Frenuloplasty

What happens during the 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 affect those with frenulum breve. The Frenuloplasty can be conducted under both general or local anaesthesia.

Risks

One study suggests around 15–20% of men require additional circumcision after a frenuloplasty, because not all symptoms indicating the surgery improved. The British Association of Urological Surgeons (BAUS) estimates this number to be lower at 2-10%. Frenuloplasty might avoid the need for circumcision even when a clinician felt circumcision to be indicated at presentation.

A swelling of the penis occurs in 10-50% of patients after operation, usually lasting a few days. Reduced sensation in the glans penis is reported in 2-10% of patients. Below 2% of patients experience an infection of the incision requiring antibiotics or further treatment.

What should you expect when you get home?

It will be at least 10 days before healing occurs and you may return to work when you are comfortable enough and your GP is satisfied with your progress. You should refrain from sexual intercourse for a minimum of 4 weeks.

What else to look out for?

There will be some swelling of the penis after a few days. This will last 3-4 days and will then subside but do not be alarmed because this is expected. If you develop a temperature, increased redness, throbbing or drainage at the site of the operation, please contact your GP.