Frenulotomy, or plastic surgery of the frenulum of the foreskin, is a surgical operation aimed at forming the required length of the frenulum of the penis by cutting it.
The frenulum of the penis is a longitudinal fold of skin that begins on the lower inner surface of the foreskin (prepuce) and connects it to the head of the penis. The frenulum can stretch when the foreskin moves, for example, during an erection, during friction during sexual intercourse, or during hygiene procedures.
With a normal length of the frenulum, displacement of the foreskin does not cause any discomfort, however, in some cases (congenital anomalies, injuries of the penis) the frenulum can be very short. A short frenulum prevents the free displacement of the prepuce, as a result of which a man may feel discomfort and pain during erection, sexual intercourse; premature ejaculation and curvature of the penis due to bending of the head downwards are often observed.
Since the frenulum of the penis is rich in blood vessels, it often ruptures during sexual intercourse with heavy bleeding. In addition, a short frenulum complicates hygiene procedures, as a result of which smegma (secretion from the glands of the foreskin) accumulates in the preputial sac and an inflammatory process develops.
According to statistics, a short frenulum of the penis is diagnosed in at least one newborn out of a thousand. In addition, a small percentage is allocated for cases of short frenulum after a penile injury. Based on this, it is quite clear why a procedure such as frenulotomy is a fairly popular procedure today.
Next, we will tell you in more detail how frenulotomy of the foreskin is performed, what are the indications for the operation, what is the price of the service and where can plastic surgery of the foreskin frenulum be performed in Kyiv.
A little anatomy
The frenulum is a small elastic fold that connects the foreskin and the head of the male reproductive organ.
It holds the skin in place during an erection, allowing the head of the penis to be exposed. It also corrects the shape of the penis, making high-quality sexual contact possible. Various frenulum defects can create many problems and troubles for a man:
- too long - it will not hold the erect head in the correct position;
- shortened - it will not allow the head of the penis to open completely;
- inelastic - it will tear at the slightest carelessness, causing severe pain and the possibility of infection.
Thus, these defects lead to disorders in the functioning of the male reproductive system and must be eliminated.
Indications for surgery
Many men are terrified of this operation, even knowing that it is quite simple and practically painless. They continue to endure numerous inconveniences and disappointments in sex, although the problems can be solved during one visit to the surgeon.
According to experts, plastic surgery of the frenulum of the male penis is necessary when:
- phimosis and paraphimosis - narrowing of the foreskin, which does not allow the head to open freely;
- disproportionately shortened bridle;
- rupture of the frenulum resulting from injury or sexual contact;
- caused by frenulum defects due to early ejaculation;
- the presence of a tubercle of connective tissue, growths or scars on the frenulum.
It is necessary to immediately visit a urologist or plastic surgeon if, after sexual intercourse, the penis bleeds, exposing the head causes pain, during sex it goes down and the penis bends, and during erection a strong tension in the skin is felt.
Where to do frenulotomy in Kyiv and what is the price of the procedure
Where to have frenuloplasty done in Kyiv? A number of clinics provide such a service as frenuloplasty in Kyiv. However, taking into account customer reviews, the leading position is occupied by the Men's Health intimate medicine clinic. Our clinic employs only highly qualified specialists who are constantly learning and are aware of all modern trends!
The clinic is equipped with ultra-precise, modern equipment, thanks to which every patient has access to high-quality and fast diagnostics. At the Men's Health clinic, each patient can be examined and find out the results on the same day, and this allows you to begin treatment faster! The clinic has many other advantages, one of which is doctors who speak a foreign language fluently, which allows foreign patients to receive quality medical care. Frenulotomy at the Men's Health clinic is performed by professional urological surgeons, and therefore is quick, painless and completely safe!
How much does frenuloplasty cost in Kyiv? For the procedure of frenulotomy of the frenulum of the foreskin, the price differs in different clinics and averages from 1000 to 4000 UAH. At the Men's Health clinic, the price for frenulotomy surgery corresponds to the quality of the service provided; you can find out by phone or directly on the clinic’s website.
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Execution technique
The technique depends on the type of operation and the defect that needs to be eliminated. Correction can be carried out in the traditional way using a regular scalpel or using laser technologies, which provide certain advantages.
The laser beam cauterizes small blood vessels, making the operation virtually bloodless, and at the same time disinfects the wound, reducing the risk of suppuration and the development of inflammatory processes.
Short bridle
The operation on a short frenulum is performed under local anesthesia and takes no more than 15-20 minutes. The standard step-by-step procedure looks like this:
- An application with an anesthetic is applied to the head;
- The frenulum is cut transversely with a regular or laser scalpel;
- a longitudinal skin fold of the correct shape and length is formed;
- it is fixed with several miniature transverse stitches;
- A sterile pad is placed around the head.
In a more modern version, the frenulum tissue is incised in several places with a laser or radio wave knife. Since the edges are immediately sealed, the wound does not bleed, and there is no need for stitches.
Long bridle
Shortening a long bridle is much easier and faster. To do this, you need to make two small transverse incisions. Part of the frenulum between them is excised, and the remains are connected with a cosmetic self-absorbing suture.
But it is very important that this simple manipulation is carried out by an experienced surgeon, who will correctly determine how long the skin fold needs to be left.
In the event of a serious medical error, you will have to perform prolonged stretching of the frenulum, which is quite unpleasant, or perform a second operation, this time to lengthen it.
Circumcision
Sometimes the only way to solve frenulum problems is circumcision or circumcision. This is a more radical method in which the entire foreskin is excised. It is used as a necessary measure, or is performed at the request of the patient himself.
Circumcision is considered by experts to be the best option for:
- phimosis and paraphimosis;
- inelasticity of the frenulum;
- tendency to form scars.
This operation should not be confused with castration, which makes full sexual intercourse impossible. On the contrary, after circumcision, its duration increases significantly over time due to a slight decrease in the sensitivity of the head. In addition, it becomes easier to care for the genital organ, and the procedure greatly reduces the risk of contracting AIDS and STDs.
The foreskin is excised with a regular or laser scalpel around the head of the penis and connected to it with self-absorbing cosmetic sutures.
The entire procedure takes no more than 20-30 minutes and is performed under local anesthesia. Bruising and swelling disappear within 4-7 days, and you can return to having sex in 2-4 weeks.
What is frenulotomy?
Frenulotomy is a simple operation, indicated for such a feature as a short frenulum of the genital organ. During this operation, the frenulum is transversely dissected and then sutured in the longitudinal direction. Thus, it stretches to its normal length. As a result, only a thin seam is visible from the inner surface of the foreskin, everything looks quite natural. The entire operation lasts no more than 20 minutes, it is not a complex surgical procedure, and is performed under local anesthesia.
Correction of the frenulum allows you to eliminate pain symptoms and eliminate the risk of ruptures and bleeding during erection. The procedure is quite simple, and the development of complications after it is extremely rare.
Rehabilitation
Immediately after the procedure, the patient can go home. However, there he needs to be careful and adhere to the following medical recommendations:
- if there are stitches on the bridle, they cannot be wetted for two days;
- until the wounds are completely healed, they must be treated with an antiseptic 2-3 times a day;
- on the second day, be sure to undergo a preventative examination so that the surgeon can assess how the healing process is going;
- do not touch the penis with your hands unless necessary, do not pick off the crusts that have formed;
- try to completely exclude the possibility of erection, so as not to tear the operated frenulum.
If severe pain occurs in the first days, you can take painkillers or anti-inflammatory tablets. Having sex is allowed no earlier than after 2 weeks, but if the healing process is slow, the ban can last up to a month.
How is frenulotomy performed?
Surgery is performed on an outpatient basis under local anesthesia for adult men, or with general anesthesia for adolescents. The duration of the manipulations is no more than 20 minutes. The patient is asked to assume a supine position on the operating table and the surgical area is disinfected.
With local anesthesia, the anesthetic is injected into the tissues of the penis, with general anesthesia - into a vein. As soon as it begins to act, the surgeon dissects the frenulum of the penis across, allowing the skin folds to straighten to the required size.
After this, the edges of the incisions are sutured with threads, which will self-resolve in the postoperative period. If there are scars, they are first excised. Upon completion, a napkin with an antiseptic is applied to the penis, which can be removed no earlier than after 12 hours.
The operation can be performed using a conventional scalpel, radio knife or laser.
Classic frenulotomy
Classic method of penile frenulum correction:
- First, a transverse dissection of the frenulum is made.
- Then the edges of the wound are stretched in the shape of a diamond.
- The final step is to adjust the skin tension and apply sutures.
The suture is applied with the same threads that are used in maxillofacial surgery. By 21 days they usually completely resolve or fall out. The finished suture is filled with surgical glue to avoid infection and separation of the edges. Such a wound can be wetted within a day; when wiping, simply blot it with a towel. If the seam is simply treated with brilliant green, then it is not recommended to wet it for about a week.
Frenulotomy using laser
Frenulotomy using a radioknife The intervention is bloodless due to the fact that the laser cauterizes the edges of the wound, eliminating bleeding.
Unfortunately, this operation has one drawback, which is the risk of divergence of the edges of the wound during an erection.
Application of radio knife
The use of a radio knife involves exposure to high-frequency radio waves. They allow the destruction of skin growths and neoplasms, excluding the impact on healthy tissues along with blood vessels. Thanks to this, there is no risk of purulent processes and hematoma. If indicated, the operation can be combined with other techniques aimed at eliminating scar tissue or narrowing the foreskin. At the same time, circumcision of the foreskin is also carried out. It is used if the surgeon notes the impossibility of completely exposing the head due to an excessive amount of foreskin tissue.
Possible complications
If plastic surgery of the frenulum of the foreskin is performed correctly and by the hands of an experienced specialist, and the patient follows all medical recommendations at home, complications after it are extremely rare. They usually occur due to the negligence or inaccuracy of the operated men:
- heavy bleeding due to repeated rupture of blood vessels;
- severe and long-lasting swelling;
- difficulty and/or painful urination;
- infection and suppuration of sutures;
- formation of rough scars and adhesions;
- unaesthetic appearance of the head.
In most cases, repeat surgery is not necessary to correct these problems. But if the frenulum ruptures due to a strong spontaneous erection or the man’s carelessness, the stitches will have to be re-stitched.
Contraindications
There are few contraindications to frenulotomy, since it is not a major operation and does not require general anesthesia. In order to make sure that they are absent, the surgeon sends the patient for a short examination, which includes several blood tests, a general urinalysis and a fluorogram.
The operation is not performed if:
- presence of systemic viruses and infections;
- any diseases of the genitourinary system;
- exacerbation of chronic diseases;
- blood clotting disorders;
- oncology and autoimmune diseases;
- epilepsy and mental disorders;
- presence of active viruses and infections.
It should be taken into account that the healing process in heavy smokers takes much longer, and the risk of developing inflammation or tissue necrosis increases many times over.
How to prepare for frenulotomy?
Doctors recommend giving up alcoholic beverages a week before surgery. Some clinics prescribe antibiotics for 2 days to protect against infectious inflammation.
In 2-3 days you need to remove hair from the groin area. To avoid cuts, you can use hair removal cream.
In preparation for frenulotomy, it is necessary to donate blood the day before (for HIV, hepatitis, syphilis, general analysis, coagulogram) and a test for lidocaine. The operation is not abdominal, so there is no need to undergo other standard preoperative examinations. An ECG is only required for patients over 40 years of age.
On the day of surgery you can eat and drink. The manipulation is performed under local anesthesia. The doctor injects lidocaine under the frenulum (to a depth of 2 mm) and waits until the target area is completely numb.
Summing up
Reviews from most patients about frenulotomy are very positive. The procedure is very easy to tolerate, and negative consequences are extremely rare if the patient behaves correctly in the postoperative period.
After using the laser, the wound does not bleed at all and heals quite quickly, but the price for such a procedure is almost one and a half times higher than for a traditional one, and starts from 8 thousand rubles.
Trimming the frenulum for phimosis avoids circumcision, which many patients are still afraid of. In the photo after the operation, you can see that the appearance of the penis practically does not change and the surgical intervention itself is not visually noticeable. But now there are no problems during an erection, and a man can get complete pleasure from sex.
Author: Anna Alexandrova
