Foreskin Injury: Bleeding and Potential Complications - Seek Medical Advice
A torn or lacerated foreskin with bleeding requires prompt medical evaluation.
Immediate Steps
- Apply gentle pressure with clean gauze to control bleeding.
- Do not forcibly retract if stuck.
- Seek urgent care / urology / ER.
Potential Complications
- Infection: Open wound → cellulitis, abscess, Fournier's gangrene (rare, diabetic/immunocompromised).
- Stricture: Healing fibrosis → phimosis, meatal stenosis.
- Paraphimosis: Retracted foreskin traps glans → vascular compromise → emergency.
- Sexual transmission: Blood + open lesion ↑ HIV/STI transmission risk to partners.
Treatment
- Cleaning, debridement, primary closure if laceration.
- Antibiotics if contaminated.
- Tetanus update.
- Circumcision or preputioplasty if recurrent phimosis/tearing.
Partner/Pregnancy Considerations
Abstain until healed. If pregnant partner, avoid exposure to blood/STIs. Discuss with OB/GYN.
Key Takeaway
Foreskin tears bleed and risk infection, stricture, and STI transmission. Urgent urologic evaluation ensures proper repair and prevents complications.
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