About Frenuloplasty

An abnormally short or sensitive frenulum of the penis can make some types of sexual activity uncomfortable or even painful. Circumcision potentially triggers such issues or they occur naturally somehow. A short frenulum restricts normal retraction of foreskin during erection due to its limited length somehow. The goal of treatment is to allow normal retraction of the foreskin. Circumcision might alleviate this particular issue yet it's not specifically recommended solely for treatment of frenulum breve conditions.

What is Frenuloplasty?

Frenuloplasty corrects tight penile frenulum beneath foreskin near glans with surgical intervention. It tackles problems such as painful intercourse restricted foreskin movement and recurring infections pretty effectively somehow.

Frenuloplasty Procedure

Frenuloplasty Involves The Following Steps:

• Anesthesia: Administered locally or regionally (spinal) for adults, with general anesthesia sometimes used for children or anxious patients.
• Frenulum division: The surgeon makes a horizontal incision in the tight frenulum using a scalpel (avoiding diathermy to preserve tissue integrity).
• Suturing: The incision is closed vertically with dissolvable stitches to lengthen the frenulum, improving flexibility.
• Dressing: A lubricated gauze or light compression dressing is applied to protect the wound

The procedure typically takes 10–45 minutes and is performed outpatient.

Pre-Operative Guidelines

• Medications: Continue aspirin or ibuprofen unless advised otherwise.
• Diet: Eat a full meal before surgery and avoid caffeine.
• Hygiene: No preoperative antibiotics are required; rinsing with saltwater or alcohol-free mouthwash is recommended.
• Disclosures: Inform the surgeon about allergies, medical history, or bleeding disorders

Post-Operative Care

• Hygiene: Clean the area gently with water after 24–48 hours; avoid soaking or scented products.
• Pain management: Use acetaminophen or prescribed analgesics. Avoid NSAIDs if bleeding occurs.

Activity Restrictions:

• Avoid erections for 1 week to prevent suture stress.
• Refrain from sexual activity for 4–6 weeks.
• Limit strenuous exercise for 2–3 weeks.
• Wound monitoring: Watch for signs of infection (redness, swelling) or bleeding. Stitches dissolve in 14–21 days.

Advantages

• Improved sexual function: Reduces pain during intercourse and enhances performance
• Better hygiene: Lowers infection risk (e.g., balanitis) by easing foreskin retraction
• Minimal invasiveness: Quick procedure with local anesthesia and same-day discharge.
• Cosmetic outcomes: Neat suturing reduces scarring compared to traditional methods

Recovery Timeline

• Initial healing (3–5 days): Swelling and bruising subside; light activities resume.
• Intermediate phase (2–3 weeks): Dissolvable stitches fall out; gentle washing permitted.
• Full recovery (4–6 weeks): Safe to resume sexual activity and strenuous exercise.

Factors like adherence to aftercare and surgical technique influence recovery speed. Night erections may prolong discomfort—wearing snug underwear can help.

Frenuloplasty offers a reliable solution for frenulum-related complications, combining efficiency with high patient satisfaction. Consult a urologist to discuss individualized care and suitability.