Frenuloplasty (N2842)

Frenuloplasty is a minor surgical procedure performed to release a short or tight penile frenulum (frenulum breve), which can cause pain, tearing, or restricted foreskin movement during erection or sexual activity. It is typically performed as a day case under local or general anaesthetic, depending on patient preference and clinical setting.

The procedure involves making a small incision in the frenulum to lengthen it, followed by closure with fine absorbable sutures to allow for improved mobility of the foreskin and reduced tension during erections.

Indications include:

• Short or tight frenulum causing painful erections or tearing

• Recurrent frenular trauma or bleeding during intercourse

• Difficulty retracting the foreskin due to frenular restriction

• Failed conservative treatment (e.g. topical steroid or stretching exercises)

Postoperative care includes:

• Daily cleaning with warm water and gentle drying

• Application of antibiotic ointment if prescribed

• Avoiding sexual activity or masturbation for 2–3 weeks

• Use of non-restrictive underwear to reduce discomfort

• Follow-up if healing is delayed or scar tissue forms

Frenuloplasty is a quick, safe, and effective procedure with low complication rates and high patient satisfaction, often preserving the foreskin and avoiding the need for full circumcision.