What is a Frenuloplasty?
The frenulum is the elastic band of tissue under the glans penis that connects the prepuce or foreskin to the vernal mucosa, and helps contract the prepuce over the glans. This band of tissue sometimes is too short or tight and restricts the range of motion between interconnected tissues especially during sexual intercourse. In these situations, it may cause pain or discomfort and even tear (with some degree of bleeding). Frenuloplasty is a minor surgical procedure that solves this issue by elongating the frenulum.
What is it for?
When the frenulum is too short, it can prevent retraction of the foreskin on the penis and therefore cause problems during sexual intercourse. If the patient tries a forced retraction of the foreskin, it can also rupture the frenulum.
How is the intervention performed?
The procedure is performed under sterile conditions to prevent infection after the intervention. You will be awake and conscious during the surgery. Once comfortably positioned on your back, a local antiseptic and sterile drape will be applied to the genital area. Anesthesia is induced by infiltration of the frenulum with a local anesthetic. The frenulum is then divided horizontally and a series of absorbable sutures are used to close up the wound vertically which will make the frenulum longer. Hemostasis is achieved using electrocautery. Polysporin ointment is then applied to the incision to finish off the procedure. This intervention is really quick and usually last less than 10 minutes to complete.
Is the intervention painful?
During the infiltration of the local anesthetic, there will be a mild burning sensation that will last only a few seconds. After the procedure, pain is usually not an issue and use of extrastrength Tylenol is usually enough. A mild narcotic as prescribed by your urologist for pain control may be necessary in some cases.
What do I need to do before the exam?
No preparation is necessary.
After the Frenuloplasty:
The stitches will start to go away in 7 to 10 days. Due to the simplicity of the surgery, a frenuloplasty usually takes less than ten minutes to complete and there is generally no need for any recovery period at the office. Wearing tight underwear after will help in reducing discomfort. You will be able to leave the office quickly by your own means. Although you may wish to be accompanied it is not obligatory. You may take a shower 24hrs after. It is frequent to observe some blood oozing from the incision in the first 48hrs and also normal for the penis to present some degree of swelling and/or bruising after, but this usually gradually resolves within 2 weeks. There is no effect on urination and you should be able to urinate normally right away. Polysporin© ointment (not cream) should be applied to the incision twice a day for 7days. You should avoid sexual activity for 3 to 4 weeks until des stitches have completely fallen out and the wound is nicely healed.
Contact us if there is any doubt about the wound or if you should have other questions.
A follow-up is scheduled 2 months after surgery.
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