Want to know how circumcision works? Click here!

What is a frenulum?

Frenulum is a medical term for a band of connective tissue that connects one anatomical structure, or part of a structure, to another. You have a frenulum at the base of your tongue that attaches your tongue to the bottom or your mouth; you have another one above your top row of teeth that connects your upper lip to your upper gum. Men also have a frenulum that connects the foreskin, or prepuce, to the head of the penis (the glans) and the shaft.

Frenulum breve

Normally, the frenulum is long enough to enable the foreskin to retract normally when the penis becomes erect; but sometimes, the frenulum is short, resulting in a condition called frenulum breve. A short frenulum can result in pain and even bleeding during erection and intercourse, and in some cases, the frenulum may rupture and tear during sex. Many men with frenulum breve develop curvature when the frenulum exerts continual pressure on the glans.

Correcting frenulum breve can be achieved with one of two procedures: frenectomy (sometimes called frenulotomy or frenulectomy) and frenuloplasty, and both procedures can be combined with a circumcision if desired.

What is frenectomy?

frenectomy or frenulectomy involves cutting the frenulum to release the tension on the glans and shaft. The focus of a frenectomy is on function rather than aesthetics.

What is frenuloplasty?

frenuloplasty also involves cutting the frenulum as well as remodeling the skin in the local area to provide a more aesthetically pleasing result.

How are frenectomy and frenuloplasty performed?

In most cases, both procedures are performed using local anesthetics to numb the area prior to incision. Sedation may also be used to calm anxiety and promote a more relaxed state. Most procedures take from 15 minutes to 45 minutes, and there is very little discomfort following the procedure. Many men return to work the following day; if your job requires significant physical activity, you may want to take an extra day or two off to recover. You’ll also need to avoid sex for about three weeks and limit some other activities like cycling for about two weeks.

With or without circumcision

Both frenectomy and frenuloplasty can be performed in combination with a circumcision, and they may also be performed on men who are uncircumcised. When a circumcision is performed along with a frenectomy or frenuloplasty, the surgical and recovery times are typically slightly extended.

Correcting frenulum breve is a simple procedure when performed by a skilled and experienced surgeon. If you’ve been experiencing the symptoms of frenulum breve, including curvature or pain during intercourse or erection, call (310)559-8000 to schedule an evaluation today and learn about all your treatment options.

You Might Also Enjoy...

Hidden Penis in Infants

For parents, having a baby with a hidden or “buried” penis can be upsetting, especially if it means delaying a planned-for circumcision. But in fact, buried penis is not uncommon, and in most cases, it will resolve on its own by the time the child ...

When is a Circumcision Revision Necessary?

So you or your son has undergone a previous circumcision. Have you noticed something might be wrong with the circumcision site, or maybe something just seems “off”? The following are indications that a circumcision revision may be required. ...

Tulì, the Filipino Tradition

Circumcision or “Tulì” in the Filipino community is a long-standing tradition and rite of passage for boys. It’s a major step for toward adulthood in Filipino culture. Richly woven into the society, the practice dates back to at least the 17th century...

3 Questions to Ask Your Circumcision Specialist

Choosing a healthcare provider is an extremely personal decision. Doctor-patient interactions are one of the most important relationships in a person’s life. The healthcare professional should know what is best for you when it comes to health and the ...

Infection Control During Circumcision

With any procedure, it is important to know what complications are possible. Proper education and preparation before a procedure are important to minimize the possibility of a poor outcome. It also helps patients and their families make informed ...

Pain Management During Circumcision

Gentle Circumcision Clinic uses advanced pain management techniques that vary based on the age of the person receiving care. Pain control is OUR priority for ALL patients. To manage discomfort and pain following each procedure, we select options ...