Frenuloplasty Surgery For Tight & Short Frenulum Breve

Benefits of Cutting the Frenulum (Frenuloplasty) for Foreskin Issues

Enhanced Comfort and Reduced Pain

A tight frenulum (frenulum breve) can cause significant discomfort or pain during sexual activity and erections. This condition can lead to tears, bleeding, and chronic irritation. By undergoing a frenuloplasty, where the frenulum is surgically altered, individuals can experience immediate relief from these painful symptoms. This procedure ensures a more comfortable experience during intimate moments and daily activities, significantly improving quality of life.

Improved Sexual Function and Satisfaction

Men with a short or tight frenulum often experience difficulty in retracting the foreskin fully, which can lead to pain and a decreased sexual experience. Frenuloplasty can resolve these issues, allowing for complete retraction of the foreskin. This improvement can enhance sexual pleasure and satisfaction for both partners, fostering a healthier and more fulfilling sexual relationship.

Prevention of Further Complications

A tight frenulum can contribute to recurrent infections, such as balanitis (inflammation of the glans) or posthitis (inflammation of the foreskin). These infections are not only painful but can lead to further health issues if left untreated. Frenuloplasty reduces the risk of these infections by improving hygiene and allowing for better cleaning of the area, thus promoting overall penile health.

How to prepare for frenuloplasty?

There is nothing to worry about the procedure of frenuloplasty. The modern laser-based procedure of frenuloplasty is simple and has a high success rate. The entire procedure takes only 10-15 minutes. Frenuloplasty is a daycare procedure and the patient can go home on the same day. Also, the recovery period is very short for frenuloplasty surgery. The patient fully recovers within 3-5 days and can easily resume work after that. There are only a few simple instructions that the doctor asks the patient to observe for a few days.

1. Avoid smoking completely. Smoking elevates the risks of complications and even slows down the healing process after the surgery.
2. Discuss the symptoms that you’re experiencing, allergies, and the medicines you’re taking with your doctor before the procedure. Also, make sure that you get all your questions answered beforehand.
3. The doctor will ask you to avoid eating or drinking anything for a couple of hours before the surgery. This is generally suggested based on the type of anesthetic to be used.

What Happens During Frenuloplasty?

Step 1 · 30-60 mins

Hospital Admission

The patient arrives at the hospital on the scheduled day of surgery.

Registration and admission formalities are completed.

Vital signs such as blood pressure, pulse, temperature, and oxygen levels are checked.

The urologist reviews the patient's medical history and pre-operative reports.

Step 2 · 20-30 mins

Pre-surgery Preparation

The urologist examines the tight or short frenulum and confirms the surgical plan.

The anesthetist performs a final pre-anesthesia assessment.

Consent forms are signed after discussing the procedure, benefits, and possible risks.

The genital area is cleaned and prepared for surgery.

An IV line is started for fluids and medications, if required.

Step 3 · 10-15 mins

Anesthesia Administration

The patient is taken to the operation theatre or procedure room.

Local anesthesia is usually administered to numb the area and ensure a pain-free procedure.

Sedation or general anesthesia may be used in selected cases.

Step 4 · 20–40 mins

Frenuloplasty Procedure Begins

The surgeon makes a small incision in the tight frenulum tissue.

The frenulum is lengthened to improve movement and reduce pulling or discomfort.

The tissue is carefully reshaped and sutured using fine absorbable stitches.

Bleeding is controlled, and the surgical area is cleaned.

A sterile dressing is applied to protect the treated area.

Step 5 · 1-2 hours

Recovery Room Observation

The patient is shifted to the recovery area for monitoring.

Nurses monitor blood pressure, pulse, oxygen levels, pain control, and the surgical site.

The doctor checks for bleeding or swelling before discharge.

Post-procedure care instructions are explained.

Step 6 · Same Day

Discharge

Most patients return home on the same day after frenuloplasty.

Pain relief medicines and antibiotics (if prescribed) are provided.

The patient is advised to keep the area clean and dry and follow wound care instructions.

Sexual activity and masturbation should be avoided until complete healing, as advised by the urologist.

Follow-up appointments are scheduled to monitor healing and recovery.

Patients should seek medical attention if they experience excessive bleeding, increasing swelling, fever, severe pain, or difficulty urinating.

What happens during frenuloplasty surgery?

Open Frenuloplasty:

This is the conventional method of Frenuloplasty. The patient is sedated with a general or local anesthetic during this procedure. Then, the surgeon makes an incision in the frenulum and stretches it to increase its length. The stretched frenulum is then sealed with stitches. The stretched frenulum helps relieve the pain and discomfort the patient has been experiencing.

Laser Frenuloplasty:

Laser frenuloplasty is the minimally invasive method of Frenuloplasty and involves no cuts, stitches, or blood loss. In this method, the surgeons use a carbon dioxide laser to perform the procedure and reduce the risk of scarring after surgery. Additionally, the surgery takes very less time and the recovery period is also much shorter.

Risks & Complications Of Frenuloplasty

Frenuloplasty surgery is generally quite safe, has a high success rate, and does not cause complications in most cases. Most patients are satisfied after the procedure, and very few require complete circumcision afterwards. However, this surgery has its own share of risks and complications that all patients must know of. Here are some complications that might occur after Frenuloplasty surgery:

• Cutting through the urethra during the procedure
• Reduced sensation and sensitivity in the glans
• Swelling in the penis that does not subside
• Bleeding from the incision site
• Tenderness in the operated area
• No improvement in the condition. In this situation, the patient has to undergo laser circumcision or Stapler Circumcision depending on the patient’s condition.

How Much Does a Frenuloplasty Cost?

The average cost of frenuloplasty surgery in India typically ranges between INR 40,000 – INR 50,000. However, the final cost of surgery depends on various factors, including- the severity of the condition, choice of the hospital, and experience of the urologist.

₹40000

₹45000

₹50000

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