Frenuloplasty

A frenuloplasty of prepuce of penis (also known as a release of frenulum) is a frenuloplasty of the frenulum of prepuce of penis.

An abnormally short or sensitive frenulum of the penis can make some types of sexual activity uncomfortable or even painful. This may be a complication of circumcision or a naturally occurring event. When it is a naturally occurring event, a short frenulum can restrict normal retraction of the foreskin during erection (a condition known as frenulum breve). The goal of treatment is to allow normal retraction of the foreskin. Circumcision may relieve this condition but is not indicated solely for treating frenulum breve. However, circumcision can also lead to an abnormally sensitive frenulum.

The procedure usually involves the removal of the frenulum or the creation of an incision in the frenulum that is then stretched to lengthen it and stitched closed. The incision can be z-shaped, y-shaped or a single horizontal cut. Once healed, the procedure effectively elongates the frenulum, allowing normal function. Under normal circumstances the incision heals completely in around six to eight weeks, after which time normal sexual activity can resume. Other methods of treatment include horizontal stitches in the frenulum which over the course of a week cut through the tight skin, elongating it. This is generally more painful than the standard procedure, but heals faster.

Pre-OP For Frenuloplasty?

  • Patients must not take aspirin or any products that contain aspirin for up to one week prior to the implant surgery
  • patients do not eat or drink anything, including water, after 12:00 midnight on the day before your surgery
  • Products that contain aspirin include Ecotrin, Anacin, Bufferin, and Advil. Herbal products or supplements such as Ashgawandha, Green Ted and Red Yeast Extract should be stopped for at least one month for the bleeding effects to dissipate.
  • Stop dairy products (including tea and coffee) – ۶ hours before
  • Stop clear fluids – 2 hours before

Frenuloplasty Procedure

Are there any alternatives to a Circumcision?

Under some circumstances, other treatments may be considered, but circumcision remains the most common treatment options to relieve your symptoms. Alternatives to a circumcision include:

Frenuloplasty ­ this is an operation to cut and lengthen your frenulum, which is the small tag of skin on the underside of your penis, between your foreskin and the shaft of your penis. If the frenulum is short or torn, you may have problems pulling your foreskin back. The tongue of skin under your penis will but cut across and repaired lengthwise to lengthen the frenulum by approximately 0.5 centimetres

Dorsal slit ­ in this procedure the foreskin is cut to widen and loosen it, so it can be pulled back more easily.

Prepuceplasty ­ this is a more minor procedure than a circumcision. The foreskin is cut and stitched to widen it.

We are able to perform this procedure under both general anaesthetic as a day case procedure or under local anaesthetic in an outpatient treatment room.

Post-OP For Frenuloplasty

You may experience discomfort for a few days after the procedure but painkillers will be given to you to take home. Absorbable stitches are normally used which do not require removal.

Vaseline should be applied to the tip of the penis and around the stitch line to prevent the penis from adhering to your underclothes and it is advisable to wear loose-fitting clothing for 2-3 days. It is also advisable to retract the foreskin daily to prevent scarring and shortening of the frenulum. Passing urine will be painless and will not be affected by the operation.

The average hospital stay is less than 1 day.

After Effect Frenuloplasty

A frenuloplasty is a high risk surgery, with around 15 – 20% of men requiring a circumcision afterwards[1]. A deep cut is made during the frenuloplasty procedure in order to divide and lengthen the frenulum, the scarring from the surgery can make sexual intercourse incredibly painful and the scar can be prone to splitting. A circumcision can help to improve these symptoms but the scarring that is left from the frenuloplasty can continue to cause problems.

Other risks include; cutting through the urethra, reduced sensation, reduced sensitivity, reduced erection strength, pain, bleeding, infection

After-effect

  • Swelling of the penis which may last a few days
  • Reduced sensation in your glans penis (the head of your penis)
  • Bleeding from the incision which may require a hospital visit and further treatment
  • Failure to improve your symptoms which may result in the need for full circumcision
  • Infection of the incision requiring antibiotics or further treatment
  • Tenderness of the scar at the site of your frenulum
  • Dissatisfaction with the cosmetic result
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