complicated, but absolutely necessary procedure for men with a too short frenulum. But before you go for the operation, you need to carefully approach the choice of the clinic and the specialist who will carry it out.

The cost of plastic frenulum of the foreskin

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A short bridle causes a lot of problems. A man experiences pain during erection and sexual intercourse, cannot achieve orgasm. Sometimes this leads to psychological impotence. Eliminates such an anatomical defect in the plastic of the frenulum of the foreskin - surgeons will solve your problem in half an hour.

When is a penile frenuloplasty needed?

A short frenulum is a congenital pathology. The only way to fix it is surgery. Plastic frenulum of the foreskin is all the more necessary if there were:

  • Mechanical damage. The frenulum can be torn during intercourse. Another cause of injury is too tight and tight underwear. Permanent microtrauma can lead to scarring of the foreskin.
  • Diabetes. The condition of the blood vessels worsens and the risk of injury increases. And wounds with diabetes do not heal well.
  • Balanoposthitis and balanitis in a chronic form. Constant inflammation causes deformation of the foreskin, head and frenulum. Breaks are the result.

All these reasons one way or another lead to phimosis, the foreskin becomes less mobile. If you make a plastic frenulum of the penis (frenulotomy), the main source of problems will disappear. The foreskin will gain mobility, it will slide freely over the penis. The operation minimizes the risk of pathological changes and injuries.

Plastic frenulum of the foreskin - the price. Where to do the operation in Moscow?

In such a serious matter, you can trust only the best specialists. A simple frenulotomy will cost less than an operation performed after a course of therapy. And treatment will be needed if you suffer from diabetes or balanitis.

Frenulotomy is a simple procedure. It takes about 30 minutes. The surgeon will administer pain medication. Frenulotomy is done under local anesthesia if the patient is an adult male. Adolescents are operated on under general anesthesia. In this case, you can not eat or drink anything for 6 hours before the procedure.

  • The doctor will cut the foreskin and fix it with clamps. This will provide access to the desired area.
  • Cuts the skin fold.
  • Will impose longitudinal seams, then - a sterile bandage.

There are two ways of frenulotomy:

  • Traditional - with a scalpel. The main disadvantage of this method is a large blood loss. In addition, wounds need stitches and there is a risk of infection.
  • laser operation. The frenulum of the penis is dissected with a laser beam. They also perform the rest of the cuts. There are many pluses. It is impossible to infect with a laser. There is no bleeding after the operation - the vessels are "sealed". Sutures can also be avoided, because the laser connects the edges of the wound, like welding. But there are also disadvantages. Even a slight erection pushes the edges of the wounds.

Which method is best for you, the doctor will tell you.

Popular questions

When can I return to intimate life after surgery?

The most optimistic option is in two weeks. It may take longer to heal. The doctor will definitely answer this question. You should not rush: if the wound opens, then a scar will form at this place.

Are there any contraindications?

  • Oncology, infectious diseases, chronic in the acute stage.
  • Problems with blood clotting.
  • Sexually transmitted diseases.
  • AIDS.
  • Inflammation of the organs of the genitourinary system.
  • Hepatitis.

Are complications possible?

If the operation is performed with a scalpel, an infection can be introduced. With laser frenulotomy, the sutures sometimes diverge and scars form.

Frenuloplasty (plastic frenulum of the penis) is a fairly common type of plastic surgery in urology. We are talking about the dissection of the short frenulum of the penis, followed by the formation of a new frenulum of optimal length.

The frenulum is a median fold of the inner sheet of the foreskin, which passes to the base of the glans penis, and is located on the posterior surface of the penis. The frenulum acts as a natural regulator responsible for exposing the glans penis during erection, for coordinating the bending of the glans. This small strip of skin is largely responsible for the natural functioning of the penis.

Cost of short frenuloplasty

Sign up for plastic surgery of a short frenulum

Any frenulum defects can provoke early ejaculation, and then lead to impotence, not to mention painful sensations during intercourse, low self-esteem, and so on.

A short frenulum is a congenital pathology in which the frenulum is of insufficient length, which leads to its tension during erection and pain during intercourse. Frenulum tears may occur, leading to scarring and further shortening of the frenulum. In addition, with a short frenulum, the risk of frenulum infection and the development of inflammatory diseases increases.

Experts recommend doing a frenulotomy without waiting until the frenulum of the penis breaks. Plastic surgery of the penis frenulum is indicated for a short frenulum. If you have one or more of the symptoms listed below, a visit to a specialist is recommended:

  • severe pain during intercourse in the frenulum;
  • downward tilt of the penis during erection;
  • small tears in the frenulum after intercourse;
  • frenulum injury, accompanied by heavy bleeding.

Plastic surgery of the frenulum of the foreskin: the possibilities of modern medicine

The problem of a short bridle is of most concern to young men who have an active sex life. Before surgery, the patient must undergo a preoperative examination to rule out possible contraindications to surgical intervention (usually a clinical blood test, a blood test for clotting time, hepatitis B, C, HIV, syphilis).

Frenuloplasty provides a 100% guarantee of the absence of ruptures during sexual intercourse and reduces the risk of inflammatory diseases to a minimum.

In fact, frenulotomy is a simple operation that is performed under local anesthesia on an outpatient basis and lasts no more than 10-20 minutes. During the operation, the frenulum is cut across, a ligature is applied to the cut artery, then the wound is sutured with thin threads in the longitudinal direction. It is also possible to remove scars from previous injuries of the frenulum, which leads to an increase in the elasticity of the frenulum of the foreskin.

Anomaly in the development of the frenulum of the foreskin is a common cause of problems in intimate life in men. And this is a threat to mental health. Everything is easily corrected with a small operation. This is a plastic frenulum of the foreskin, which can be done in three ways. All of them eliminate the lack of 100%.

Read in this article

Reasons for visiting a surgeon

Such a tiny fold of skin, like a frenulum, plays an important role. The protection of the head of the penis when it is at rest depends on its size and functions. The frenulum ensures its normal position during sexual arousal. It also gives freedom of movement of the foreskin without causing discomfort to its owner. If the bridle does not provide the listed functions, you should consult a doctor. The section of the organ is naturally short or injured.

What exactly should prompt a man to be examined:

  • damage (cracks) to this area during intercourse;
  • physical discomfort with erectile tension of the penis;
  • rupture of the frenulum, manifested by pain and bleeding;
  • distorted (oblique) position of the reproductive organ in an excited state.

The operation of plastic frenulum of the foreskin is the only way to solve the problem. Abnormal development of the site can lead not only to psychological trauma, dislike for one's own body, avoidance of intimate relationships. It can interfere with a normal sexual life, the implementation of reproductive function. This is pain during intercourse, and his difficulty in achieving orgasm.

Due to chronic traumatization of the organ, inflammatory diseases often occur. Another danger that awaits a man with this feature is damage to the frenulum of the penis. And in this case, you should not wait for it to heal on its own. Because a rough scar can form at the site of the rupture, even more restricting the movement of the foreskin.

Options for fixing the problem

Plastic surgery of the short frenulum of the foreskin can be carried out in several ways:

  • Traditional. This is a tried and tested method that uses a scalpel. The frenulum is incised in the transverse direction. The skin is then sutured longitudinally. If a scar has formed as a result of an injury, it is excised. But this rarely happens. A more frequent operation is a simple correction of the crease. And it lasts 15-30 minutes.
  • radio wave. The operation is done using special equipment. The radioknife cuts off the tissue that prevents stretching of the frenulum in several steps. Sutures are not required here either. Aesthetic and functional effect remain on top. But there is also a danger of tissue divergence, as after a laser.
  • With a laser. This is a newer method that immediately caused enthusiasm. After all, plastic surgery of the frenulum of the foreskin with a laser allows you to make the external effect more aesthetic in a short time. And most importantly, bleeding is less likely with it and suturing is not required, since the edges are sealed with radiation. Damage to living tissue is very small, discomfort is minimal, and rehabilitation is faster.

But laser surgery should only be done by a very experienced surgeon. If the doctor makes a mistake, a new problem may arise - the divergence of the edges of the wound during erection. You'll have to stitch, maybe more than once. And this leads to an unaesthetic appearance of the penis and a violation of its functions due to the scar.

In each case, the plasty of the frenulum of the foreskin of the penis is done under local anesthesia (an injection of an anesthetic into the head of the penis). Hair from the intimate area is removed before the intervention, and the skin is wiped with an antiseptic. The patient does not feel pain. And after a while, having received the doctor's recommendations, he can go home.

To learn how the plastic frenulum with a laser goes, see this video:

Recovery after

After plastic surgery of the frenulum of the foreskin, there is a period of rehabilitation, in which clear rules should be followed:

  • if it was a traditional operation, take care of the sutures, avoid getting water on them;
  • after laser or radio wave intervention, treat the wound with antibacterial agents;
  • the next day to come to the doctor for an examination, and a week later - to remove the stitches (if they are non-absorbable);
  • touch the penis only to urinate, otherwise do not touch it;
  • until complete healing, exclude all possibilities that can lead to an erection, otherwise pain will occur;
  • do not have sex until complete healing (from 2 weeks to a month);
  • in the first days, if there is pain in the operated area, you can take pills that relieve sensation.

If these conditions are not met, foreskin frenuloplasty complications

Swelling of the foreskin

can cause the following:

  • bleeding requiring additional measures to coagulate the vessels;
  • swelling of the penis;
  • the development of an infectious process in the wound;
  • the formation of adhesions in the suture area;
  • unaesthetic of the operated area of ​​the reproductive organ.

For the operation to be successful, and the result that arose after it did not lead to
the need for a new intervention, the patient needs:

  • choose a good clinic, having learned in advance about the results of treating problems in other patients;
  • make sure of your own health by passing tests before plastic surgery (especially important for blood clotting);
  • stop smoking 2 weeks before surgery, as well as drink alcohol and take blood thinners;
  • provide yourself with peace, no need to go to work for the next few days after the intervention;
  • to get home from the clinic not alone, but with an attendant, not to drive that day;
  • during the rehabilitation period, do not go to the pool and sauna, do not take a bath, but wash in the shower with warm water.

Techniques such as laser frenuloplasty or radio wave surgery will fix the problem almost instantly. Therefore, if it is present, you should not wait for complications. The operation will return to normal not only the anatomical features of the organ, but also sexual life, increase self-esteem.

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The frenulum of the foreskin of the male penis performs important functions. This strip of tissue connecting the head of the penis and the foreskin regulates the movement of the second relative to the first during an erection. That is, when the penis increases in size, thanks to the frenulum, the foreskin moves down, exposing the head. At the same time, the bridle does not allow the skin fold to fall below the desired area, reliably fixing it.

An important function of this zone of the penis is the sexual pleasure of a man. The frenulum contains a huge number of sensitive receptors that affect orgasm. Ideally, the bridle gives men only pleasure, and if it causes discomfort, then serious problems have arisen in this area of ​​\u200b\u200bthe body. To eliminate the defect, plastic frenulum of the foreskin is required, scientifically - frenulotomy.

Frenulum pathologies in most cases are congenital.

Due to individual anatomical features, this section of the penis may be too short. Pathology is often accompanied by a narrowing of the foreskin, which is called phimosis. Usually the disease can be noticed at an early age. In a small percentage of boys 14-15 years old, the pathology occurs during puberty, when the organs grow very quickly and unevenly.

In addition to anatomical anomalies in the development of the penis, the pathology of the frenulum can be caused by external causes:

  • Mechanical damage, injuries cause a violation of the integrity and elasticity of the frenulum. Wearing too tight clothes causes microtrauma on this part of the organ, which can lead to the fusion of the foreskin and head in the process of tissue regeneration. During sexual intercourse, a rupture of the frenulum may occur, which, after healing, forms rough scars, reducing tissue elasticity.
  • Chronic balanitis and balanoposthitis cause deformation of the tissues of the head, foreskin and frenulum. This, in turn, leads to the development of phimosis and injuries.
  • Diabetes mellitus in the phase of decompensation(lack of treatment) negatively affects the condition of the vessels, increasing the risk of frenulum pathology.

The fact that the frenulum needs diagnosis and treatment is indicated by the following factors:

  • when the head of the penis is exposed, painful sensations occur;
  • after sexual intercourse, bleeding and cracks appear on the frenulum;
  • in a state of erection, the head of the penis is lowered down;
  • there is a feeling of tension of the frenulum during erection.

If a man periodically has such signs, then this is a serious reason to think about the state of his health. Since a problem with a frenulum can cause serious complications that prevent harmonious sexual relations.

Health risks associated with frenulum pathology:

  • profuse bleeding at rupture;
  • premature ejaculation;
  • the development of phimosis and paraphimosis, accompanied by pinching of the head and circulatory disorders;
  • pain syndrome during intimacy;
  • inflammatory processes against the background of frequent injury;
  • tissue scarring due to prolonged healing after rupture.

Rupture of the frenulum and, as a result, profuse bleeding are quite common phenomena. During violent sex, thin tissue can simply tear due to strong tension.

Since the frenulum is replete with nerve endings and blood vessels, a man experiences acute pain when it breaks, which can lead to shock, and the blood does not always stop on its own. In this case, you should immediately consult a doctor.

Self-healing of tissues after a rupture of the frenulum can lead to the formation of coarse growths.

This is due to the fact that the tissues on the genital organ heal slowly, and the constant injury of the wound with clothing further increases this period. As a result, scars form at the site of the rupture, which leads to a loss of elasticity of the organ. And this, in turn, again and again causes injury to the frenulum.

A short frenulum often provokes the development of such an ailment as premature ejaculation. In this small area of ​​the penis is the largest accumulation of sensitive receptors. Due to the fact that the frenulum is subjected to strong tension during intercourse, a quick and uncontrollable orgasm occurs. Thus, a man can develop pathologies that affect his sexual life: erectile dysfunction, erotophobia (fear of sex), impotence.

Important

Pain, blood, lack of sex - these terrible phenomena can be caused by the pathology of a small organ called the frenulum of the foreskin. Therefore, you should not self-medicate at home or hope that everything will heal itself. You should contact a competent specialist for advice and undergo appropriate treatment.

Indications for plastic frenulum of the foreskin:

  • disproportionately short frenulum;
  • rupture of organ tissue;
  • phimosis and paraphimosis;
  • premature ejaculation (with concomitant pathology of the frenulum);
  • formation of scar tissue after rupture of the frenulum.

Plastic surgery on the bridle is a full-fledged surgical intervention and therefore has limitations for its implementation. Quite often, plastic surgery of the frenulum of the foreskin is done simultaneously with circumcision. In this case, the doctor solves two problems - eliminates phimosis and solves the problem of a short frenulum. To exclude pathologies that prevent the plasticity of the organ, the patient should be examined by a urologist and donate blood and urine for research.

Contraindications to the operation on the frenulum of the foreskin:

  • inflammatory diseases of the genitourinary system;
  • chronic diseases in the acute stage;
  • infectious diseases;
  • oncology;
  • blood clotting disorders;
  • AIDS, hepatitis;
  • the presence of sexually transmitted infections.

Methods of operation on the frenulum in men

Frenulotomy is a quick and uncomplicated operation, which is characterized by an excellent result, guaranteeing a 100% solution to the problem of frenulum pathology.

The procedure is performed on an outpatient basis, using local anesthesia. The injection is made directly into the genitals.

For patients under the age of 18, anesthesia is administered intravenously.

The duration of the procedure is 15-20 minutes.

Operation methods:

  1. Classic bridle operation in men with the help of a scalpel. This traditional method of tissue incisions is still used most often. Its disadvantage is significant blood loss and the possibility of tissue infection during surgery.
  2. Frenuloplasty with laser- a modern way of conducting operations. Laser equipment is successfully used in medicine for a variety of manipulations with body tissues.

Many patients prefer the virtually painless and bloodless method of laser surgery. Indeed, the laser beam acts on tissues softer than a scalpel. When organs are cut with a laser, the process of coagulation of blood vessels and cells occurs, and the liquid instantly evaporates. Thus, blood loss becomes minimal. Due to this, the recovery period is easier to bear, and the sites of incisions sealed with a beam are almost invisible after tissue healing.

However, the practice of frenuloplasty with a laser revealed serious shortcomings of this method. The most attractive advantage of laser surgery is the absence of sutures. But unlike other organs, which can be in a calm state during the rehabilitation period, the penis is mobile.

Even a slight erection can lead to a divergence of the tissues soldered by the laser.

Thus, until the wound edges heal, repeated fixation of their position is required. Otherwise, the constant divergence of tissues forms a rough scar.

Another significant advantage of the laser over the scalpel is the impossibility of introducing an infection during the operation.

The laser beam cuts tissues by heating them up to 400 degrees Celsius, which eliminates wound infection. Therefore, when deciding on the method of the operation, it is necessary to take into account this factor, since more than 10% of all postoperative complications are inflammatory processes and infections.

Regardless of the chosen method of surgical intervention, a bridle operation in men can cause a number of complications obtained during the operation or during the rehabilitation period:

  • severe pain;
  • pronounced swelling of the body of the penis;
  • bleeding from wounds;
  • poor aesthetic results;
  • scarring of seams;
  • genital infection.

All complications are treated on an outpatient basis and do not require hospitalization. Pain is usually relieved with analgesics, and swelling is reduced after the use of decongestant ointments. The issue of dissatisfaction with the appearance of the member after the operation is resolved directly with the surgeon.

How is frenuloplasty done: types of operations and rehabilitation period

Plastic surgery on the bridle differs in the technique of execution. It depends on the severity of the defect and associated complications. The most demanded are the plastic of a short frenulum and the operation after its rupture. In addition, surgeons often combine the operation with circumcision, since it is easier to eliminate the pathology of the frenulum and phimosis at the same time. No less popular is the operation to lengthen the frenulum technique V-Y. Consider the types of operations in order.

  1. Rupture of the frenulum after active sex should be eliminated in the clinic. Self-healing of the wound can cause comorbidities and further darken the sexual life of a man. Immediately after the rupture of the frenulum, you need to apply a tight bandage and rush to an appointment with a urologist. The doctor in this case sutures the wound, applies an antiseptic bandage and prescribes medications that promote better tissue healing and prevent infection.
  2. Short frenulum plasty is performed by the method of transverse dissection of the fold. If there is scar tissue or other growths on the bridle, they are cut out. After the incision and other necessary manipulations, the tissues are sutured in the longitudinal direction. In this delicate area, thin, self-absorbable sutures are usually used. The operation is carried out within 10 minutes, and soon the patient can go home.
  3. Removal of the frenulum is carried out in the case when, as a result of ruptures and self-growth of tissues, the frenulum is completely covered with scars. If the doctor sees that there is no useful tissue left, then he cuts out the fold and sews up the wound. This operation is called a frenulectomy.
  4. The operation to lengthen the frenulum is performed similarly to the short plasty. The difference lies in the shape of the cuts. For the purpose of lengthening, the doctor makes an incision along the fold in the shape of a V, and sutures it in the shape of a Y. Thus, it is possible to lengthen the frenulum by 1-1.5 centimeters.

Frenuloplasty is considered more of a cosmetic procedure than a major surgical procedure. However, a timely visit to a doctor to eliminate the defect will help maintain the functionality of this part of the organ and save you from serious problems.

Rehabilitation after the operation on the bridle lasts about a month. At this time, you need to carefully look after the genitals and exclude intimacy for at least two weeks.

In the first days, the patient needs to be dressed with a sterile cloth, use antibacterial ointments and other drugs prescribed by the doctor. As additional funds, baths with chamomile or oak bark can be recommended. During the recovery period, physical activity should be limited. Within a week after the operation, it is undesirable to wet the genitals when bathing. To do this, a man needs to put on a condom, tighten at the base, and after bathing, remove it.

After the wound has healed and a tender scar has formed, it is recommended to use lubricants to soften friction during sex.

Such a remedy should be applied to the genitals for at least a month.