Frenuloplasty of prepuce of penis
Frenuloplasty of the prepuce of the penis is a surgical procedure aimed at correcting a condition known as a short frenulum. The frenulum is a small fold of tissue on the underside of the penis, connecting the glans to the foreskin. When this tissue is shorter than normal, it can cause discomfort, pain, or tearing during sexual activity or when the foreskin is retracted. Frenuloplasty is often considered when non-surgical treatments have failed to alleviate the symptoms associated with a short frenulum.
Indications
The primary indication for frenuloplasty is a condition commonly referred to as frenulum breve. This condition can lead to difficulties in retracting the foreskin (phimosis), pain during erections or sexual activity, and in some cases, bleeding due to tearing of the frenulum. Patients seeking frenuloplasty typically report these symptoms and may also experience psychological distress related to sexual activity.
Procedure
Frenuloplasty involves the surgical alteration of the frenulum. The procedure is usually performed under local anesthesia and can be done in an outpatient setting. The surgical technique involves making a small incision in the frenulum to lengthen it, followed by suturing the incised edges. This results in reduced tension and increased mobility of the foreskin. The specific surgical technique may vary depending on the patient's anatomy and the surgeon's preference.
Recovery
Postoperative care is crucial for a successful recovery. Patients are advised to maintain good hygiene, avoid sexual activity, and refrain from any activity that might put strain on the surgical site for a specified period, usually a few weeks. Pain, swelling, and bruising are common postoperative symptoms but typically subside within a few days. Complete healing is expected within 4 to 6 weeks. Patients are usually followed up to ensure proper healing and to address any complications.
Complications
As with any surgical procedure, frenuloplasty carries the risk of complications. These may include infection, bleeding, scarring, and changes in sensation. However, complications are relatively rare and can often be managed effectively with prompt medical attention.
Conclusion
Frenuloplasty of the prepuce of the penis is a safe and effective treatment for individuals suffering from a short frenulum. It can significantly improve symptoms and quality of life for affected individuals. As with any medical procedure, patients should discuss their options with a healthcare provider to determine the best course of action based on their specific condition and needs.
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Contributors: Prab R. Tumpati, MD