We offer treatment options for individuals facing difficulty due to a short or tight frenulum (frenulum breve), which could lead to pain or tearing.
There are three options concerning treating a tight frenulum:
- Observation: Suitable for mild cases with no specific treatment required.
- Circumcision: Removal of the foreskin along with the frenulum if the tight frenulum is associated with a tight foreskin (phimosis) .
- Frenuloplasty: A foreskin-releasing procedure that entails an incision on the frenulum to ease the tightness while retaining the foreskin.
Understanding Frenuloplasty
Frenuloplasty addresses the issue of a short frenulum by modifying the skin and stitching it lengthwise to achieve a longer frenulum.
Here’s a breakdown of the procedure:
- Local Anaesthesia: Administered for a pain-free experience and post-operative pain relief.
- Incision and Reshaping: The frenulum is divided across and re-stitched lengthwise to enhance its length, with glue applied over it.
- Dissolvable Stitches: Stitches are used to close the wound, and they fall away within 2-3 weeks.
- Wound Sealing: Tissue glue is applied to seal the wound, which sloughs off in 7-10 days.
- Bandaging: A loose bandage is applied and may be removed after 1-2 days.
Post-Procedure Care after frenulopalsty
Upon returning home, here’s what to anticipate and how to care for the surgical site:
- Bruising and Swelling: You will get some bruising and swelling of the penis, which may last several days.
- Pain Management: Pain relief, such as paracetamol or ibuprofen, can be taken for pain.
- Dressing: Remove any dressing within 24 hours or earlier if soaked with urine.
- Hygiene: Keep the area dry for 48 hours; refrain from bathing for 10 days and physical exercise for 2 weeks.
- Daily Retraction: Maintaining the benefits of the surgery after three days is essential.
- Sexual Activity: Avoidance for four to six weeks is recommended.
Benefits of Frenuloplasty
- Retention of the foreskin.
- Reduction in the bending of the penis.
- Improved hygiene and reduced infection risk.
- Avoiding repeated tearing of frenulum
- Removal of attachment of foreskin underneath the head of penis
Potential Risks and Alternatives
As with any surgical procedure, risks such as bruising, swelling, infection, or dissatisfaction with the cosmetic outcome are present. In some instances, a full circumcision may be advised as a permanent solution, particularly if tight foreskin continues after frenuloplasty.
Professional Consultation
We encourage a professional consultation with our specialist for a comprehensive understanding and personalised advice.