Frenuloplasty Surgery in India : Diagnosis, Surgery and Recovery

Do you feel pain and discomfort during intercourse or while retracting the foreskin of your penis? It can happen due to a short penis frenulum. The Penis frenula is also known as the frenulum. It is a soft and flexible tissue band between the penis glans (penis tip or head) and the penis foreskin. The primary work of the frenulum is to ensure a smooth foreskin retraction and keep it mobile.

If the size of the frenula is too short, it can interfere with the foreskin's mobility. It can also cause difficulty in retracting the foreskin during erection or intercourse. But there is nothing to worry about it. A simple frenuloplasty can resolve the issue. You must not feel shy or uncomfortable to reach out and seek medical attention.

Here, we will discuss everything you need to know about frenuloplasty surgery. Who needs it, frenuloplasty vs. circumcision, recovery, aftercare, and more?

What is Frenuloplasty?

Let's have a brief look at what frenuloplasty is. A frenulum is a flexible or elastic tissue band. It is between the penis glans prepuce and the vernal mucosa of the foreskin. This is what helps to promote smooth retraction of the foreskin over the penis glans. However, in some cases, the Frenulum can be a bit short, causing difficulty in the retraction process. It can even cause tears and a certain degree of bleeding of the foreskin during sex.

Frenuloplasty is a specialized surgical procedure. It helps to remove the tight or short tissue band between the penis glans and foreskin. This minor surgery helps to restore the natural retraction ability and enhance sexual pleasure.

Who Needs Frenuloplasty?

Not every uncircumcised man or man who has a short frenulum requires a frenuloplasty surgery. Most boys and men do not face any problem with their frenulum. However, some may meet many difficulties with a short/tight frenulum. They face several symptoms that make a surgery must.

Men facing the below symptoms must opt for a frenuloplasty surgery -

• Pain during sexual intercourse.
• Tearing of the foreskin and bleeding.
• Balanitis or repeated penis infection that leads to Balanitis.
• Pain during retraction.

You must note that not all short frenulum cause symptoms. Also, the symptoms can slightly differ from one to another. So, men who are facing certain symptoms will only need a frenuloplasty.

Diagnosis Before Frenuloplasty

Are you dealing with a short frenulum or contemplating frenuloplasty? In that case, seeking a medical diagnosis is essential. It can help you understand whether this treatment is necessary or if there are some alternative options to consider. The diagnosis before the frenulum surgery is not complicated. A physical examination and symptom observation are enough to determine it. When you visit your physician, they will most likely go for a physical examination of the Frenulum. It is done to understand the condition. They will also ask you questions about your medical history. They will look for symptoms that you are facing.

Surgery for Frenuloplasty (Open & Laser Frenuloplasty)

Doctors advise Frenulum penile surgery for the alteration of a wrongly formed frenulum. But you must know that this surgery is performed in two different ways before you decide. Surgery for Frenuloplasty can be either open or laser.

Open frenuloplasty surgery is the conventional method of the procedure. A surgeon can use local or general anesthesia to sedate the patient. Then, an incision is made in the frenulum and increased by stretching. Finally, the stretched frenulum is stitched and sealed. This reduces the discomfort and pain a patient might have been experiencing.

Laser frenuloplasty is a quite new surgical method to alter the Frenulum. This method requires less time and is minimally invasive. It does not include any blood loss, cuts, or stitches. In this method, a surgeon performs the procedure using a carbon dioxide laser. It enables less to no scarring after the operation. The laser procedure is becoming increasingly popular these days. It is because of so much surgery time. The recovery period is also shorter.

It is better to consult your surgeon for a rough idea about the surgery.

Circumcision Vs. Frenuloplasty

Circumcision is a popular alternative to Frenuloplasty and vice versa. Your healthcare provider can suggest one of these surgeries based on your symptoms. However, you must have a clear idea about these surgeries before choosing to undergo any of them. Both of these procedures take one day. You can also get back home after the surgery is performed. But they depend on different methods. Circumcision removes the foreskin to reduce penile discomfort. On the other hand, Frenuloplasty surgically alters the Frenulum.

Best Urology Surgeons for Frenuloplasty Surgery

1. Dr. Gautam Banga

Dr. Gautam Banga is a pioneer urology surgeon in India. He has vast experience in treating various urology-related issues like phimosis, and Peyronie’s disease, etc. He is an expert in frenuloplasty and other cosmetic urology.

2. Dr. Vijayant Govinda Gupta

Dr. Vijayant Govinda Gupta is widely known as a penile implant surgeon. He has proficiency in urology surgeries. Dr. Viajayant Gupta does surgeries like frenuloplasty, phimosis(child & adult), paraphimosis, circumcisions, etc.

3. Dr. Raman Tanwar

Dr. Raman Tanwar is one of the top urological surgeons in India. He has expertise in surgeries like vasectomy, phimosis, epispadias, and minimally invasive surgery like LASER circumcision.

4. Dr. Vineet Malhotra

Dr. Vineet Malhotra is the best urology doctor. He performs various endourology, reconstructive, and laparoscopic procedures. With his extraordinary talent, Dr. Vineet Malhotra is now a member of many renowned institutions globally.

 

Preparation for the Frenuloplasty Surgery

Frenuloplasty procedure is often suggested by experts to male patients with a shorter frenulum. This process stretches the Frenulum and relieves penile pain or discomfort. There are two different methods for this surgery- open and laser. Circumcision, on the other hand, is an age-old procedure and is part of many religious rites. Medically, circumcision is prescribed to address issues like paraphimosis and phimosis. Circumcision can be performed using three different methods- dorsal slit, guided forceps, and sleeve resection.

Frenuloplasty is a minor surgery that takes less than 20 minutes to complete the procedure. Also, there is nothing to worry about the surgery. That is because the advanced laser-based process is easy. It has a higher success rate. It is not likely in the traditional method. The surgical procedure falls under the daycare category. The patients can return to their homes the same day after surgery.

Below are a few steps to prepare yourself for the frenuloplasty procedure-

• Make sure that you talk about all the symptoms you are experiencing. Mention the medicines you are taking. Let them know about your medical history. Giving them your allergy information is a must. Also, ensure that all your queries are answered before heading towards the frenuloplasty.
• You should also get all the details of the procedure from your healthcare provider. How the surgery will be performed, how long the process will take! What will be the recovery period, whether they will use anesthesia, etc?
• Follow all the restrictions or instructions prescribed by the doctor. Like eating healthy, drinking plenty of water, quitting alcohol, and smoking.
• In Frenuloplasty, patients are often asked by healthcare providers to stop eating and drinking. This typically occurs a few hours after the surgery. It depends on the type of anesthesia given to the patient.
• Remember to bathe and clean yourself before heading to the clinic for surgery.
• Lastly, do not forget to ask for the details about Frenuloplasty after care before the surgery.

Surgery procedure of Frenuloplasty

Frenuloplasty is a special surgical intervention for treating tight or short Frenulum. The surgery takes less than 20 minutes with no recovery period at the office. Also, frenulum operation cost is low and quite affordable. It is an advanced technical surgery method. It is to treat the short penis frenulum by dividing the frenulum skin across. Then it is re-stitched in a lengthwise manner.

Below are the details of the Frenuloplasty procedure -

• The surgery is performed under sterile conditions to prevent the chances of infection after the procedure.
• You will be fully awake and conscious during the surgery. Only anesthesia (either injectable or rub) will be used on the operative area. It is to prevent the sensation of pain and discomfort.
• A local antiseptic and sterile drape will be applied to your genital following local anesthesia.
• Then, your Frenulum will be divided horizontally and equally all the way around.
• After that, a couple of absorbable sutures are used. It is to close the wound vertically to lengthen the Frenulum.
• To achieve electrocautery surgery, surgeons will use Hemostasis.
• Lastly, then will apply ointment on the incision to finish the procedure for Frenuloplasty.

Recovery after Frenuloplasty

Frenuloplasty is a comparatively simple procedure. You can get back home the same day of the surgery if there is no complication. However, you might need to stay in the hospital for a night if there is bleeding or other complications. One is also required to take one day of rest after the surgery. You should not have sexual intercourse for 5-6 weeks as part of frenuloplasty after care.

Your doctor can also prescribe you some analgesics to manage pain after the frenuloplasty operation. The operated area should be cleaned every day. One should cautiously retract the foreskin to clean the area properly. The stitches will fall off on their own once the area is healed. Your urologist will ask you for a follow-up after 6 weeks of the surgery. They will physically examine the operated site to ensure it has healed and the surgery was successful. You will also see the proper result of the surgery after 6 weeks.

Frenuloplasty FAQs