Penile Frenulum Tear Requiring Emergency Care

Case at a Glance

A 26-year-old male presented with a significant penile frenulum tear measuring approximately 1cm in length with a triangular detachment pattern, experiencing initial significant bleeding that subsequently stopped.

Patient's Story

The patient reported a traumatic penile frenulum tear that occurred during intimate activity. He described this as a recurrent issue, with a previous minor tear measuring 1-2mm that healed without intervention. The current injury was substantially more severe, involving a triangular-shaped detachment of tissue approximately 1cm in length and 0.2cm at its widest point. The patient experienced significant initial bleeding that ceased spontaneously. He reported being in shock immediately following the injury and had not yet experienced pain at the time of presentation.

Initial Assessment

Physical examination revealed a complete frenulum tear with triangular tissue detachment. The patient was hemodynamically stable with no active bleeding at presentation. Photographic documentation showed the extent of the injury. The patient appeared anxious but was coherent and able to provide a clear history.

The Diagnostic Journey

Given the mechanism of injury and physical findings, the diagnosis was straightforward - complete penile frenulum rupture. The main clinical concerns were assessment for active bleeding, particularly from the frenular artery, evaluation of tissue viability, and determination of appropriate treatment timing.

Final Diagnosis

Complete penile frenulum rupture with significant tissue detachment

Treatment Plan

Immediate emergency department evaluation was recommended by consulting urologist due to the severity of the tear and risk of complications. Treatment options included surgical repair with sutures to prevent infection, promote proper healing, and maintain function. The urgency was emphasized due to the time-sensitive nature of wound repair and the risk of bacterial contamination if left untreated.

Outcome and Follow-up

Patient was advised to seek immediate emergency care rather than attempting conservative management. Multiple healthcare providers emphasized the importance of professional evaluation and repair to prevent complications including infection, improper healing with scarring, and potential functional impairment. The case highlighted the importance of timely intervention for significant genital trauma.