Plastic frenulum of the penis: indications for surgery, where to have plastic surgery of the frenulum of the penis, how to prepare, which doctor performs the operation

The labial frenulum is a fold of mucous membrane (between the central incisors of the upper and lower teeth) that connects the lip and gum. It is involved in lip movement and articulation in speech. The health of the teeth, the correctness of the bite, the pronunciation of sounds, and the beauty of the smile depend on the quality and elasticity of the place where it is fixed to the gum.

The frenulum of the lip meets the gingival tissue at a distance of 5-8 mm from the necks of the anterior teeth. If it starts very close to the teeth, then it is considered to be shortened. It may also be that the frenulum is too wide. To avoid unpleasant consequences in the future or eliminate existing problems, doctors often recommend plastic surgery of the labial frenulum.

How to prepare for frenuloplasty

In the process of preparing for surgery, you should consult with a urologist, who will draw up a complete list of recommendations based on the individual characteristics of the patient and the results of the tests performed. A week before the planned procedure, it is necessary to avoid taking any aspirin and non-steroidal anti-inflammatory drugs.

On the day of surgery, you need to perform a number of simple steps:

carry out a thorough toilet of the genitals and hygienic cleaning using special products for the care of the intimate area;
shave the scrotal area;
give up caffeine in the morning, and breakfast should be as light as possible, without fatty foods;
Bring a set of sterile wipes and spare linen with you to the clinic.

If the patient is allergic to various drugs, you must inform your doctor about this, and take an antihistamine the day before frenuloplasty. In cases of a negative reaction of the body to general anesthesia, it is required to notify the anesthesiologist.

Compliance with all general recommendations for preparing for the correction procedure contributes to the most effective implementation of all surgical procedures with minimal risks of subsequent deviations.

Frenum trimming with laser

Laser frenulum trimming is a simpler, faster procedure that does not cause bleeding. Laser procedures are distinguished by their antibacterial effect, comfortable perception of the procedure by the patient, and the absence of a long recovery period. The laser beam instantly seals the vessels of the frenulum of the tongue, which does not require sutures. Pain relief is usually done using a gel or spray.

Don't be afraid to sign your child up for surgery. By solving the problem with the length of the frenulum, you will give your baby freedom of diction and free him from the feeling of constraint. Make an appointment at the Mira clinic for a consultation by phone.

Manipulation technique

In medicine, two directions of correction of the frenulum of the genital organ are used:

frenulotomy, dissection of the connecting tissues of a previously intact frenulum;
frenuloplasty, restoration of the length of the frenulum when a scar forms after its rupture.

The manipulation technique involves dissecting the tissues of the frenulum in the transverse direction, followed by stitching them longitudinally, increasing its length. The operation is performed using local anesthetics and takes no more than a quarter of an hour; the patient remains under observation for about half an hour, after which he is sent home. The period of complete recovery takes from two weeks to a month.

Immediately after the operation, no extraneous sensations are observed; during the next 24 hours after the intervention, some discomfort and pain persist:

this is due to the presence of a wound surface that comes into contact with urine when the bladder is emptied;
as well as during spontaneous erection at night, when, with an increase in the size of the organ, tension occurs in the unhealed tissues.

After healing, a neat suture remains, which runs along the lower zone of the organ. Restoring the length of the frenulum allows you to fully and painlessly open the head, without causing pain and discomfort during erection and sexual intercourse.

Symptoms and diseases of the frenulum of the penis:

Rupture of the frenulum of the penis
Removal of the frenulum of the penis
Growths on the frenulum of the penis
Soreness of the frenulum of the penis
Papillomas on the frenulum of the penis
Rash on the frenulum of the penis
Itching of the frenulum of the penis
Frenum of the penis
Inflammation of the frenulum of the penis
Swelling of the frenulum of the penis

Indications and contraindications for the procedure

Indications:

Restoring sucking function in infants.
Speech defects.
Delayed development of the lower jaw.
Not chewing food thoroughly.
Malocclusion.
Too dense arrangement of teeth or presence of gaps between them.
Difficulties during orthodontic treatment.
Preparation for implantation.

Contraindications:

Poor blood clotting.
Presence of cancerous tumors.
Infectious diseases.
Inflammatory processes in the oral cavity.
The presence of carious lesions and inflammation of the dental nerve.

If there are problems with breastfeeding, surgery is often performed in the maternity hospital. In older children, the procedure is performed if there are discomfort or problems with diction.

Complications after frenuloplasty

The procedure is a simple operation and is carried out quite quickly; on average, all surgical procedures take from 15 to 30 minutes. The number of risks is minimal.

Among the undesirable consequences are:

infection in the wound, which contributes to the formation of balanoposthitis;
allergic reaction of the body to the use of various anesthetics;
suture dehiscence and subsequent bleeding;
painful sensations in the area of the lower part of the penis;
swelling of the foreskin;
purulent discharge from the wound formed after the intervention;
increase in body temperature.

Infectious infections occur quite rarely due to the use of antimicrobial drugs, which are prescribed to the patient for the rehabilitation period. The maximum duration of pain after the correction is two months.

Why frenulum abnormalities require seeing a doctor

Abnormalities of the labial frenulum

Such a frenulum (either short or long) leads to the fact that the front teeth move apart and a gap forms between them - a diastema. In addition, over time, gum recession occurs and tooth roots become exposed. This is dangerous because teeth become more sensitive and the risk of caries increases.

Anomalies of the frenulum of the tongue

feeding difficulties: immediately after birth, the baby experiences difficulties, he has to make Herculean efforts to suck breast milk or a bottle of formula. Discomfort makes the baby refuse to eat, the baby becomes very capricious, and loses weight. This is due to the fact that the sucking reflex is impaired, since the tongue is limited in movement,
Digestive problems: difficulty eating and swallowing leads to diseases of the gastrointestinal tract,
developmental delay: such a child takes longer to gain weight than healthy ones and grows worse. Not receiving the vitamins and substances the body needs, it begins to lag behind its peers,
articulation disorder: the voice becomes hissing or whistling, a lisp appears. The change in diction is explained by the fact that the child cannot pronounce certain sounds normally - again due to limited tongue movement,
the development and proper functioning of the entire maxillofacial apparatus is disrupted.

Most often, a violation of the structure of the frenulum is a congenital pathology; there is also a high probability of the pathology being transmitted by inheritance - studies note1 that parents who suffered from this disease in childhood had beloved children who were also susceptible to a similar anomaly. But in some cases, the reason lies in the occurrence of problems during pregnancy: these could be frequent stressful situations, a lack of vitamins, or untreated infections in the baby’s mother.

Rehabilitation after surgery

The recovery period after surgical procedures takes on average about a month. During this period of time, a scar is formed and natural blood circulation in the area of the head of the penis is restored.

To speed up the rehabilitation process, it is necessary to consult with a urologist, who, based on the patient’s individual indicators, will give a number of recommendations.

Here is a list of general doctor’s instructions, compliance with which will allow you to quickly return to natural intimate life and eliminate the risks of complications:

the developing scar will require special care in the form of treatment with special solutions during the first week;
complete abstinence from sexual contact until the wound heals;
when urinating, you will need to bend the head of the penis so that urine does not get into the wound, this will help avoid unwanted irritation and the risk of infection;
reduction of physical activity;
carefully follow the antimicrobial regimen.

To soften the friction of the formed scar during sexual intercourse, after the recovery period has expired, you should use lubricants. If the doctor's instructions are not followed, complications may arise that require repeat surgery, which will be much more painful and will lead to the formation of scar tissue and a subsequent decrease in the normal functioning of the sexual organ.

Reviews from our patients after circumcision of the foreskin

On the medical forum you can read reviews from our patients after circumcision surgery. Reviews are presented in the form of postoperative photo reports, which show how the healing progressed, what problems arose after the operation and how they were resolved.

The forum discusses the treatment of balanoposthitis, phimosis, rapid ejaculation caused by increased sensitivity of the head and foreskin, and other problems that completely disappear after circumcision of the foreskin.

We perform aesthetic circumcision, when the foreskin is not simply removed, but the patient’s wishes regarding this or that type of circumcision are also taken into account, and after the operation an almost invisible scar is formed.

Operation methods

There are several ways to perform plastic surgery of the frenulum of the penis, which depend on the anatomical features of the structure of the structural tissue of the foreskin.

Among the main methods, there are two types of surgery:

Frenulotomy.
Lengthening the frenulum occurs by cutting in the transverse direction followed by longitudinal stitching, which allows you to naturally increase the length of the fabric up to 2 centimeters. With this method, the sensitivity of the genital organ is not affected.
Frenulectomy
. Complete removal of the frenulum, which is required for mechanical injuries of the foreskin and scarring of the tissue. The incision is made transversely around the circumference of the genital organ, followed by longitudinal stitching. The result is a scar that aligns with the natural suture at the bottom of the penis.

Quite often, both methods are implemented without the use of classical surgical instruments. Intervention in the tissue structure is carried out through laser exposure. The technology of the procedure fully complies with generally accepted rules, with the exception of the use of radiofrequency exposure instead of a scalpel; instead of stitching, the edges of the resulting wound are soldered.

The main advantage of using modern equipment is the minimal risk of bleeding during the process and natural disinfection of the wound through exposure to high temperatures.

Answers to frequently asked questions on the topic of the frenulum of the penis:

Which doctor treats frenulum of the foreskin?
Where to go with a problem on the frenulum of the foreskin?
What tests should be taken if there are problems with the frenulum of the penis?
Diagnosis of diseases of the frenulum of the penis
Treatment of diseases of the frenulum of the penis
Is it possible to remove the frenulum of the penis?
Swollen frenulum of the penis
Rash on the frenulum of the penis
Herpes on the frenulum of the penis
How does the foreskin affect sensitivity?
How to stretch the foreskin?
What is the foreskin for?
Diagnosis of diseases of the foreskin?
Why doesn't the foreskin open completely?
What to do if the foreskin is swollen?
Have plaque appeared under the foreskin?
Do you perform foreskin plastic surgery at your clinic?

At what age should this be done?

If we talk about a non-surgical method for stretching the hyoid ligament, it is effective up to the age of 5 years with constant and regular training.

The operation as a whole has no restrictions and no special recommendations about at what age it should be done. Each stage of development of a child’s body requires one of several ways to correct this ligament. Thus, newborns undergo a dissection of the frenulum, and already at the age of 2–3 years, when the tissue of the ligament becomes denser, the need for sutures arises. Sometimes it may be necessary to remove some of the ligament tissue. Laser surgery has no age restrictions.

To avoid the formation of malocclusion and displacement of the dentition, it is advisable to correct the frenulum before the molars appear.

What tests need to be done before surgery?

At the preparatory stage, before surgery, the patient must undergo a series of diagnostic measures as prescribed by the doctor. The main tests that will need to be taken include:

general urine analysis;
clinical blood test to study its coagulability in order to exclude possible bleeding during surgery;
standard samples for research to detect syphilis, various groups of hepatitis and other sexually transmitted diseases;
biochemical blood sampling.

Based on the results obtained, further diagnostic measures will be formed, if required. If all tests are normal, frenuloplasty surgery will be planned based on the information received and the individual characteristics of the patient.

Are there any contraindications?

When deciding whether to undergo lip frenuloplasty, the doctor will definitely assess the risks and check for contraindications. There are few of them, since the operation is considered minimally invasive:

recurrent pathologies of the oral mucosa;
tendency to develop keloid scars;
bleeding disorders;
inflammatory diseases of the jaws;
decompensated forms of chronic systemic diseases;
general disorders - mental disorders, cerebral pathologies, oncological processes, exacerbations of chronic diseases.

Where to have plastic surgery of the frenulum of the penis?

Our clinic uses modern equipment and has all the necessary tools for safe interaction with the patient. The consultation is conducted by doctors with extensive experience and knowledge in various branches of urology, who will give practical recommendations on preparing for the procedure, and then draw up the most effective plan for the rehabilitation period.

Our clinic has:

specialized rooms for conducting hardware diagnostics;
own laboratory for prompt research of the obtained tests;
a modern operating room equipped with the required equipment and the necessary additional technical components.

During the operation, high-quality asepsis is used, which minimizes the risk of possible infectious complications later. A delicate approach that allows you to solve all intimate problems in a strictly confidential manner.

Male circumcision surgery

Circumcision in men is performed under local anesthesia. Anesthesia is used for circumcision in children, or at the urgent request of the patient. The operation is performed to treat phimosis and balanoposthitis (for medical reasons), as well as when performing circumcision of the foreskin for religious reasons or the man’s own desire.

In the vast majority of cases, circumcision surgery is performed on an outpatient basis in a day hospital. Hospitalization is required in rare cases in the presence of severe concomitant pathology.

Which doctor performs frenuloplasty?

If you have problems with the frenulum on the foreskin, you should consult a urologist. The doctor will conduct an initial examination and, if necessary, prescribe additional diagnostic measures, on the basis of which a decision will be made on the possibility of performing frenuloplasty.

After the operation, the urologist will consult the patient and give recommendations for the entire period of rehabilitation. If you fully comply with the doctor’s instructions, the surgical intervention will be carried out quickly and painlessly, eliminating possible complications in the future.

When to perform the operation?

It is best to perform the operation on children aged 5 to 8 years during the period when baby teeth are replaced by permanent teeth. The most appropriate moment is when the lateral incisors (“twos”) have not yet erupted, and the central ones have appeared by about a third. Plastic surgery will prevent the development of diastema and will help the incisors to take a central place.

The operation can be performed on both adolescents and adults. Plastic surgery of the frenulum of the upper lip in infants is performed only according to strict indications that affect the quality of the child’s nutrition.

In adulthood, surgery most likely will not solve the problem, but it will greatly facilitate the process of prosthetics.

A practical way to choose a clinic

Such a delicate problem, requiring a delicate attitude and correct solution, requires contacting a specialist, the necessary qualifications and preferably in a comfortable environment without additional expenditure of free time. Such services can be obtained within a private specialized institution, but how to decide on its choice?

Our Help Desk for private clinics in Moscow “Your Doctor” has all the necessary information; by visiting the site you can not only determine the location of a particular center, but also see all the listed characteristics, as well as make an appointment with a specialist or arrange a home call from a urologist, without leaving the page.

Publication date: 2019-12-11

Useful information on problems associated with the frenulum of the penis:

Calling a urologist to your home
Balanitis
Balanoposthitis
Frenum plastic surgery
Urethral swab
Prostate massage
Circumcision
Tests for STIs
Treatment of sexually transmitted diseases
Ultrasound at home
Frenum of the penis
Pyelonephritis
Ultrasound of the bladder
Diagnosis of sexually transmitted infections
How to prepare for an appointment with a urologist?
How to get tested for urological diseases?
What tests can be done by a urologist?
What diseases does a urologist treat?
What symptoms should you consult a urologist for?
How to make an appointment with a urologist at the clinic?

HOW IS THE TREATMENT PRODUCED IN OUR CLINIC?

In order to undergo treatment with us, please study this small section. You will have all the information, and it will be easier for us to conduct a dialogue.

Check out this information:

The price of the operation and what is included in the price
What you need to know about the operation and how to prepare for it
If you are having surgery to increase the duration of sexual intercourse, do a test with an anesthetic
Look at the results and reviews from our patients to get an idea of how the healing is progressing and what the post-operative scar will look like.

Contact us by email. mail [email protected] gmail.com
Provide information about yourself and what you want to do. We will respond as soon as possible (usually within 1 day).
In correspondence we will resolve the necessary issues.
If there are many questions or it is difficult to discuss them by mail, we will invite you to an in-person meeting. But, as a rule, this is not required.
Of course, we are always glad to see you! So, if you want, come for a consultation, let’s talk (indicate this in the correspondence).
Together we will choose the date of the operation! We will send all the instructions: what you can and cannot do, how to prepare.

Visit to the clinic

You need to arrive at the clinic at the appointed time and tell the receptionist your name and that you are booked for an operation with Dr. Babykin.
It is necessary to fill out the contract and pay for the operation. (The administrator will already have all the information about you and your operation)
You will be taken to your room and told what to change into. Everything will be given out, you don’t need to take anything with you!
Before the operation we will talk, I will answer your questions and ask mine.

The operation itself

We will come to the operating room together, I will help you lie down on the operating table.
It will take some time to prepare and treat the operation area.
We will begin the operation and immediately administer anesthesia. It won't hurt!
You can talk to us during the operation, but you must not disturb us.

After operation

We will take you to the ward, where you will need to lie down for a while.
We'll give you all the instructions and send you home.

How to be monitored after surgery

Observation, as a rule, takes place remotely - through a forum or by e-mail. Of course, you can come and show yourself - all this is included in the cost of treatment.
The most important thing is to follow our recommendations and inform us about your condition every few days (just write a few words and attach a photo so that we understand that you are doing well).
The sutures are absorbable and do not need to be removed. But if you really want to, you can come to the clinic or remove them yourself.

We are sure that you will like it with us. We'll be waiting for your feedback!

Classification of frenulotomy

The presented operation takes very little time, but at the same time provides a 100% result in solving the main problems with the functioning of the frenulum. To implement your plan, you don’t even have to use general anesthesia, because you will be able to limit yourself to a local solution that is safer for the cardiovascular system. The injection is given into the penis itself and after a few minutes you can operate. If the victim has not reached the age of eighteen, then he is given anesthesia intravenously.

The procedure, even including pain relief, lasts no more than twenty minutes.

The exact date will be announced by the specialist, based on the chosen treatment method. In total, there are a duet of variations of surgical intervention for these purposes:

classical;
laser.

The traditional proposal relies on the use of a surgical scalpel. Despite the development of modern technologies with a variety of thematic innovative equipment, it is the scalpel technique that is still the most in demand. The only possible drawback here is extensive blood loss compared to the laser analogue and the risk of tissue infection. But in the latter case, doctors simply recommend contacting clinics with a proven reputation in order to mitigate such risks.

Those who want to get an ideal result with minimal blood loss choose the laser approach. It is believed that the rays generated by such a device have a gentler effect on tissue than a scalpel. The technical safety of the method is explained by the fact that the rays trigger the coagulation of cells and blood vessels, which provokes the evaporation of liquid instantly. Due to this, the recovery period is much easier to bear, and the incision sites remain almost invisible to the naked eye.

But the advantage of the technique can become its significant disadvantage. For the absence of visible seams, you will have to pay the price of keeping the penis completely calm during the rehabilitation period. As soon as even a slight erection begins at the recovery stage, the welded tissues will separate. Sometimes the erection process starts even unconsciously in patients, so doctors have to remind them of the need to fix the position. Otherwise, repeated divergence of the soldered section threatens the formation of a rough scar.

But with a laser solution, you don’t have to worry about infection, which was made possible thanks to the ability of the laser beam to make a cut by heating up to 400 degrees Celsius. Some ordinary people believe that the issue of infection is nothing more than a horror story. But statistics say that about 10% of possible complications after surgery are due to the development of inflammation due to infection.

But even if everything went as smoothly as possible, there is still a chance of complications such as:

pain syndrome;
swelling;
bleeding;
scarring.

The finished result does not always satisfy the patient from an aesthetic point of view, which most often has its roots in the unprofessionalism of the specialist or the congenital pathologies of the victim.

Most of the side effects can be neutralized on an outpatient basis, which means there is no mandatory hospitalization. To relieve pain, the doctor will prescribe suitable analgesics, and specialized ointments are used to level out extensive swelling.

REASONS CAUSING SHORTENING OF THE FRENALE OF THE HEAD OF THE PENIS

In the vast majority of cases, the pathology is congenital. Almost all boys immediately after birth experience physiological phimosis, that is, a condition when the foreskin is too narrow and it is impossible to expose the head of the penis. Often such phimosis is combined with shortening of the frenulum.

Acquired shortening of the frenulum is associated with the following factors:

injury to the head of the penis, including during too hard and intense friction during sexual intercourse, during defloration;
playing traumatic sports;
wearing too tight underwear or trousers for a long time;
damage to the foreskin after the injection of beads or Vaseline, piercing;
balanitis, balanoposthitis, urethritis;
sexually transmitted infections (syphilis, gonorrhea, etc.);
decompensated diabetes mellitus (poor circulation leads to recurrent balanoposthitis).

Recovery period after frenulotomy

After completing the manipulations, the patient remains under the supervision of medical personnel for several more hours, after which, if there are no complications, he is sent home, recommending leaving the bandage on for at least 12 hours (or better yet, for one day). After this, it must be removed and the operated area kept open.

To prevent infection of the wound, he needs to regularly treat the seams with a solution of potassium permanganate or “green paint”. Elimination of pain symptoms in the first days is carried out by taking painkillers.

During the rehabilitation period, the patient should adhere to the following recommendations of the attending physician:

carry out hygiene measures after each visit to the toilet and use an antiseptic solution prescribed by a doctor for this;
take a course of antibiotics to prevent the development of purulent infections;
during rapid healing, do not use fat-based ointments, as they can prolong the rehabilitation period;
visit a urologist a week after the operation so that he can determine the need to remove the remaining threads, which should be completely resolved by this time.

In addition, during the recovery period you should avoid:

physical activity and sports;
visits to baths, saunas, swimming pools;
taking baths;
sexual intercourse and masturbation.

The latter is necessary in order to eliminate the risk of seams coming apart.

Therapeutic exercises

There are alternative methods that allow you to do without surgery, for example, a set of special exercises for developing the frenulum of the tongue.

Reach alternately to the upper and lower lips.
Extend your tongue and make pendulum movements from cheek to cheek.
Suck your tongue to the roof of your mouth and let go, imitating a horse clopping its hooves.
Place your tongue on each cheek with your mouth closed.
Smile with your mouth open.
Stretch your lips.
Pull your lips into a tube, pretending to kiss.

To achieve results, you need to perform the exercises every day for 5 - 10 minutes. It is important to remember that this method is suitable for correcting mild disorders; more severe pathologies require surgical intervention.