Name of the Procedure:

Frenulotomy of the Penis
Common names: Frenulum Release Surgery, Penile Frenulotomy

Summary

A frenulotomy of the penis is a minor surgical procedure that involves cutting the frenulum, a small elastic band of tissue located on the underside of the penis. The procedure is typically performed to relieve discomfort or restrictions caused by a tight frenulum.

Purpose

The medical condition addressed by frenulotomy is known as frenulum breve, where the frenulum is too short, causing pain or difficulty when retracting the foreskin. The expected outcome is improved comfort, functionality, and sexual activity without pain.

Indications

• Pain during sexual intercourse or erections
• Difficulty retracting the foreskin
• Tearing or bleeding of the frenulum
• Recurrent infections related to frenulum or foreskin tightness

Preparation

• Pre-operative consultation to assess the condition
• Instructions to maintain good hygiene
• No specific fasting requirement unless general anesthesia is anticipated
• Avoiding blood-thinning medications as advised by the doctor

Procedure Description

1. The patient is positioned comfortably on the surgical table.
2. Local anesthesia is administered to numb the area.
3. The surgeon makes a small incision on the frenulum to release the tightness.
4. In some cases, the frenulum may be sutured to prevent reattachment.
5. The area is cleaned and a dressing is applied.

Tools and equipment:

• Surgical scissors or scalpel
• Local anesthetic (e.g., lidocaine)
• Sutures (if needed)
• Antiseptic solutions

Duration

The procedure typically takes about 15-30 minutes.

Setting

Performed in an outpatient clinic or surgical center.

Personnel

• Urologist or qualified surgeon
• Nursing staff to assist and provide post-operative care

Risks and Complications

Common risks:

• Mild bleeding
• Infection
• Pain or discomfort post-surgery

Rare risks:

• Scarring
• Reattachment of the frenulum
• Altered sensation

Benefits

• Relief from pain and discomfort
• Improved ability to retract the foreskin
• Enhanced sexual function and comfort
• Results can typically be noticed within a few weeks post-procedure

Recovery

• Over-the-counter pain medication for discomfort
• Keeping the area clean and dry
• Avoiding sexual activity and strenuous physical activity for a few weeks
• Follow-up appointments to monitor healing

Alternatives

• Topical steroid creams
• Foreskin stretching exercises
• Circumcision (if frenulotomy is not effective)

Patient Experience

During the procedure, the patient may feel mild pressure but should not feel pain due to local anesthesia. Post-procedure, there may be some soreness and minor swelling, which can be managed with pain relievers and ice packs. Most patients can return to normal activities within a week, avoiding specific activities as advised by the doctor.