Frenuloplasty of prepuce of penis

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

Frenuloplasty of prepuce of penis
Other namesRelease of frenulum
Specialtyurology

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.

Procedure

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.

Another reason for the treatment is to correct a rare complication of a frenulum breve which presents as scars on the frenulum, these scars cause pain and make normal sex very difficult and are caused by the rubbing of the frenulum whilst engaging in sexual activity. These scars only effect those with frenulum breve. The Frenuloplasty can be conducted under both general or local anesthesia.

Risks

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, and infection.[2]

Additional images
  • A removed frenulum preputii penis
  • Before and after frenuloplasty

References
  1. Rajan, Prabhakar; Alan McNeill, S; Turner, Kevin J (October 2006). "Is Frenuloplasty Worthwhile? A 12-Year Experience". Annals of the Royal College of Surgeons of England. 88 (6): 583–584. doi:10.1308/003588406X130633. ISSN 0035-8843. PMC 1963758. PMID 17059723.
  2. "Frenuloplasty" (PDF).
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