Surgical plastic surgery of the frenulum of the penis: the essence of the operation

How to prepare for frenuloplasty

In the process of preparing for surgery, you should consult with a urologist, who will draw up a complete list of recommendations based on the individual characteristics of the patient and the results of the tests performed. A week before the planned procedure, it is necessary to avoid taking any aspirin and non-steroidal anti-inflammatory drugs.

On the day of surgery, you need to perform a number of simple steps:

• carry out a thorough toilet of the genitals and hygienic cleaning using special products for the care of the intimate area;
• shave the scrotal area;
• give up caffeine in the morning, and breakfast should be as light as possible, without fatty foods;
• Bring a set of sterile wipes and spare linen with you to the clinic.

If the patient is allergic to various drugs, you must inform your doctor about this, and take an antihistamine the day before frenuloplasty. In cases of a negative reaction of the body to general anesthesia, it is required to notify the anesthesiologist.

Compliance with all general recommendations for preparing for the correction procedure contributes to the most effective implementation of all surgical procedures with minimal risks of subsequent deviations.

Manipulation technique

In medicine, two directions of correction of the frenulum of the genital organ are used:

• frenulotomy, dissection of the connecting tissues of a previously intact frenulum;
• frenuloplasty, restoration of the length of the frenulum when a scar forms after its rupture.

The manipulation technique involves dissecting the tissues of the frenulum in the transverse direction, followed by stitching them longitudinally, increasing its length. The operation is performed using local anesthetics and takes no more than a quarter of an hour; the patient remains under observation for about half an hour, after which he is sent home. The period of complete recovery takes from two weeks to a month.

Immediately after the operation, no extraneous sensations are observed; during the next 24 hours after the intervention, some discomfort and pain persist:

• this is due to the presence of a wound surface that comes into contact with urine when the bladder is emptied;
• as well as during spontaneous erection at night, when, with an increase in the size of the organ, tension occurs in the unhealed tissues.

After healing, a neat suture remains, which runs along the lower zone of the organ. Restoring the length of the frenulum allows you to fully and painlessly open the head, without causing pain and discomfort during erection and sexual intercourse.

Symptoms and diseases of the frenulum of the penis:

• Rupture of the frenulum of the penis
• Removal of the frenulum of the penis
• Growths on the frenulum of the penis
• Soreness of the frenulum of the penis
• Papillomas on the frenulum of the penis
• Rash on the frenulum of the penis
• Itching of the frenulum of the penis
• Frenum of the penis
• Inflammation of the frenulum of the penis
• Swelling of the frenulum of the penis

How is frenulum lengthening surgery 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.

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.

Complications after frenuloplasty

The procedure is a simple operation and is carried out quite quickly; on average, all surgical procedures take from 15 to 30 minutes. The number of risks is minimal.

Among the undesirable consequences are:

• infection in the wound, which contributes to the formation of balanoposthitis;
• allergic reaction of the body to the use of various anesthetics;
• suture dehiscence and subsequent bleeding;
• painful sensations in the area of ​​the lower part of the penis;
• swelling of the foreskin;
• purulent discharge from the wound formed after the intervention;
• increase in body temperature.

Infectious infections occur quite rarely due to the use of antimicrobial drugs, which are prescribed to the patient for the rehabilitation period. The maximum duration of pain after the correction is two months.

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.

Rehabilitation after surgery

The recovery period after surgical procedures takes on average about a month. During this period of time, a scar is formed and natural blood circulation in the area of ​​the head of the penis is restored.

To speed up the rehabilitation process, it is necessary to consult with a urologist, who, based on the patient’s individual indicators, will give a number of recommendations.

Here is a list of general doctor’s instructions, compliance with which will allow you to quickly return to natural intimate life and eliminate the risks of complications:

• the developing scar will require special care in the form of treatment with special solutions during the first week;
• complete abstinence from sexual contact until the wound heals;
• when urinating, you will need to bend the head of the penis so that urine does not get into the wound, this will help avoid unwanted irritation and the risk of infection;
• reduction of physical activity;
• carefully follow the antimicrobial regimen.

To soften the friction of the formed scar during sexual intercourse, after the recovery period has expired, you should use lubricants. If the doctor's instructions are not followed, complications may arise that require repeat surgery, which will be much more painful and will lead to the formation of scar tissue and a subsequent decrease in the normal functioning of the sexual organ.

When you can't do without surgery

In most cases, problems with the functionality of this part of the body are congenital, which adds some difficulties. Because men are often unaware that a properly functioning frenulum is designed to provide pleasurable moments during intimate intercourse, they assume that discomfort is a common occurrence.

This happens due to ignorance of how things should function in a healthy state. Because of this, not all guys seek qualified help, experiencing unpleasant sensations for years.

Most often, the cause of inconvenience is an individual anatomical feature due to a hereditary predisposition, or due to a genetic failure. Outwardly, this is expressed in a too short area for the penis. Also, the anomaly almost always involves a narrowing of the foreskin, which professionals call phimosis.

If the baby’s parents carefully monitor his health at an early age, and also regularly take him for preventive examinations to a urologist, then problems will be detected at a young age. Such foresight allows you to protect the boy from possible future physical and even psychological injuries during sex.

Occasionally, the reason for the development of the frenulum to go out of control is the transitional age during puberty. The drastic changes are caused by the fact that not all adolescents’ genitals grow gradually and evenly.

But even if we put aside standard causes of deviation such as anatomical anomalies, there are still a lot of primary sources of the problematic condition. Among them, the most common reasons are usually called:

• mechanical damage;
• chronic balanitis;
• balanoposthitis;
• diabetes mellitus at the stage of decompensation.

The first paragraph provides for violations of the integrity or elasticity of the specified part. This is provoked by wearing too tight clothes, which is a guarantee of microtrauma.

In the future, this is the key to the fusion of the foreskin with the head during normal regeneration.

Another root of the problem with mechanical damage is improper sexual intercourse, which contributes to frenulum ruptures. Afterwards, it will still heal, but the connective tissue will become rough, scars will form, and elasticity, along with sensitivity, will disappear.

With the development of balanitis or balanoposthitis, tissue deformation of the head occurs along with the frenulum and foreskin. This is a serious reason for the development of phimosis or injury.

Diabetes mellitus, which is not treated, is no less dangerous. Due to the ability of the disease to negatively affect vascular conditions, this increases the risk of possible pathology several times.

In order not to delay the provision of professional assistance from urologists, you should always listen to your own well-being. The following signs will help you recognize possible anomalies:

• pain when exposing the head of the penis;
• bleeding and cracks in the indicated area after recent intimacy;
• drooping of the head during erection;
• a feeling of tightness with normal erectile function.

If the victim experiences at least one of the symptoms presented, even on an irregular basis, then this is a reason to seek qualified advice. If you put off visiting a doctor, you can expect serious complications that interfere with a harmonious sex life.

Operation methods

There are several ways to perform plastic surgery of the frenulum of the penis, which depend on the anatomical features of the structure of the structural tissue of the foreskin.

Among the main methods, there are two types of surgery:

• Frenulotomy.
  Lengthening the frenulum occurs by cutting in the transverse direction followed by longitudinal stitching, which allows you to naturally increase the length of the fabric up to 2 centimeters. With this method, the sensitivity of the genital organ is not affected.
• Frenulectomy
  . Complete removal of the frenulum, which is required for mechanical injuries of the foreskin and scarring of the tissue. The incision is made transversely around the circumference of the genital organ, followed by longitudinal stitching. The result is a scar that aligns with the natural suture at the bottom of the penis.

Quite often, both methods are implemented without the use of classical surgical instruments. Intervention in the tissue structure is carried out through laser exposure. The technology of the procedure fully complies with generally accepted rules, with the exception of the use of radiofrequency exposure instead of a scalpel; instead of stitching, the edges of the resulting wound are soldered.

The main advantage of using modern equipment is the minimal risk of bleeding during the process and natural disinfection of the wound through exposure to high temperatures.

Answers to frequently asked questions on the topic of the frenulum of the penis:

• Which doctor treats frenulum of the foreskin?
• Where to go with a problem on the frenulum of the foreskin?
• What tests should be taken if there are problems with the frenulum of the penis?
• Diagnosis of diseases of the frenulum of the penis
• Treatment of diseases of the frenulum of the penis
• Is it possible to remove the frenulum of the penis?
• Swollen frenulum of the penis
• Rash on the frenulum of the penis
• Herpes on the frenulum of the penis
• How does the foreskin affect sensitivity?
• How to stretch the foreskin?
• What is the foreskin for?
• Diagnosis of diseases of the foreskin?
• Why doesn't the foreskin open completely?
• What to do if the foreskin is swollen?
• Have plaque appeared under the foreskin?
• Do you perform foreskin plastic surgery at your clinic?

What problems can frenulotomy solve?

The frenulum is a fold of skin along the penis that connects the foreskin and the glans. During an erection, it stretches, exposing the head, bending it slightly in order to ensure its stimulation. Another of its functions is to prevent excessive displacement of the foreskin.

When the penis is in a relaxed state, it provides protection with the foreskin. The anatomical features of its structure are such that it contains many nerve endings, due to which it is very sensitive. In a normal state, during sexual intercourse it becomes tense, which increases arousal. However, in a shortened form, such physiological phenomena cause pain symptoms in a man and negatively affect the quality of his sexual life. Moreover: in some cases, ruptures and scarring of the folds, erectile dysfunction and the development of inflammatory processes are possible - balanitis.

According to statistics, about 30% of men have a short frenulum from birth. Despite the fact that this anomaly is not life-threatening, it can cause a lot of unpleasant moments. Unfortunately, it is not possible to detect this pathology at an early age. Young people learn about it after puberty and, as a rule, being secretive, do not immediately seek professional urological help.

At the same time, a solution to this problem exists, and it is quite simple. This is plastic surgery of the frenulum of the foreskin - an operation that will relieve:

• pain and risk of injury during sexual intercourse;
• the likelihood of severe bleeding due to rupture of the fold through which a large blood artery passes;
• formation of scars after ruptures and even greater shortening;
• early ejaculations;
• development of erectile dysfunction;
• inflammatory diseases of the foreskin and glans.

During the operation, the surgeon dissects the frenulum crosswise and stitches it lengthwise, thereby increasing its length. The operation becomes more complicated in the presence of scars after ruptures: it involves frenuloplasty, in which scar tissue is replaced.

What tests need to be done before surgery?

At the preparatory stage, before surgery, the patient must undergo a series of diagnostic measures as prescribed by the doctor. The main tests that will need to be taken include:

• general urine analysis;
• clinical blood test to study its coagulability in order to exclude possible bleeding during surgery;
• standard samples for research to detect syphilis, various groups of hepatitis and other sexually transmitted diseases;
• biochemical blood sampling.

Based on the results obtained, further diagnostic measures will be formed, if required. If all tests are normal, frenuloplasty surgery will be planned based on the information received and the individual characteristics of the patient.

Operation process

In addition to circumcision, frenuloplasty in men is another treatment option that allows you to get rid of unpleasant symptoms without removing the foreskin. As part of the procedure, a small transverse incision is made on the frenulum, which is then sutured back longitudinally to increase the overall length. Also, a number of other methods and procedures can be used for frenuloplasty surgery. After this, most patients report a significant reduction in pain during erections. If healing is rapid, the patient can resume normal sexual activity within a few weeks after frenuloplasty. After the procedure, most patients undergoing surgery experience moderate discomfort, which can be reduced by local anesthetics. The patient usually goes home two hours after frenuloplasty. After frenuloplasty, the wound should be washed with a mild soap solution to minimize the risk of bacterial infection. Be sure to tell your doctor if you experience pain/discomfort during sexual intercourse.

Where to have plastic surgery of the frenulum of the penis?

Our clinic uses modern equipment and has all the necessary tools for safe interaction with the patient. The consultation is conducted by doctors with extensive experience and knowledge in various branches of urology, who will give practical recommendations on preparing for the procedure, and then draw up the most effective plan for the rehabilitation period.

Our clinic has:

• specialized rooms for conducting hardware diagnostics;
• own laboratory for prompt research of the obtained tests;
• a modern operating room equipped with the required equipment and the necessary additional technical components.

During the operation, high-quality asepsis is used, which minimizes the risk of possible infectious complications later. A delicate approach that allows you to solve all intimate problems in a strictly confidential manner.

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.

WHY SHOULD YOU CONTACT EL.EN FOR BRIDLEPLASTY?

One day

The operation can be performed on the day of the initial visit if the patient has no indications and the surgeon has free time. In any case, if the patient agrees, a date is set for surgery. After the operation, the patient goes home; observation during the recovery period is usually not required.

No pain or complications

The patient does not experience pain during the intervention - thanks to high-quality local anesthesia. Compliance with the surgeon’s recommendations guarantees the absence of complications.

100% result

This implies optimal lengthening of the frenulum (exposure of the head of the penis without pain or discomfort) and a good aesthetic result (appearance) of the head of the penis).

Confidentially

Information about the reason for visiting the urologist, as well as other doctors at the clinic, and the treatment performed is not disclosed. Our staff shows sensitivity and attentiveness to each patient.

A practical way to choose a clinic

Such a delicate problem, requiring a delicate attitude and correct solution, requires contacting a specialist, the necessary qualifications and preferably in a comfortable environment without additional expenditure of free time. Such services can be obtained within a private specialized institution, but how to decide on its choice?

Our Help Desk for private clinics in Moscow “Your Doctor” has all the necessary information; by visiting the site you can not only determine the location of a particular center, but also see all the listed characteristics, as well as make an appointment with a specialist or arrange a home call from a urologist, without leaving the page.

Publication date: 2019-12-11

Useful information on problems associated with the frenulum of the penis:

• Calling a urologist to your home
• Balanitis
• Balanoposthitis
• Frenum plastic surgery
• Urethral swab
• Prostate massage
• Circumcision
• Tests for STIs
• Treatment of sexually transmitted diseases
• Ultrasound at home
• Frenum of the penis
• Pyelonephritis
• Ultrasound of the bladder
• Diagnosis of sexually transmitted infections
• How to prepare for an appointment with a urologist?
• How to get tested for urological diseases?
• What tests can be done by a urologist?
• What diseases does a urologist treat?
• What symptoms should you consult a urologist for?
• How to make an appointment with a urologist at the clinic?

Symptoms of incorrect placement of the frenulum of the tongue

With significant pathology of the frenulum, the following symptoms may be observed:

• It is impossible to stick the tongue out of the mouth due to the short length of the frenulum.
• When trying to stretch the tongue, it bends and takes an arched shape.
• When you try to reach the palate with your tongue, the tip of the organ expands, as there is a strong tension.
• When at rest, the tongue has the shape of a groove.

If you have such symptoms and discomfort, you should consult a specialist. Perhaps the doctor will conduct a more thorough diagnosis and make a diagnosis.