What is frenuloplasty, and when is it recommended?

Written by: Mr Gordon Muir
Published:
Edited by: Conor Lynch

Top Doctors recently spoke to leading consultant urologist, Mr Gordon Muir, who, here in this article below, tells us all we should know about frenuloplasty, including how and when it is normally performed.

What is frenuloplasty, and when is it recommended?

The frenulum is a little fold of skin under the tip of the penis, and about two to three per cent of men have a problem with this. They might find that this area becomes tight and that it causes restriction. The only option when the entire penis becomes severely scarred is to undergo a complete circumcision. Problems with the frenulum can lead to scarring all over the penis.

 

How is frenuloplasty performed, and is it painful?

I typically perform frenuloplasty under a general anaesthetic. It’s a very simply little operation where we move a few little skin flaps around. We do it in an outpatient centre. There is minimal main for around two or three seconds, and the procedure takes around 25 minutes. 99 per cent of men will find that this procedure cures the problem with their frenulum, and so they won’t require circumcision.

 

What are the potential risks and complications associated with frenuloplasty?

The risk of bleeding is miniscule. Infection is relatively common, especially in genital operations. Usually, about one in 20 will suffer from a slight infection after a frenuloplasty. We deal with this by giving antibiotic cream.

 

When frenuloplasty surgery fails, then we carry out a circumcision. It is a minor procedure with a very high success rate. It also provides a decent cosmetic outcome. The only downside is that you cannot have sex for at least six weeks after undergoing a frenuloplasty.

 

What is the recovery process like after frenuloplasty surgery?

It is very simply. You can go home immediately after. Painkillers are normally not required. We normally ask our patients to wash their foreskin two to three times a day.

 

How long does it take to see the results of frenuloplasty, and are there any post-operative care instructions to follow?

Normally, we get about two to three centimetres of lengthening of the frenulum. It takes a number of months for a surgical scar to mature. It takes about six to nine months following any penile surgery for the penis to get to how it is going to be for the rest of the man’s life.

 

To schedule in an appointment with Mr Gordon Muir today, visit his Top Doctors profile.

By Mr Gordon Muir
Urology

Mr Gordon Muir is a consultant urologist based in London. He has a specialist interest in the minimally invasive diagnosis and treatment of prostate disease, both BPH and prostate cancer. He also specialises in male sexual dysfunction and infertility, with particular regard to reducing treatment related side effects for men with prostate problems. Mr Muir's research has been widely published, and he a recognised international expert and teacher in laser prostatectomy, Urolift and focal prostate cancer treatments. He has also developed and published operative techniques for foreskin and penis problems.

Wherever possible he offers one stop diagnostic visits, working from a few well equipped modern clinics, with his private base at the iconic Shard.

After qualifying in medicine from Glasgow, he served as a medical officer in the army, and later completed his post-graduate training in surgery and urology at the Royal Marsden and St George's Hospitals, also spending time in Egypt, the USA, France and Italy.

He has been a consultant urologist at King’s College Hospital since 1996 and is also Honorary Senior Lecturer in Surgery at King’s College London.

An active teacher and researcher, Gordon has published over 100 scientific papers, and has lectured, taught and held visiting professorships in every country in the world except Antarctica.

He researches in the area of penile size problems and genital anxiety in men, trying to reduce the harm often done by unscrupulous surgeons, and in 2016 published the largest ever review of penis size.

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