Frenuloplasty: Alternatives to Circumcision for Urological Issues - Urology

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Preputial reconstruction surgery? Continuation?


However, my situation is not just obesity; it is that after the glans becomes exposed, I am unable to ejaculate due to the foreskin being pulled tight.
I have read many articles online and feel that circumcision is not necessary, but if there is an obstruction, then it must be done, right? Therefore, I would like to have a minimal circumcision to alleviate the tightness.
Additionally, could you recommend a physician in Taipei or the northern region who, like you, does not advocate for surgery and can assess whether my foreskin requires surgical intervention? I apologize for asking you so many questions, and I appreciate your response.
Thank you.

Lurén Jiǎ, 20~29 year old female. Ask Date: 2012/01/27

Dr. Xu Weikai reply Urology


Bystander A: Hello, it is possible to incise the narrow area without completely removing the foreskin.
This website prohibits recommending doctors to avoid any commercial suspicion, and I apologize for that.

Reply Date: 2012/01/27

More Info


Frenuloplasty is a surgical procedure designed to address issues related to the frenulum, which is the band of tissue that connects the underside of the penis to the foreskin. This procedure can be an alternative to circumcision for men experiencing problems such as tightness or pain during erections, which can lead to difficulties in sexual function. It is particularly relevant for individuals who may have a condition known as frenulum breve, where the frenulum is too short, causing discomfort or preventing full retraction of the foreskin during sexual activity.

In your case, it seems that you are experiencing a significant issue where the foreskin is constricting the glans (the head of the penis) during an erection, which is causing difficulties in ejaculation. This condition can indeed be distressing and may lead to further complications if not addressed. While circumcision is a common solution for such issues, it is not the only option. Frenuloplasty can be performed to lengthen the frenulum, allowing for more comfortable movement of the foreskin without the need for complete removal.

The advantages of frenuloplasty over circumcision include preserving the foreskin, which many men prefer for aesthetic or sensitivity reasons. Additionally, the recovery time for frenuloplasty is generally shorter, and the procedure is less invasive than circumcision. However, it is essential to have a thorough discussion with a qualified urologist who can assess your specific situation and recommend the best course of action.

Regarding your concerns about finding a physician in the Taipei or northern region who shares your views on the necessity of surgery, it is crucial to seek a urologist who is open to discussing various treatment options. You might want to look for specialists who have a reputation for being conservative in their approach to surgical interventions. Online forums, local health resources, or even referrals from your primary care physician can help you find a suitable urologist.

In terms of the decision-making process, it is essential to have a comprehensive evaluation of your condition. This may include a physical examination, discussions about your symptoms, and possibly imaging studies to assess the anatomy of your penis and the degree of tightness of the frenulum. A good urologist will take the time to explain the potential benefits and risks of each procedure, including frenuloplasty and circumcision, allowing you to make an informed decision that aligns with your preferences and lifestyle.

In conclusion, frenuloplasty is a viable alternative to circumcision for addressing issues related to the frenulum. It is essential to consult with a knowledgeable urologist who can provide personalized advice and treatment options based on your specific circumstances. By doing so, you can ensure that you receive the most appropriate care for your condition while considering your preferences regarding surgical intervention.

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