Frenulum Issues After Circumcision: Treatment Options

Issues with the penile frenulum?

Thank you for your question.
It sounds like you are experiencing recurrent tearing of the frenulum after your circumcision.
Given that this has happened multiple times, it would be advisable to consult with a healthcare professional for a thorough evaluation.

In terms of treatment options, you could consider having the frenulum surgically revised or cut to prevent further tearing.
This procedure, known as frenuloplasty, can help alleviate the tension that leads to tearing during erections.

As for your concern about whether cutting the frenulum will affect penile function, in most cases, it should not have a significant impact on sexual function or sensation.
However, individual outcomes can vary, and it's essential to discuss your specific situation with a qualified urologist or surgeon who can provide personalized advice based on your anatomy and needs.
Thank you again, and I hope this information helps you make an informed decision.

A, 30~39 year old female. Ask Date: 2006/08/18

Dr. Xu Weikai reply Urology

Hello, if you frequently experience lacerations, it is recommended to repair and suture the blood vessels at both ends of the ligament to prevent this situation from occurring in the future.
This type of surgery will not affect penile function.
Note: I apologize for the delayed response as I just returned to work today due to a business trip.
Sincerely, Dr.
Hsu Wei-Kai, Director of Urology, Taitung Hospital, Department of Health, Executive Yuan.

Reply Date: 2006/08/18

More Info

Understanding issues related to the frenulum after circumcision is important for both physical comfort and sexual health. The frenulum, or the band of tissue on the underside of the penis that connects the glans to the shaft, can sometimes become a source of discomfort or injury, especially after surgical procedures like circumcision.
In your case, it seems that you have experienced repeated tearing of the frenulum due to erections, which can be quite painful and concerning. This is not an uncommon issue, especially in the early stages of healing after circumcision. The frenulum is a sensitive area, and if it is not adequately healed or if there is excessive tension during erections, it can lead to repeated injuries.

Treatment Options
1. Conservative Management: Initially, it is advisable to allow the area to heal completely before attempting any sexual activity. This may involve abstaining from sexual activity for a period of time to ensure that the frenulum can heal without further trauma. Applying a topical antibiotic ointment may help prevent infection and promote healing.

2. Surgical Intervention: If you find that the tearing continues despite allowing adequate time for healing, you may want to consider surgical options. There are generally two approaches:
- Frenuloplasty: This procedure involves the surgical repair of the frenulum. It can help to lengthen the frenulum and reduce the tension that leads to tearing. This is a relatively minor procedure and can often be done under local anesthesia.

- Frenectomy: This involves the complete removal of the frenulum. While this may seem drastic, it can be an effective solution for those who experience recurrent tearing. It is important to discuss this option with your healthcare provider to understand the implications fully.

Concerns About Functionality
You asked whether cutting the frenulum would affect penile function. Generally, the frenulum plays a role in sexual pleasure, as it is rich in nerve endings. However, many men who undergo a frenectomy report no significant loss of sexual function or pleasure. In fact, some may find that it alleviates discomfort and allows for a more enjoyable sexual experience without the fear of tearing.

Recommendations
- Consult a Urologist: It is essential to discuss your situation with a urologist who can provide a thorough examination and recommend the best course of action based on your specific circumstances. They can assess the degree of tearing and the overall health of the area.

- Consider Timing: If you opt for surgery, consider timing it for a period when you can allow for adequate recovery. Post-surgical care will also be crucial to ensure proper healing.

- Follow-Up Care: After any surgical intervention, follow your doctor's advice regarding activity restrictions and care for the surgical site to minimize the risk of complications.

In summary, while it is understandable to want a quick resolution to the issue, it is crucial to approach this matter with care. Surgical options like frenuloplasty or frenectomy can provide long-term solutions, but they should be considered after a thorough discussion with a healthcare professional.

Similar Q&A

Post-Circumcision Complications: Addressing Frenulum Issues and Scarring

Hello Doctor: I underwent a circumcision procedure, and the surgeon tied the sutures on the frenulum. Is this a normal practice? Due to elevated blood sugar levels, the sutures were forcibly removed before the wound had fully healed. It has now been over six months post-surgery, ...

Dr. Du Shixi reply Urology
Hello: I underwent a circumcision procedure, and the surgeon tied the sutures on the frenulum. Is this a normal practice? --- It should be, as there is no issue with tying the sutures on the frenulum. However, due to elevated blood sugar levels, the wound was not fully healed whe...

Managing Post-Operative Issues with Frenulum After Circumcision

Ten days ago, I underwent a circumcision, and the doctor also performed a frenuloplasty. My frenulum is still red and swollen, and there is some discharge. The doctor advised me to remove the gauze and keep it dry, but the wound has not yet scabbed over. I have been taking medica...

Dr. Du Shixi reply Urology
Hello: After circumcision surgery, if there is redness, swelling, or discharge at the frenulum or other areas, it is likely due to small wounds that are still healing. Be careful to avoid getting the area wet, and keep it clean and dry. If it does get wet, be sure to disinfect it...

Managing Sensitivity and Frenulum Issues After Circumcision Surgery

I just had a circumcision today using a circumcision device. I had a problem with phimosis before, so my glans is very sensitive after the surgery. Additionally, since my frenulum was too short, the doctor used a laser to correct it. I'm afraid to use stimulating methods to ...

Dr. Du Shixi reply Urology
Hello: It usually takes over a week to get accustomed to sensitive issues. Normal contact with underwear will help with adaptation, so be sure to maintain cleanliness and dryness. Wishing you good health.

Understanding Frenulum Issues After Circumcision: What You Need to Know

I recently had a circumcision and noticed that the frenulum and glans are exposed. Is this normal? Will the frenulum break? What should I pay attention to in order to avoid frenulum rupture? Additionally, can the frenulum be removed? What is the approximate cost of the procedure?...

Dr. Du Shixi reply Urology
Hello: After circumcision, the frenulum often remains exposed and does not require special removal. As long as there is no intense pulling, it will not be injured. Wishing you good health.