Frenulum Issues: Should You Remove It During Circumcision?

Q: Frenulum Issues: Should You Remove It During Circumcision?

Hello： If it is not too short, does not require circumcision, and does not have a significant impact, it is just a small wound. <br>If it is too short, there may be pain during erections or sexual intercourse, but generally, this is not common. <br>Wishing you good health.

Frenulum issues?

Hello, doctor.
Today when I visited the urologist, I mentioned that I wanted to undergo circumcision.
After examining me, the doctor noted that my frenulum is a bit short and that it would become even shorter after the circumcision.
He asked if I wanted to have the frenulum removed as well.

I would like to ask the doctor, what is the function of the frenulum? I have read online that the frenulum should not be removed; is that true? What are the advantages and disadvantages of removing the frenulum? I would appreciate your clarification.
Thank you.

A-Ming, 40~49 year old female. Ask Date: 2018/04/17

Dr. Du Shixi reply Urology

Hello: If it is not too short, does not require circumcision, and does not have a significant impact, it is just a small wound.
If it is too short, there may be pain during erections or sexual intercourse, but generally, this is not common.
Wishing you good health.

Reply Date: 2018/04/17

More Info

The frenulum, or frenulum preputii, is a band of tissue located on the underside of the penis that connects the glans (the head) to the shaft. Its primary function is to provide support and facilitate movement of the foreskin during sexual activity. A short or tight frenulum can lead to discomfort during erections or sexual intercourse, a condition known as frenulum breve.
When considering circumcision, the decision to remove the frenulum often depends on its length and the individual's symptoms. If the frenulum is significantly short, it may be advisable to remove it during the circumcision procedure to prevent future complications such as tearing or pain during sexual activity.
There are several advantages and disadvantages to removing the frenulum during circumcision:

Advantages:
1. Reduced Pain and Discomfort: For individuals with a tight frenulum, removing it can alleviate pain during erections and sexual activity, leading to a more comfortable experience.

2. Improved Functionality: A longer frenulum can restrict movement of the foreskin, so its removal may enhance sexual function and pleasure.

3. Prevention of Future Issues: Removing a tight frenulum can prevent potential tearing or injury, which can occur during sexual activity.

Disadvantages:
1. Surgical Risks: As with any surgical procedure, there are risks involved, including bleeding, infection, and complications related to anesthesia.

2. Altered Sensation: Some individuals report changes in sensitivity after frenulum removal, which can be either positive or negative depending on the person.

3. Potential for Scarring: Removal of the frenulum may lead to scarring, which could affect the appearance of the penis or cause discomfort in some cases.

Considerations:
- Consultation with a Specialist: It is essential to discuss your specific situation with a urologist or a surgeon experienced in circumcision. They can assess the length and condition of your frenulum and provide personalized recommendations based on your anatomy and symptoms.

- Personal Preferences: Consider your own comfort level with the procedure and any potential changes to sensation or function. It is important to weigh the benefits against the risks and make an informed decision.

In summary, the frenulum plays a significant role in penile function, and its removal during circumcision can be beneficial for those experiencing issues related to a tight frenulum. However, it is crucial to have a thorough discussion with your healthcare provider to understand the implications of this decision fully. They can help you make an informed choice that aligns with your health needs and personal preferences.

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