Penile Frenulectomy at Our Calgary Alberta ClinicMarwan Nasr2019-11-04T08:33:39-07:00
Some men experience pain due to a tight band of skin between the shaft of the penis and the glans on the underside of the penis. This “frenulum breve” can occur in both circumcised and uncircumcised men and it can cause pain with erections or bleeding during sex due to micro-trauma.
A penile frenulectomy (or frenuloplasty) is a specialized technique that treats this condition by removing the tight restriction, allowing increased penile skin range of motion and sexual enjoyment.
Frenulectomy or Frenuloplasty to Resolve Penis Discomfort
A frenulectomy is a procedure that can alleviate the pain often associated with a tight band of tissue between a penis’ shaft and the glans on its underside.
A tight frenulum can exist independent of whether a man has been circumcised, and it can create a tight and curved section of the penis that is susceptible to micro-trauma, causing bleeding and painful erections.
The frenulectomy procedure involves the removal of the restricting tissue for increased range of motion in the penis and enhanced sexual pleasure due to the end of pain with erection.
The procedure (done in under 20 minutes) is performed using a long-acting local anesthetic and generally results in instant relief after a brief recovery period.
A frenuloplasty procedure can lengthen the frenulum and thereby relieve the discomfort causes by a short frenulum.
Our doctor will consult with you on the recommended procedure for your penis, and expected outcomes.
Tight Frenulum – A Cause of Penile Pain & Bleeding During Sex
The frenulum of the penis is a band of tissue located underneath the penis.
When the frenulum is tight or short, this is called a frenulum breve. This can result in tension on the frenulum during erections, which can rip and tear during vigorous activities such as sex, causing pain and bleeding, which in turn can cause men to lose their erections.
Some men go through their entire lives suffering from pain and bleeding unaware that there is a cure.
The degree of tightness and thickness of the frenulum varies from man to man, but any man affected by an overly short frenular band should seek a consultation for a possible procedure to end uncomfortable tightness with erection.
A Tight Frenulum May Cause Premature Ejaculation
Premature ejaculation is uncontrolled ejaculation either before or shortly after sexual penetration. It happens with minimal sexual stimulation and before the person wishes.
It may result in unsatisfactory sex for both partners. This can increase the anxiety that may add to the problem. It is one of the most common forms of male sexual dysfunction. Between 30% and 70% of men have PE. While it is more common in younger men, it can happen at any age.
Having an orgasm too soon is not always cause for concern. However, clinical diagnosis is made when a man exhibits the following symptoms:
Ejaculation occurs too quickly, often in the first few minutes of intercourse, or in other sexual situations, even during masturbation.
Inability to delay ejaculation most of the time.
Feelings of anxiety, or avoidance of sexual intimacy as a result.
Both psychological and biological factors can play a role in premature ejaculation. Although many men feel embarrassed talking about it, premature ejaculation is a common and treatable condition.
Premature ejaculation can be classified as:
Lifelong (primary). Lifelong premature ejaculation occurs all or nearly all of the time beginning with your first sexual encounters.
Acquired (secondary). Acquired premature ejaculation develops after you’ve had previous sexual experiences without ejaculatory problems.
Some studies report that a short frenulum is found in up to 43% of individuals affected by premature ejaculation. It is thought that the frenulum plays an important role in penile erection and when frenulum tension exceeds a certain limit, orgasm and ejaculation may be accelerated. When the frenulum is lengthened, penile tension and sensitivity may be decreased.
Penile frenulectomy has been shown to be effective in some but not in all cases of premature ejaculation (see source study).
Frequently Asked Questions at Our Calgary Clinic
Can the problems associated with short frenulum get better on their own?
No, unfortunately a short frenulum generally does not get better on its own. Some physicians suggest stretching exercises but the frenulum is a rather tough tissue that is not easily stretched. A frenulectomy is usually necessary to remove the tight band of tissue in order to release it from the rest of the surrounding tissue.
What is the treatment for a short frenulum?
A frenulectomy is a specialized technique that treats this condition by removing the tight restriction, allowing increased penile skin range of motion. It is done under local anesthesia in our Calgary clinic and takes only about 20 minutes to perform. The goal of the procedure is functional so that the tight frenulum is released, allowing improved sexual pleasure without fear of pain or bleeding.
We perform frenulectomy under long-acting local anesthesia and those men who have undergone this procedure usually describe it as virtually painless.
What are the risks of the frenectomy procedure?
Swelling and bruising at the site of the procedure 1/100
Infection requiring antibiotics 1/500
Bleeding (usually mild) 1/100
Scarring at the site of the operation 1/100
Meatal stenosis due to injury to the frenular artery requiring a meatotomy (rare)1/500
Suboptimal cosmetic or functional effect requiring a second procedure.1:100
Chronic pain at the site of the surgery 1:500
Vasovagal reaction causing light-headedness after the procedure. 1/200
How long does it take to recover?
Recovery from penile frenulectomy is fairly fast and painless. Most men do not require additional pain medications after the procedure and are able to return to office work the next day.
If your work requires heavy or physical activity, you will need a few days off.
After frenulectomy, when can I have sex again?
We generally recommend no sex for at least 5-6 weeks to allow the surgical site to heal optimally and sutures, if required at the time of the procedure, to dissolve.
How will this affect my sex life?
After a frenulectomy, because the tight band is released, sex becomes more pleasurable due to less pain and worry from tearing and bleeding.
If I am uncircumcised, how will frenulectomy affect my foreskin?
Frenulectomy does not affect your foreskin and you will remain uncircumcised. Because frenulectomy only involves releasing the tight band of tissue underneath the penis where it attaches to your foreskin, your foreskin will be preserved.
Our Frenulectomy Method in Calgary
Our Calgary frenulectomy surgeon is familiar with several different techniques being used around the world, so that we can provide optimal results for patients.
Using long acting local anesthetic, we obviate the need for operating rooms at local hospitals and the need for a general anesthetic.
Depending on the size and shape of your frenulum, we may employ a scalpel or cautery to release it.
Once the frenulum is released, we will then assess whether dissolvable stitches will be necessary to approximate the incision.
Regardless of your anatomy, our goal is to provide the optimal aesthetic and functional result.
Recovery using our technique takes only a few weeks.
If you believe you may suffer from frenulum breve please go ahead and contact us for a consultation for a frenulectomy or frenuloplasty procedure.
Request a Frenulectomy Consultation Appointment
Before and After Penile Frenulectomy or Frenuloplasty
Patient Instructions Before Frenulectomy
Please research frenulectomy and consult with our doctor, and your own, so you are confident and informed about your decision.
For one week prior to your procedure, do not take any Aspirin or Non-Steroidal Anti-Inflammatory Drugs such as Ibuprofen, Motrin, Aleve, Advil, Naproxen, or Diclofenac.
Please avoid any alcohol the day before the procedure.
On the day of your surgery, eat before your procedure, a normal breakfast or lunch to avoid becoming lightheaded. Take 2 tablets of extra-strength Tylenol just before leaving your home.
You are asked to come at least 15 minutes prior to your appointment. You are welcome to drive yourself to the office and back home unless you have a history of easy fainting.
Our staff will usher you into one of our surgical rooms and then our doctor will administer the local anesthetic. It is then time for your procedure.
Patient Instructions After Penile Frenulectomy
Most men do not require any additional pain medication after the procedure but you may take up to 2 extra-strength acetaminophen tablets every 6 hours as needed for pain control. After 48 hours, you should take Ibuprofen 400mg every 6 hours as needed for pain control if needed.
There may be a small amount of bleeding at the surgical site. This is normal and will stop in a few days. If it does not. call our office or emergency number.
Continue applying antibiotic ointment at the site for 1 week.
You may return to office work in the next days but if your work requires a lot of activity you should take at least 2-3 days off.
We recommend no sexual activity for about 5-6 weeks or until the sutures come out completely.
Patients who are traveling more than 3-4 hours away may want to stay at a local hotel overnight.