Frenuloplasty is a surgical procedure performed to repair or reconstruct the frenulum of the penis, which is the small band of tissue that connects the foreskin to the shaft of the penis. This procedure is typically performed on males with a short or tight frenulum, which can cause discomfort or pain during sexual activity.
What are the causes of a short frenulum:
The most common cause of a short or tight frenulum is congenital or present from birth. However, it can also be caused by trauma or injury to the penis.
That are the symptoms of a short frenulm:
The symptoms of a short or tight frenulum may vary from person to person. Some common symptoms include:
- Pain or discomfort during sexual intercourse
- Difficulty retracting the foreskin
- Inability to fully expose the head of the penis
- Bleeding or tearing of the frenulum during sexual activity
Diagnosis of a short frenulum:
A doctor can diagnose a short or tight frenulum by physically examining the penis. The doctor may also recommend additional tests, such as a urine test, to rule out any underlying infections.
Treatment of a short frenulum:
The treatment for a short or tight frenulum may depend on the severity of the condition. In some cases, the condition may resolve on its own without any treatment. However, if the frenulum is causing discomfort or difficulty during sexual activity, the doctor may recommend one of the following treatments:
- Frenuloplasty: This surgical procedure involves the reconstruction of the frenulum. The short frenulum is divided across horizontally and then stitched up vertically (lengthwise). The procedure can be performed under local or general anaesthesia and typically takes less than an hour to complete.
- Circumcision: In severe cases, circumcision may be recommended. This procedure involves the removal of the foreskin, including the frenulum.
What are the risks of a frenuloplasty?
While these procedure are generally considered safe, there are certain risks and complications that patients should be aware of before undergoing the surgery:
- Bleeding: Bleeding is a common risk associated with any surgical procedure, including frenuloplasty. While most cases of bleeding can be controlled with pressure or medication, in rare cases, additional surgery may be required.
- Infection: As with any surgical procedure, there is a risk of infection. The surgical site will be cleaned and sterilized prior to the surgery, but there is still a risk of infection. Signs of infection include fever, redness, swelling, and discharge from the surgical site.
- Pain: It is common to experience pain or discomfort after the operation, which can be managed with pain medication. However, in some cases, the pain may persist for a longer period.
- Scarring: Scarring is a common risk associated with any surgery, including frenuloplasty. The appearance of the scar may vary depending on the individual and the healing process.
- Loss of sensation: In rare cases, patients may experience a loss of sensation in the penis after the surgery. This is usually temporary and improves with time.
- Erectile dysfunction: In rare cases, frenuloplasty can lead to erectile dysfunction. However, the risk of this complication is very low.
- Other complications: Other complications that may occur after the surgery include difficulty urinating, wound dehiscence, and allergic reactions to anaesthesia or medication.
Prevention:
Preventive measures for a short or tight frenulum include maintaining good hygiene by cleaning the penis regularly. Parents should also teach their children how to properly clean the penis during bath time. It is also essential to avoid any trauma or injury to the penis.
Conclusion:
Frenuloplasty is a surgical procedure that can effectively treat a short or tight frenulum. It is essential to seek medical attention if you experience any symptoms. Proper diagnosis and treatment can effectively manage a short or tight frenulum, and complications can be avoided.
Author: Neil A Haldar MBBS MD FRCS
Consultant Urological Surgeon
The Pelvic Specialists