Short Frenulum: Causes, Symptoms, and Treatment Options - Urology

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Understanding a short frenulum, also known as frenulum breve, is essential for individuals experiencing discomfort or complications during sexual activity. The frenulum is a band of tissue located on the underside of the penis that connects the glans (the head of the penis) to the shaft. A short frenulum can lead to various issues, particularly during erections or sexual intercourse.


Causes of Short Frenulum
The primary cause of a short frenulum is genetic predisposition. Some individuals are born with a shorter frenulum, which can restrict the movement of the foreskin during erections. This condition can be exacerbated by factors such as:
1. Anatomical Variations: Each individual has a unique anatomy, and some may naturally have a shorter frenulum.

2. Developmental Factors: In some cases, the frenulum may not develop properly during puberty, leading to a shorter length.

3. Trauma or Injury: Previous injuries to the genital area can also affect the length and elasticity of the frenulum.


Symptoms of Short Frenulum
Individuals with a short frenulum may experience several symptoms, including:
1. Pain or Discomfort: During erections or sexual activity, the tension on the frenulum can cause pain or discomfort.

2. Tearing or Injury: In severe cases, the frenulum may tear during sexual activity, leading to bleeding and further pain.

3. Deformation of the Glans: Some individuals may notice changes in the shape of the glans during erections due to the tension caused by a short frenulum.

4. Difficulty Retracting the Foreskin: In cases of phimosis (where the foreskin cannot be easily retracted), a short frenulum can exacerbate this issue.


Treatment Options
If you are experiencing discomfort due to a short frenulum, there are several treatment options available:
1. Frenuloplasty: This is a surgical procedure that involves lengthening the frenulum. It is a relatively simple outpatient procedure that can alleviate pain and improve sexual function. The surgeon will make a small incision to release the tension on the frenulum, allowing for greater mobility.

2. Frenectomy: In more severe cases, a frenectomy may be performed, which involves the complete removal of the frenulum. This procedure is more invasive than frenuloplasty and is typically reserved for cases where the frenulum is causing significant issues.

3. Stretching Exercises: Some individuals may benefit from gentle stretching exercises to increase the length and elasticity of the frenulum. However, this should be done cautiously and ideally under the guidance of a healthcare professional.

4. Consultation with a Urologist: If you are considering surgical options, it is essential to consult with a urologist who specializes in male reproductive health. They can provide a thorough examination and discuss the best treatment options based on your specific condition.


Conclusion
In summary, a short frenulum can lead to discomfort and complications during sexual activity. If you are experiencing pain or deformation of the glans, it is advisable to seek medical advice. Surgical options such as frenuloplasty or frenectomy can provide relief and improve your sexual health. Always consult with a qualified healthcare professional to discuss your symptoms and determine the best course of action. If you are considering treatment at a specific hospital, such as the Keelung Municipal Hospital, it is best to contact them directly to inquire about their services and surgical options available for this condition.