Penile Frenulectomy or Frenuloplasty
Some men experience pain due to a tight band of skin between the shaft of the penis and the glans on the underside of the penis. It can cause pain with erections or bleeding during sex due to micro-trauma.
A frenulectomy is a specialized technique that treats this condition by removing the tight restriction, allowing increased penile skin range of motion and sexual enjoyment.
Frenulectomy or Frenuloplasty to Resolve Penis Discomfort
A frenulectomy is a procedure that can alleviate the pain often associated with a tight band of tissue between a penis’ shaft and the glans on its underside. A tight frenulum can exist independent of whether a man has been circumcised, and it can create a tight and curved section of the penis that is susceptible to micro-trauma, causing bleeding and painful erections.
The frenulectomy procedure involves the removal of the restricting tissue for increased range of motion in the penis and enhanced sexual pleasure due to the end of pain with erection. The procedure (done in under 20 minutes) is performed using a long-acting local anesthetic and generally results in instant relief after a brief recovery period.
A frenuloplasty procedure can lengthen the frenulum and relieve the discomfort caused by a short frenulum. Our doctor will consult with you on the recommended procedure for your penis, and expected outcomes.
Frenulum Breve - Penile Pain or Bleeding During Sex
When the penile frenulum is tight or short, this is called a frenulum breve. This can result in tension on the frenulum during erections, which can rip and tear during vigorous activities such as sex, causing pain and bleeding, which in turn can cause men to lose their erections.
Some men go through their entire lives suffering from pain and bleeding unaware that there is a cure. The degree of tightness and thickness of the frenulum varies from man to man, but any man affected by an overly short frenular band should seek a consultation for a possible procedure to end uncomfortable tightness with erection.
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Can the problems associated with short frenulum get getter on their own?
No, unfortunately a short frenulum generally does not get better on its own. Some physicians suggest stretching exercises but the frenulum is a rather tough tissue that is not easily stretched. A frenulectomy is usually necessary to remove the tight band of tissue in order to release it from the rest of the surrounding tissue.
What is the treatment for a short frenulum?
A frenulectomy is a specialized technique that treats this condition by removing the tight restriction, allowing increased penile skin range of motion. It is done under local anesthesia in our Montréal clinic and takes only about 20 minutes to perform. The goal of the procedure is functional so that the tight frenulum is released, allowing improved sexual pleasure without fear of pain or bleeding.
Is a frenulectomy painful?
We perform frenulectomy under long-acting local anesthesia and those men who have undergone this procedure usually describe it as virtually painless.
What are the risks of the frenectomy procedure?
- Swelling and bruising at the site of the procedure 1/100
- Infection requiring antibiotics 1/500
- Bleeding (usually mild) 1/100
- Scarring at the site of the operation 1/100
- Meatal stenosis due to injury to the frenular artery requiring a meatotomy (rare)1/500
- Suboptimal cosmetic or functional effect requiring a second procedure.1:100
- Chronic pain at the site of the surgery 1:500
- Vasovagal reaction causing light-headedness after the procedure. 1/200
How long does it take to recover?
Recovery from penile frenulectomy is fairly fast and painless. Most men do not require additional pain medications after the procedure and are able to return to office work the next days. If your work requires heavy or physical activity, you will need a few more days off.
After frenulectomy, when can I have sex again?
We generally recommend no sex for at least 5-6 weeks to allow the surgical site to heal optimally and sutures, if required at the time of the procedure, to dissolve.
How will this affect my sex life?
After a frenulectomy, because the tight band is released, sex becomes more pleasurable due to less pain and worry from tearing and bleeding.
If I am uncircumcised, how will frenulectomy affect my foreskin?
Frenulectomy does not affect your foreskin and you will remain uncircumcised. Because frenulectomy only involves releasing the tight band of tissue underneath the penis where it attaches to your foreskin, your foreskin will be preserved.
Before and After Frenulectomy
Patient Instructions Before Frenulectomy
Please research frenulectomy and consult with your doctor, and ours, so you are confident and informed about your decision.
For one week prior to your procedure, do not take any Aspirin or Non-Steroidal Anti-Inflammatory Drugs such as Ibuprofen, Motrin, Aleve, Advil, Naproxen, or Diclofenac.
Please avoid any alcohol the day before the procedure.
You are asked to come at least 15 minutes prior to your appointment. You are welcome to drive yourself to the office and back home unless you have a history of easy fainting.
Our staff will usher you into one of our surgical rooms and then our doctor will administer the local anesthetic. It is then time for your procedure.
Patient Instructions After Frenulectomy
Most men do not require any additional pain medication after the procedure but you may take up to 2 extra-strength Tylenol tablets every 6 hours as needed for pain control. After 48 hours, you should take Ibuprofen 400 mg every 6 hours as needed for pain control if needed.
There may be a small amount of bleeding at the surgical site. This is normal and will stop in a few days. If it does not call our office or emergency number.
Continue applying antibiotic ointment at the site for 1 week.
You may return to office work in the next days but if your work requires a lot of activity you should take at least 2-3 days off.
We recommend no sexual activity for about 5-6 weeks or until the sutures come out completely.
Patients who are traveling more than 3-4 hours away may want to stay at a local hotel overnight.
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