What is a frenulum and what is the problem?
The frenulum is an elastic fold on the lower surface of the glans penis, connecting it to the inner layer of the foreskin. It contains blood vessels and a large number of nerve endings, so it is very sensitive.
Normally, the frenulum is long enough and does not interfere with the displacement of the foreskin. If it is short, then during an erection it becomes tense: the head deviates downwards, a nagging pain occurs, and the foreskin does not completely expose the head.
Over time, the situation may worsen: repeated microtears heal with the formation of a scar, the frenulum becomes even shorter and less elastic, and the pain intensifies.
Symptoms
- Nagging pain in the frenulum during erection
- Deviation of the head downward during erection
- Difficulty exposing the head
- Pain during sexual intercourse, especially in certain positions
- Tears of the frenulum with bleeding, sometimes quite profusely
- Scars and seals in the frenulum area after ruptures
- Fear of pain and associated anxiety about intimacy
- Premature ejaculation - due to increased sensitivity and tension
- Attachment of inflammation during injury
Why are ruptures dangerous?
- Bleeding - the frenulum contains an artery, so blood loss can be significant and sometimes requires medical attention
- Formation of a scar, which makes the frenulum even shorter
- Repeated ruptures in the same place
- Wound infection
- Painful sensations and avoidance of sexual activity
- Psychological consequences: anxiety, decreased confidence
If there is bleeding, you need to press the rupture site with a sterile napkin, apply cold, and if bleeding continues, consult a doctor. You should not apply tight bandages yourself.
Treatment
There are no conservative methods for lengthening the frenulum: this is an anatomical feature, and after ruptures there is also scar tissue. The problem is solved surgically, and the intervention is one of the simplest.
- Frenuloplasty is a transverse section of the frenulum with suturing along it, which increases its length; performed under local anesthesia on an outpatient basis
- Excision of scarred frenulum in case of repeated ruptures
- Circumcision - discussed when a short frenulum is combined with phimosis or severe scarring of the foreskin
- Laser techniques
- Emergency bleeding control and suturing in case of acute rupture
How is the surgery and recovery going?
- The intervention is short, performed under local anesthesia, hospitalization is not required
- Pain after surgery is usually moderate and well controlled
- Sutures are most often dissolvable
- Hygiene and wound treatment as recommended by a doctor
- Sexual rest for a period determined by the surgeon - usually several weeks
- Limiting physical activity in the first days
- Wearing loose underwear
- Healing usually occurs without complications, the scar is hardly noticeable
Frequently asked questions that men are embarrassed to ask
- Sensitivity after frenuloplasty, as a rule, remains - the operation does not remove the frenulum, but lengthens it
- The intervention does not affect the size of the penis
- Circumcision with a short frenulum is not mandatory: it is a separate operation with other indications
- The problem is not related to hygiene or lifestyle - it is an innate structural feature
- It is worth contacting even if the pain is moderate: early intervention is easier than surgery on scar tissue
Where is treatment in Tashkent
To solve the problem, a consultation with a urologist or andrologist and an outpatient operating room is sufficient.
In Tashkent, consultation and surgical treatment for short frenulum of the penis are carried out at the UROLOGIC COMPLEX medical center and at the Tashkent Medical Park clinic.
You shouldn’t endure pain for years and fear repeated ruptures: this is one of those problems that can be solved quickly and reliably. Clinic contacts and online registration are below on the page.
