Penile Frenulectomy & Frenuloplasty in Canberra, ACT
Penile Frenulectomy & Frenuloplasty in Canberra, ACTMarwan Nasr2019-11-04T10:29:04-05:00
Penile frenulectomy and frenuloplasty are procedures that can alleviate the pain associated with a tight band of tissue connecting the glans to the shaft of the penis on its underside. When the frenulum is tight or short this is called a frenulum breve.
A tight frenulum can exist in both circumcised and uncircumcised men and can create a restriction that is susceptible to micro-trauma, causing bleeding and painful erections.
A penile frenulectomy is a specialized technique that treats this condition by removing the tight restriction, allowing increased penile skin range of motion and sexual enjoyment.
At Gentle Procedures, the procedure is performed in our clinic using a long-acting local anaesthetic and generally results in relief with a brief recovery period. No hospital visit is needed.
Frenulum Breve – A Cause of Penile Pain and Bleeding During Sex
The frenulum of the penis is a band of tissue located underneath the penis, sometimes casually called the “banjo string”.
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.
The issue can be addressed by removing or lengthening the penile frenulum.
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).
Common Questions at Our Canberra Frenuloplasty Clinic
Is a penile frenulectomy or frenuloplasty painful?
We perform frenulectomy procedures under long-acting local anaesthesia 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 in the next few days.
If your work requires heavy or physical activity, you will need a few more days off.
How much does penile frenulectomy or frenuloplasty cost?
The fee for the procedure is $1400.
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 Canberra frenulectomy and frenuloplasty doctor is familiar with several different techniques being used around the world so that we can provide optimal results for patients.
Depending on the size and shape of your frenulum, we may employ a scalpel or bipolar diathermy 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.
Procedures are performed under long lasting local anaesthetic. No hospital visit is necessary, with all procedures performed in our Canberra clinic.
We recommend a consultation appointment with our doctor as a first step, so we can assess the best approach in your case and answer your questions.
Request a Frenuloplasty Consultation
Before & After Penile Frenulectomy or Frenulolplasty
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 a normal breakfast or lunch before your procedure to avoid becoming lightheaded. Take 2 tablets of extra-strength paracetamol just before leaving your home to come to the clinic.
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 anaesthetic. It is then time for your procedure.
Patient Instructions After Frenulectomy
Most men do not require any additional pain medication after the procedure, but you may take up to 2 extra-strength paracetemol 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.