FRENULOPLASTY: Z PLASTY TECHNIQUE

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.

TIGHT FRENULUM

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. 

Z-plasty is a versatile reconstrcutuve technique that is used to improve the functional and cosmetic appearance of scars. It can elongate a contracted scar or rotate the scar tension line. The middle line of the Z-shaped incision (the central element) is made along the line of greatest tension or contraction, and triangular flaps are raised on opposite sides of the two ends and then transposed. The length and angle of each flap are usually the same to avoid mismatched flaps that may be difficult to close.

RAISING Z INCISION WITH VERTICAL ARM MATCHING THE FRENULUM BREVE

INCISING ALONG THE HORIZONTAL ARMS.WE MAKE THE ARMS AT AN ANGLE OF 45%

WHOLE PROCEDURE IN A DIAGRAMMATIC FASHION 

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 medications to take care of the pain or swelling.