Frenuloplasty

Specialty of Urology

What is frenuloplasty?

Frenuloplasty refers to the surgical alteration of the frenulum, a small fold of tissue which is located on the underside of the penis.

How is it performed?

An incision is made in the frenulum, and it is then stretched in order to lengthen it. After this, the wound is closed with stitches. This makes the frenulum longer, effectively relieving pain and discomfort. The procedure can be performed under general or local anaesthesia. In some cases the frenulum may be removed completely.

Why is it done?

Frenuloplasty is most typically performed to alter the frenulum in cases where it is causing discomfort and pain during sexual intercourse. A frenuloplasty may become necessary in uncircumcised men who have problems with the tightness of their foreskin. Circumcision removes the foreskin, but frenuloplasty can help relieve tightness without the need to remove it.  

How can you prepare for frenuloplasty?

Before frenuloplasty, your doctor is likely to ask you to stop smoking, as with any surgical procedure. This is because smoking increases the likelihood of complications and slows the healing process.

You may also be told to stop eating and drinking for a period of time before the surgery, depending on the anaesthetic which will be used. You will have to inform the doctor about any allergies you have, and will have to answer some questions about your general health and any medication you may be taking, as in some cases you may be advised to stop (e.g in the case of blood-thinning medication).

What is the aftercare?

Frenuloplasty is often performed as a day case procedure and you may be able to go home the same day after surgery, providing you have recovered from the anaesthetic and the wound is no longer bleeding. In this case, an overnight stay will be necessary.

After the procedure, you must ensure someone is available to take you home and you must not drive for the 24 hours following surgery. It is important to rest after the procedure as you may feel tired and find it difficult to concentrate as the anaesthetic wears off.

It is quite normal to feel discomfort after frenuloplasty and you can help relieve any pain by taking over-the-counter painkillers or mild painkillers prescribed by your doctor. You should abstain from sexual activity for around 6 weeks following the procedure.

A dressing may be applied to the wound in order to prevent staining on clothing, as it is quite normal for the wound to bleed or ooze in the days following the procedure. You can return to work when you feel ready to.

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