Lengthening of the penile frenulum (frenuloplasty)

What is this?

This is the surgical treatment for a short penile frenulum by dividing the skin across and re-suturing in a lengthwise fashion

What alternatives are there?

Circumcision, observation.

What to expect before procedure

You will usually be admitted on the same day as your surgery. You will normally receive an appointment for pre-assessment, approximately 14 days before your admission, to assess your general fitness, to screen for the carriage of MRSA and to perform some baseline investigations. After admission, you will be seen by members of the medical team which may include the Consultant, Specialist Registrar, House Officer and your named nurse. You will be asked not to eat or drink for 6 hours before surgery and, immediately before the operation, you may be given a pre-medication by the anaesthetist which will make you dry-mouthed and pleasantly sleepy.

What happens during the procedure?

Either a full general anaesthetic (where you will be asleep throughout the procedure) or a spinal anaesthetic (where you are awake but unable to feel anything from the waist down) will be used. All methods minimise pain; your anaesthetist will explain the pros and cons of each type of anaesthetic to you. The tongue of skin under your penis will but cut across and repaired lengthwise to lengthen the frenulum by approximately 0.5 centimetres

After the procedure

You may experience discomfort for a few days after the procedure but painkillers will be given to you to take home. Absorbable stitches are normally used which do not require removal. Vaseline should be applied to the tip of the penis and around the stitch line to prevent the penis from adhering to your underclothes and it is advisable to wear loose-fitting clothing for 2-3 days. It is also advisable to retract the foreskin daily to prevent scarring and shortening of the frenulum. Passing urine will be painless and will not be affected by the operation. The average hospital stay is less than 1 day.

Potential side effects