Get frenuloplasty from a genital surgeon

What is frenulotomy?

Frenulotomy is a simple operation, indicated for such a feature as a short frenulum of the genital organ. During this operation, the frenulum is transversely dissected and then sutured in the longitudinal direction. Thus, it stretches to its normal length. As a result, only a thin seam is visible from the inner surface of the foreskin, everything looks quite natural. The entire operation lasts no more than 20 minutes, it is not a complex surgical procedure, and is performed under local anesthesia.

Correction of the frenulum allows you to eliminate pain symptoms and eliminate the risk of ruptures and bleeding during erection. The procedure is quite simple, and the development of complications after it is extremely rare.

Indications for frenulotomy

A short frenulum can be a congenital or acquired pathology that occurs as a result of trauma to the penis or inflammatory processes. Pathology provokes:

• drooping of the head of the penis, discomfort and even pain during erection;
• premature ejaculation;
• there is a constant huge risk of tearing or rupture of the frenulum, accompanied by heavy bleeding.

It is better to perform a frenulotomy of the foreskin before the frenulum ruptures. And rupture of the frenulum if it is not long enough is almost inevitable. As soon as a man begins to perform intense friction during intercourse or masturbation, he risks tearing or tearing the frenulum. And using additional lubricant will not help here.

Some male representatives mistakenly believe that a good solution would be careful behavior and avoidance of intense friction. Even if you try to control the situation and perform only slow frictions, on a subconscious level there will still be fear and expectation of severe pain due to a tear or rupture. Of course, in such conditions it is unlikely that you will be able to get full satisfaction from sex.

Indications for surgery:

1. An erect penis bends in such a way that the head bends downwards.
2. Retracting the skin fold is difficult, causing pain and a feeling of tightness.
3. Painful frictions cause discomfort and interfere with normal sexual intercourse.
4. Frequent frenulum tears and bleeding.
5. Phimosis or paraphimosis.
6. Early ejaculation.

Frenulotomy is a simple operation and is often performed on an outpatient basis. Local anesthesia is usually sufficient, but in some cases general anesthesia may be necessary. The procedure does not last long, about half an hour.

Before the operation, the patient takes all the necessary tests, including HIV tests, and undergoes an examination. After this, if there are no contraindications, he goes to the operating room.

Indications for surgery

— Diastema between the central incisors, in simple words, gaps between the teeth. Observing this picture, it can be noted that the frenulum simply prevents the teeth from taking the correct position. Gradually this only makes the situation worse. Due to the constant load, the gap only increases, for this reason the teeth can move to the sides or forward; — When installing special plates to correct the bite, you also need to pay attention to the frenulum. If it is short, then there are contraindications. Then it is not recommended to install braces; — Gum diseases; — In preparation for removable prosthetics. If the frenulum is shortened, before the prosthetic procedure it is advisable to carry out plastic surgery to trim the frenulum, since a short frenulum will not allow the prosthesis to be fixed; — Speech therapy problems. The guarantee that after the operation all speech defects will be corrected is close to 100%.

Plastic surgery of the frenulum of the upper lip, in fact, is not a complicated operation, although it is recommended to carry it out no earlier than the child is 5 years old or closer to 7-8 years of age. Then the first incisors (molars) had already erupted. There are exceptions when operations are performed on infants. There is a need for surgery only if there are serious problems with breastfeeding the baby.

How is frenulotomy performed?

Surgery is performed on an outpatient basis under local anesthesia for adult men, or with general anesthesia for adolescents. The duration of the manipulations is no more than 20 minutes. The patient is asked to assume a supine position on the operating table and the surgical area is disinfected.

With local anesthesia, the anesthetic is injected into the tissues of the penis, with general anesthesia - into a vein. As soon as it begins to act, the surgeon dissects the frenulum of the penis across, allowing the skin folds to straighten to the required size.

After this, the edges of the incisions are sutured with threads, which will self-resolve in the postoperative period. If there are scars, they are first excised. Upon completion, a napkin with an antiseptic is applied to the penis, which can be removed no earlier than after 12 hours.

The operation can be performed using a conventional scalpel, radio knife or laser.

Classic frenulotomy

Classic method of penile frenulum correction:

1. First, a transverse dissection of the frenulum is made.
2. Then the edges of the wound are stretched in the shape of a diamond.
3. The final step is to adjust the skin tension and apply sutures.

The suture is applied with the same threads that are used in maxillofacial surgery. By 21 days they usually completely resolve or fall out. The finished suture is filled with surgical glue to avoid infection and separation of the edges. Such a wound can be wetted within a day; when wiping, simply blot it with a towel. If the seam is simply treated with brilliant green, then it is not recommended to wet it for about a week.

Frenulotomy using laser

Frenulotomy using a radioknife The intervention is bloodless due to the fact that the laser cauterizes the edges of the wound, eliminating bleeding.

Unfortunately, this operation has one drawback, which is the risk of divergence of the edges of the wound during an erection.

Application of radio knife

The use of a radio knife involves exposure to high-frequency radio waves. They allow the destruction of skin growths and neoplasms, excluding the impact on healthy tissues along with blood vessels. Thanks to this, there is no risk of purulent processes and hematoma. If indicated, the operation can be combined with other techniques aimed at eliminating scar tissue or narrowing the foreskin. At the same time, circumcision of the foreskin is also carried out. It is used if the surgeon notes the impossibility of completely exposing the head due to an excessive amount of foreskin tissue.

How to prepare for frenulotomy?

Doctors recommend giving up alcoholic beverages a week before surgery. Some clinics prescribe antibiotics for 2 days to protect against infectious inflammation.

In 2-3 days you need to remove hair from the groin area. To avoid cuts, you can use hair removal cream.

In preparation for frenulotomy, it is necessary to donate blood the day before (for HIV, hepatitis, syphilis, general analysis, coagulogram) and a test for lidocaine. The operation is not abdominal, so there is no need to undergo other standard preoperative examinations. An ECG is only required for patients over 40 years of age.

On the day of surgery you can eat and drink. The manipulation is performed under local anesthesia. The doctor injects lidocaine under the frenulum (to a depth of 2 mm) and waits until the target area is completely numb.

Rehabilitation after frenulotomy

After frenulotomy, the patient rests for several hours in the ward, then he is sent home. After 2-3 days you can go to work, if it does not involve lifting heavy loads (the seam may come apart).

There is usually some slight swelling or bruising in the first 24 hours, which goes away within a few hours. Within two days, a few drops of blood may come out of the suture. This is fine. They need to be blotted with a sterile napkin and observed over the wound.

Antibacterial therapy is usually not required. The course of antibiotics is replaced by antiseptic ointment "Levomekol". A thin layer of it is applied to the suture area once a day for 5 days. You must appear for a dressing change the next day, and for a final examination after 10 days. The pain goes away completely after 2 weeks. During an erection, slight discomfort may remain for 3-4 weeks.

During the rehabilitation period, the patient should adhere to the following recommendations of the attending physician:

• carry out hygiene measures after each visit to the toilet and use an antiseptic solution prescribed by a doctor for this;
• take a course of antibiotics to prevent the development of purulent infections;
• during rapid healing, do not use fat-based ointments, as they can prolong the rehabilitation period;
• visit a urologist a week after the operation so that he can determine the need to remove the remaining threads, which should be completely resolved by this time.

In addition, during the recovery period you should avoid:

• physical activity and sports;
• visits to baths, saunas, swimming pools;
• taking baths; sexual intercourse and masturbation.
• The latter is necessary in order to eliminate the risk of seams coming apart.

Frenum of the foreskin

In the nth percent of men at birth, and in some subsequently through injury, the frenulum of the foreskin becomes short and not prone to stretching. Blows, injuries and active sexual intercourse can tear the frenulum. Today in the world there is only one method of treating frenulum pathology, namely surgery.

As a result of surgical intervention, either the frenulum is completely removed, or a so-called frenulotomy is performed, that is, plastic surgery of a shortened frenulum, which can be lengthened.

Surgical intervention to remove the frenulum is performed by transversely dissecting the frenulum, after which it is sutured longitudinally. In another case, the frenulum is completely removed. This operation can prevent rupture of the frenulum of the foreskin in the future. Hospitalization is not required for the operation. Healing occurs within ten to fourteen days, and sex is also prohibited during this recovery period. This procedure is carried out using laser technology, depending on the indications.

Duration

The operation itself lasts about thirty minutes under local anesthesia. The technique itself consists in making an incision across the genital organ, then suturing it in the longitudinal direction. This procedure makes it possible to eliminate excessive tension on the foreskin and will turn your frenulum into an almost invisible seam, which will turn into a natural “suture” at the bottom of the genital organ.

Complications

This operation also has complications, but they are very rare. Most complications arise from infection introduced during the operation in the form of simple bleeding.

And, nevertheless, it is necessary to take into account that in the place where the foreskin is located, there are no large vessels, which is why all bleeding is not life-threatening and can disappear at home.

In order to exclude the possibility of infection, doctors will prescribe you various types of antibiotic-based creams; they are advised to use them for three to seven days.

Inspection

In general, examination by a doctor is carried out on the second day after the operation itself, and after seven days. In general, the operation itself is not very complicated, and quite painless, and the recovery period can pass very quickly and without any complications. This operation can also be performed using a laser. The advantages of this method are that the use of laser technology minimizes the risk of introducing various infectious diseases. The rehabilitation period in this case is reduced by half. But there is an opinion in the world that removing the frenulum using a laser is not a very effective procedure, because the anatomical structure of the genital organ implies its constant movement, changes in its stretch and size, which is very often considered the cause of suture divergence. But only the patient can choose which method is better - classic or laser, everything goes according to the wishes of the patient, as well as medical indications. Also, an important point is that the urologist, before the operation itself, is obliged to prescribe examinations and tests, which include consultations with a therapist , an anesthesiologist, blood tests, in some cases according to the testimony of other specialists, and also an electrocardiogram. If all the necessary tests are present, the operation can be performed on the day of treatment. After removal of the frenulum of the foreskin, the patient has the opportunity to immediately go home. The next day he must come for an examination, or remain in the hospital for observation. Basically, the method of performing the operation does not depend on when you can begin to be sexually active again. Both in the classical and laser methods, sex is allowed after fourteen days from the end of the operation. We also advise you to avoid physical activity. In order to avoid complications and also speed up healing, we recommend:/p>

• abstain from sexual intercourse until the end of the recovery period (fourteen days);
• treat the healing area only with the medications prescribed by your doctor;
• Follow absolutely all the doctor's instructions.

Possible complications after surgery

Foreskin frenuloplasty is a simple procedure. Reviews from men after surgery indicate the absence of complications. However, if during the manipulation the doctor made a mistake or the man did not follow the recommendations after the intervention, then negative consequences develop:

1. infection resulting in an inflammatory process;
2. seam divergence;
3. intense bleeding from the wound;
4. allergy to anesthesia medications.
5. pronounced pain in the penis area;
6. bleeding at the suture site;
7. severe swelling of the shaft of the penis;
8. postoperative scarring;
9. unsatisfactory appearance;
10. penetration of infection into the reproductive organ.

In most cases, complications are not dangerous and are treated on an outpatient basis.

Contact with water should be avoided for a week after frenulotomy. To do this, you can put a condom on the penis while swimming. Having sex is allowed only after complete healing, when a pink scar forms at the site of the wound. Sexual intercourse should be carried out carefully during the first month, it is recommended to use a lubricant.

Which doctor performs frenuloplasty?

If you have problems with the frenulum on the foreskin, you should consult a urologist. The doctor will conduct an initial examination and, if necessary, prescribe additional diagnostic measures, on the basis of which a decision will be made on the possibility of performing frenuloplasty.

After the operation, the urologist will consult the patient and give recommendations for the entire period of rehabilitation. If you fully comply with the doctor’s instructions, the surgical intervention will be carried out quickly and painlessly, eliminating possible complications in the future.