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Issues with the penile frenulum, the small band of skin under the head of the penis, can cause significant discomfort. Conditions like frenulum breve (a short or tight frenulum) are common. Frenuloplasty is the specific surgical procedure designed to address these issues by releasing the tension, aiming to restore comfort and function.
Key indicators suggesting frenuloplasty might be beneficial include pain during intercourse or erection specifically related to the frenulum, a noticeable tightness pulling the penis head downwards, or recurrent tearing of the frenulum, sometimes with bleeding.
Frenuloplasty is typically a brief procedure (around 20-30 minutes), most often performed comfortably under local anaesthetic. It involves a precise surgical release of the tight frenulum, followed by meticulous closure with dissolvable stitches to achieve lengthening.
Healing after frenuloplasty generally progresses smoothly. Initial soreness is expected but manageable with simple painkillers. Swelling subsides over days to weeks. Surface healing takes 2-4 weeks, with stitches dissolving naturally. A return to sexual activity is typically advised after 4-6 weeks.
Frenuloplasty is available through the NHS if specific clinical criteria regarding symptoms are met, though waiting times can be a factor. Private treatment offers prompt access to specialist consultation and surgery, ensuring continuity of care.
Successful frenuloplasty offers significant benefits, primarily relieving pain and preventing further tearing of the frenulum during erections or intimacy. This often leads to improved comfort, reduced anxiety, and restored sexual confidence.
Frenuloplasty is considered a very safe procedure with minimal risk of serious complications like infection or bleeding. Concerns about significant changes to sensation are uncommon; most men notice no difference. The procedure does not affect penis size or cause erectile dysfunction.
These are distinct procedures. Frenuloplasty targets only the frenulum, preserving the foreskin. Circumcision removes the entire foreskin. The choice depends on whether the problem is solely with the frenulum or involves the foreskin more broadly.
The main 'after' result is functional: relief from the tightness, pain, and tearing associated with frenulum breve. Visually, the tight band is gone, replaced by a small scar that typically fades well over time, allowing the penis head a more natural position when erect.
If the symptoms of a tight or painful frenulum described here resonate with your experience, seeking a specialist assessment is the recommended next step. A consultation allows for accurate diagnosis and a personalised discussion about whether frenuloplasty is the right choice for you.
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