Short Frenulum surgery (Frenuloplasty)

The frenulum is a layer of skin that joins the glans penis to the inner part of the foreskin in order to limit the sliding of the foreskin over the glans penis. However, when the problem of a short frenulum occurs, the correct sliding of the foreskin over the glans is altered, causing pain during erection, bleeding and even the possibility of the foreskin breaking during sexual intercourse.

It is possible to solve the anomaly with exercises and ointment applications that help to improve the skin's elasticity, although the most effective solution is surgery. Depending on the type of problem, circumcision, frenuloplasty or frenulectomy may be performed.

Throughout this page you can find all the details about the short frenulum anomaly as well as its surgical treatment.

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A short frenulum is an abnormality affecting the length of this structure of the penis that joins the foreskin to the glans penis. When this is the case, it is perceived as difficulty in pulling the foreskin back, making it impossible to uncover the glans completely.

It is possible to develop short frenulum preputialis due to a number of factors, the most common being:

• Rupture of the frenulum: there is the probability that the rupture itself is caused by a short frenulum, but it is also possible due to an injury during sexual intercourse or masturbation.
• Infections: having suffered an infectious pathology in the genital area can lead to the development of inflammation and alterations in the frenulum tissue. A urogenital infection can cause the frenulum to shorten and the skin to thicken, preventing the foreskin from retracting properly.
• Phimosis: this abnormal growth of the preputial skin often means that the frenulum also develops incorrectly, becoming shorter than normal and leading to the need for circumcision.
• Genetics: it is a condition inherited congenitally from your parents, i.e. you are born with a shortened frenulum.

A short frenulum puts stress on the penis during erection, which is very uncomfortable and, in some cases, causes the glans to curve downwards.

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Symptoms of short frenulum

• Pain. Caused by the tension exerted by the frenulum during erection or retraction of the foreskin. In cases of a very short frenulum, the pain can lead to impotence.
• Cracks in the skin of the foreskin. The skin has an abnormal appearance due to forced and constant tension of the skin. Tissue irritation and itching may also occur.
• Bleeding. It is normal when the frenulum breaks, leading to abundant and prolonged bleeding, requiring emergency medical attention for proper healing.
• Infection. This may be caused by an injury or incorrect hygiene due to difficulty in retracting the foreskin.
• Glans drooping during erection. Because of the tension exerted by the short frenulum, the foreskin cannot fully uncover the glans penis, wedging it between the tissue. This results in a curved appearance of the penis when erect.

The main objective of the short frenulum surgery, frenuloplasty or frenulectomy, is to solve the symptoms and problems caused by this anomaly.

In the majority of cases in which the specialist detects problems with the retraction of the foreskin, either because of its narrowness or because of the short frenulum, the simplest, quickest and most effective solution is surgical treatment, circumcision or frenulum surgery.

Short frenulum surgery is a very simple surgical procedure that rarely presents any risk or complication.

Thanks to frenuloplasty or frenulectomy, the point of tension is released by repairing the frenulum brevis. To do this, the urologist sections the frenulum and removes the excess skin circumcising the frenulum, thus achieving both an aesthetic and functional result.

First of all, if you are interested in the short frenulum surgery (frenuloplasty) to solve the problems of limited foreskin retraction as well as its other annoying symptoms through Operarme, you can request a free consultation with our Urology Specialist to meet him so that he can assess your problem and indicate the best treatment for you.

If you would like more information before requesting an appointment, you can contact Operarme’s team through the contact form, by calling at +34 91 141 33 56, or by clicking on the button below:

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Once you have requested a consultation, one of our patient care advisors will contact you to explain any queries you may have and confirm that the day and date for the consultation suits your needs.

Consultation with the urologist

A proper diagnosis is the key to choosing the best solution to eliminate the discomfort of a short frenulum. To do this, after requesting a consultation with the specialist, the urologist will carry out various tests, as well as an interview to find out the specifics of your case.

This protocol, which is carried out in the consultation room, consists of:

• Review of the complete clinical history
• Anatomical examination
• Analysis of the medical tests

After checking the above points, the urologist will determine the presence of a short frenulum and if there is any other associated problem, such as phimosis, and will recommend the best treatment to solve your problem.

If during this consultation you decide to have the short frenulum operation performed by our urology specialist, you can arrange a date for the operation with him or her on the spot.

The day after the consultation, our patient service team will contact you to ask you how everything went and whether or not you have made the decision to have the intervention. 

If so, your personal patient service advisor will explain the steps to follow, arrange your pre-study and anaesthesia appointments, and answer any questions you may have during the process.

On the day set for the blood test, you will need to come to the hospital with the necessary documentation. 

Don't worry: our patient service team will have told you this. Only one test will be carried out there:

• Coagulation analysis: this allows us to determine whether or not the patient's blood is clotting correctly.

Normally, in more complex surgeries, several additional tests are carried out, such as a chest X-ray or an electrocardiogram. In the case of the short frenulum operation, as it is a very simple operation performed under local anaesthesia, it is not necessary.

Frenulectomy is an operation that is performed under local anaesthesia and on an outpatient basis, so you can go home on your own after the operation. The short frenulum operation consists of the following:

When you enter the operating theatre, the team of doctors will instruct you to stand facing upwards, in the same way as women stand during childbirth, i.e. with your legs raised and spread.

You will be covered with a surgical drape, leaving only the penile area uncovered.

You will then be washed and disinfected and the local anaesthetic will be administered, waiting for it to take effect so that the frenulectomy can begin:

• Once the anaesthetic has taken effect, the specialist will section off the excess part of the foreskin, in cases where circumcision is required.
• The next step will be to cut the frenulum so that the area is relaxed and the necessary stitches will be placed. The stitches are absorbable and will fall out on their own.
• Finally, the area will be bandaged and the nursing team will explain the postoperative care of the surgical wound, as well as some medical instructions.

This is an outpatient surgery, so you will be able to go home when it is over.

The duration of this operation is approximately 20 - 30 minutes. As for recovery, it takes 2 - 4 weeks after the operation.

By operating on the short frenulum, the glans penis can be fully uncovered and as a direct result, sexual intercourse will be more pleasurable by eliminating discomfort and tension.

Another advantage of frenulum surgery is that by uncovering the entire glans penis, the appearance of the penis can be about 0.5 cm longer, but the penis remains the same.

Short frenulum surgery is a very simple intervention, performed under local anaesthesia and on an outpatient basis.

After the frenulum operation, the risk of the frenulum tearing during sexual intercourse disappears completely.

Finally, in addition to the benefits derived directly from frenulectomy/frenuloplasty, it is also worth highlighting the advantages of undergoing surgery through Operarme, the main ones being:

• Free surgical assessment consultation with a Urology Specialist, and without waiting.
• All-inclusive price, which we guarantee; you know the final price from the very first moment.
• Fully personalised attention provided by our patient service department, guiding you and solving any questions that may arise during the process so that you never feel lost and can only worry about getting well.
• Our specialists in Urological Surgery are experts in their field, with a long track record and outstanding professionalism.
• We have hospital centres equipped with the most advanced medical technologies and a privileged location in your city.

If you are thinking of solving the problem of short frenulum safely, quickly and under the recommendation of urology experts, you can request a surgical assessment consultation free of charge and without waiting by filling in our contact form, calling at +34 91 141 33 56 or clicking on the image below:

Short frenulum surgery at Operarme

Request a free and immediate appointment with our specialists in Urology and get a surgery date

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