What is an Frenuoplasty Surgery?

Frenuoplasty is a surgical procedure that involves the modification of the frenulum, which is the small fold of tissue that secures the motion of a mobile organ in the body. In the context of frenuoplasty, it typically refers to the penile frenulum, the elastic band of tissue located on the underside of the penis that connects the foreskin to the glans. The procedure aims to alleviate discomfort or problems associated with a short or tight frenulum, a condition known as frenulum breve.

Indications for Frenuoplasty

Frenuoplasty is recommended for patients with:

• Frenulum Breve: A condition where the frenulum is too short, restricting the movement of the foreskin and causing pain during erection or intercourse.
• Tearing or Injury: Recurrent tearing or discomfort during sexual activity.
• Pain or Discomfort: Persistent pain or discomfort in the frenulum area.
• Post-Circumcision Complications: Issues arising after circumcision that involve the frenulum.

Procedure of Frenuoplasty

The steps involved in frenuoplasty are as follows:

1. Anesthesia: The patient is given local anesthesia to numb the area, ensuring comfort during the procedure. General anesthesia may be used in some cases.
2. Incision: A small incision is made in the frenulum to lengthen it. This incision can be either vertical or Z-shaped to allow for greater flexibility and to reduce tension.
3. Suturing: The incised area is then stitched in a way that lengthens the frenulum and releases the tension. Absorbable sutures are often used, so they do not need to be removed later.
4. Healing: The area is cleaned and dressed, and the patient is given instructions for post-operative care.

Advantages of Frenuoplasty 

• Improved Comfort: Alleviates pain and discomfort associated with frenulum breve.
• Enhanced Sexual Function: Allows for a more comfortable sexual experience.
• Minimally Invasive: A relatively simple and quick procedure with minimal recovery time.
• High Success Rate: Generally effective in resolving issues related to a tight frenulum.

Risks and Complications of Frenuoplasty

While frenuoplasty is generally safe, some potential risks include:

• Infection: Risk of infection at the surgical site.
• Bleeding: Minor bleeding can occur during or after the procedure.
• Scarring: Potential for scar tissue formation at the incision site.
• Pain: Some discomfort or pain during the healing process.
• Recurrence: In rare cases, the frenulum may heal too tightly, requiring further treatment.

Conclusion

Frenuoplasty is a straightforward and effective surgical procedure to address issues related to a short or tight frenulum, improving comfort and sexual function. Understanding the indications, procedure, benefits, and potential risks can help patients make informed decisions about their treatment options. If considering frenuoplasty, consult with a healthcare professional to discuss the best treatment plan for your specific situation.