A frenuloplasty is the release of an abnormally short frenulum of the penis that restricts normal retraction of the erection or causes pain while retraction of the prepuce.
This may be a a congenital(since birth) or complication of circumcision because of the scarring effect . The goal of treatment is to allow normal retraction of the foreskin. Circumcision may relieve this condition but is not indicated solely for treating tight frenulum. Many people have fear loosing the foreskin thinking that it will reduce the sexual pleasure.We have seen people opting for frenuloplasty over circumcision for fear of loosing foreskin.
The procedure usually involves the creation of an incision in the frenulum. This is then stretched to lengthen the frenulum and stitched closed. The incision what we do is a single horizontal cut. Once healed, the procedure effectively elongates the frenulum, allowing normal function. Under normal circumstances the incision heals completely in 1 month, after which time normal sexual activity can resume.
We conduct the surgery under sedation and penile block and it is conducted as an OPD procedure and the patient is allowed to go home the same day with anti-inflammatory medciations to take care of the pain or sweelling.