For those patients who do not wish to have a circumcision, they may be candidates for the frenuloplasty procedure as an alternative. There are various techniques available for lengthening the male frenulum rather than needing to be fully circumcised. They would, of course, be discussed with the patient fully prior to any planned surgery.
A frenuloplasty procedure involves either the removal of the frenulum or an incision to stretch it. The procedure is relatively high risk with between 15-20% of men eventually requiring a full circumcision.
Other risks may include reduced sensation and erection strength as well as bleeding or infection. Therefore, it is important for the patient to be knowledgeable about the risks in full before any surgery takes place.
The frenulum is the area where the foreskin on the inner surface connects to the glans via a very fine bridge of skin. In some men this bridge of skin can be very tight or in some cases tear during intercourse. By simply elongating this bridge of skin, the tightness of the foreskin may be reduced.
Patients may have a very short frenulum of the penis, or it may be highly sensitive. In either case, sexual activity can be painful for men, which is why frenuloplasty is offered. Alternatively, circumcision may increase the sensitivity of the frenulum, hence the need for a further procedure to ease the discomfort.
The frenuloplasty procedure will require stitches so there is a period of time when we suggest that sexual activity is to be completely avoided. The penis needs to heal and this can take between six to eight weeks, by which point a final examination would be needed. Once examined, and Professor Suks Minhas is satisfied the area has healed well, you can resume a sex life that will hopefully be much improved upon.