Frenuloplasty operations. Plastic surgery of the short frenulum of the penis - a quick and effective solution to male intimate problems

The frenulum of the lip is a fold of mucous membrane that connects the lip and gum. Plastic surgery of the frenulum of the upper and lower lips is done to eliminate pathologies that can have unpleasant consequences in the form of a violation of diction and the formation of malocclusion. By itself, this operation is very simple and has minimal contraindications. It is done if the bridle is too short or too wide, which affects the position of the teeth and the condition of the gums. For example, due to a wide frenulum, a diastema may appear - a gap between the central incisors. In this case, either an operation according to the classical technique, or laser plastic surgery of the frenulum of the upper lip will help.

Sometimes plastic frenulum of the tongue is also performed - a membrane that connects the lower part of the tongue and the mucous membrane of the lower jaw. In children, the operation contributes to the correct formation of the bite and prevents speech defects, in adults it is a necessary measure for effective prosthetics with a removable structure or implantation. Read more about plastic frenulum of the tongue.

What is the difference between upper and lower lip frenuloplasty?

Although the operations themselves to correct the pathology of the upper and lower lips are similar, they require a different approach to rehabilitation. After plastic surgery of the frenulum of the lower lip, the wound heals longer, about two weeks, and the plastic surgery of the frenulum of the upper lip requires only a few days to recover. In the first case, anti-inflammatory therapy is more often prescribed to exclude the occurrence of complications.

When is lip frenuloplasty required?

Not always the pathology of the frenulum of the lip indicates that the patient needs surgery. Sometimes it is minor and does not cause much inconvenience. As a rule, surgery is necessary in the following cases.

Diastema. The excess gap between the central incisors tends to expand, causing the teeth to move forward and move apart. Also, a constant load on the gums leads to periodontitis.
Orthodontic treatment. Bite correction with braces requires that the frenulum be of the correct shape and have an anatomical location. Therefore, before starting treatment, the orthodontist often sends the patient for plastic surgery.
Periodontal disease. A short frenulum can lead to exposure of the roots of the teeth.
Complete prosthetics. A short bridle does not firmly and securely fix a removable prosthesis. This is one of the most common cases of lower lip frenulum plasty in adults.

Photo of a short frenulum of the upper lip in a child.

Contraindications

It is impossible to carry out plastic surgery of the frenulum of the lip if there are the following contraindications:

oncological diseases;
poor blood clotting;
psychical deviations;
infectious diseases.

Is it necessary to perform lip frenulum plasty in children?

The pathology of the lip frenulum in a child can lead to many unpleasant consequences, both medical and aesthetic. Therefore, if a specialist recommends plastic surgery, his advice should be taken. In children, this anomaly can cause the following problems:

The upper lip in newborns is actively involved in the sucking process along with the tongue, therefore, if the frenulum is shortened, the child will not be able to eat normally;
Too short a frenulum of the upper lip does not allow the correct pronunciation of labial sounds and some vowels, as a result of which the child will experience difficulties with diction;
Frenulum defects are directly related to malocclusion and chewing functions. Thus, there is a risk of digestive problems.

According to doctors, it is best to perform plastic surgery of the frenulum of the upper lip in children aged 5 to 8 years (indications for surgery on the lower lip are identical). At this time, the child's milk teeth are replaced by permanent ones, and it is important that this process proceeds correctly. However, if necessary, it is possible to carry out plastic surgery of the frenulum of the upper lip in adults or adolescents. As for newborns, they are advised to have surgery only in case of a serious eating disorder.

Methods for plastic surgery of the frenulum of the lip

There are three main methods of frenuloplasty: frenotomy, frenectomy and frenuloplasty. The choice of technique depends on the characteristics of the pathology.

Frenotomy is a dissection of the frenulum. It is carried out when the process is too narrow and does not attach to the edge of the alveolar ridge. Cut the bridle in the transverse direction.
Frenectomy - excision of the frenulum. This method is used when there is excess soft tissue width and the incision is made along a ridge.
Frenuloplasty - moving the site of attachment of the frenulum.

In all three cases, self-absorbable threads are used for suturing wounds. The operation usually takes about 15 minutes and is painless using local anesthesia.

Recently, plastic surgery of the frenulum of the lip with a laser has been widespread. This operation is more expensive, but easier to carry. A focused laser beam removes excess tissue while sealing the edges of the wound. This means that there is no need for stitches, the operation is completely bloodless, and rehabilitation takes less time. Plastic surgery of the frenulum of the upper lip in children with a laser is preferable to the classical technique, since it passes with less traumatism. Of course, we also recommend giving preference to plastic surgery of the frenulum of the upper lip with a laser in adulthood.

Care after surgery

The rehabilitation period takes one to two weeks. To avoid complications, you must follow the doctor's recommendations:

monitor the hygiene of the oral mucosa and perform the procedures prescribed by a specialist;
exclude hot, sour and hard foods;
undergo a follow-up examination by the surgeon who performed the operation;
do gymnastics to strengthen the chewing muscles.

The above rules will help you return to your usual way of life in a short time and prevent deterioration of your health after plastic surgery of the frenulum of the lip.

How much does lip frenuloplasty cost?

The price for lip frenuloplasty usually starts at 3,000 rubles and reaches 5,000 - 6,000 rubles. In this case, there is usually no difference whether we are talking about the price of plastic surgery of the frenulum of the upper lip or the lower one. Plastic surgery of the upper lip frenulum with a laser is more expensive and can cost from 3,500 to 8,000 rubles. Traditionally, the cost of the operation already includes anesthesia, but this must be clarified in advance. Often parents are interested in how much plastic surgery of the frenulum of the upper lip in children costs. Usually, the costs of this procedure do not differ from the costs of surgery in adults.

The frenulum of the foreskin of the male penis performs important functions. This strip of tissue connecting the head of the penis and the foreskin regulates the movement of the second relative to the first during an erection. That is, when the penis increases in size, thanks to the frenulum, the foreskin moves down, exposing the head. At the same time, the bridle does not allow the skin fold to fall below the desired area, reliably fixing it.

An important function of this zone of the penis is the sexual pleasure of a man. The frenulum contains a huge number of sensitive receptors that affect orgasm. Ideally, the bridle gives men only pleasure, and if it causes discomfort, then serious problems have arisen in this area of \u200b\u200bthe body. To eliminate the defect, plastic frenulum of the foreskin is required, scientifically - frenulotomy.

Frenulum pathologies in most cases are congenital.

Due to individual anatomical features, this section of the penis may be too short. Pathology is often accompanied by a narrowing of the foreskin, which is called phimosis. Usually the disease can be noticed at an early age. In a small percentage of boys 14-15 years old, the pathology occurs during puberty, when the organs grow very quickly and unevenly.

In addition to anatomical anomalies in the development of the penis, the pathology of the frenulum can be caused by external causes:

Mechanical damage, injuries cause a violation of the integrity and elasticity of the frenulum. Wearing too tight clothes causes microtrauma on this part of the organ, which can lead to the fusion of the foreskin and head in the process of tissue regeneration. During sexual intercourse, a rupture of the frenulum may occur, which, after healing, forms rough scars, reducing tissue elasticity.
Chronic balanitis and balanoposthitis cause deformation of the tissues of the head, foreskin and frenulum. This, in turn, leads to the development of phimosis and injuries.
Diabetes mellitus in the phase of decompensation(lack of treatment) negatively affects the condition of the vessels, increasing the risk of frenulum pathology.

The fact that the frenulum needs diagnosis and treatment is indicated by the following factors:

when the head of the penis is exposed, painful sensations occur;
after sexual intercourse, bleeding and cracks appear on the frenulum;
in a state of erection, the head of the penis is lowered down;
there is a feeling of tension of the frenulum during erection.

If a man periodically has such signs, then this is a serious reason to think about the state of his health. Since a problem with a frenulum can cause serious complications that prevent harmonious sexual relations.

Health risks associated with frenulum pathology:

profuse bleeding at rupture;
premature ejaculation;
the development of phimosis and paraphimosis, accompanied by pinching of the head and circulatory disorders;
pain syndrome during intimacy;
inflammatory processes against the background of frequent injury;
tissue scarring due to prolonged healing after rupture.

Rupture of the frenulum and, as a result, profuse bleeding are quite common phenomena. During violent sex, thin tissue can simply tear due to strong tension.

Since the frenulum is replete with nerve endings and blood vessels, a man experiences acute pain when it breaks, which can lead to shock, and the blood does not always stop on its own. In this case, you should immediately consult a doctor.

Self-healing of tissues after a rupture of the frenulum can lead to the formation of coarse growths.

This is due to the fact that the tissues on the genital organ heal slowly, and the constant injury of the wound with clothing further increases this period. As a result, scars form at the site of the rupture, which leads to a loss of elasticity of the organ. And this, in turn, again and again causes injury to the frenulum.

A short frenulum often provokes the development of such an ailment as premature ejaculation. In this small area of the penis is the largest accumulation of sensitive receptors. Due to the fact that the frenulum is subjected to strong tension during intercourse, a quick and uncontrollable orgasm occurs. Thus, a man can develop pathologies that affect his sexual life: erectile dysfunction, erotophobia (fear of sex), impotence.

Important

Pain, blood, lack of sex - these terrible phenomena can be caused by the pathology of a small organ called the frenulum of the foreskin. Therefore, you should not self-medicate at home or hope that everything will heal itself. You should contact a competent specialist for advice and undergo appropriate treatment.

Indications for plastic frenulum of the foreskin:

disproportionately short frenulum;
rupture of organ tissue;
phimosis and paraphimosis;
premature ejaculation (with concomitant pathology of the frenulum);
formation of scar tissue after rupture of the frenulum.

Plastic surgery on the bridle is a full-fledged surgical intervention and therefore has limitations for its implementation. Quite often, plastic surgery of the frenulum of the foreskin is done simultaneously with circumcision. In this case, the doctor solves two problems - eliminates phimosis and solves the problem of a short frenulum. To exclude pathologies that prevent the plasticity of the organ, the patient should be examined by a urologist and donate blood and urine for research.

Contraindications to the operation on the frenulum of the foreskin:

inflammatory diseases of the genitourinary system;
chronic diseases in the acute stage;
infectious diseases;
oncology;
blood clotting disorders;
AIDS, hepatitis;
the presence of sexually transmitted infections.

Methods of operation on the frenulum in men

Frenulotomy is a quick and uncomplicated operation, which is characterized by an excellent result, guaranteeing a 100% solution to the problem of frenulum pathology.

The procedure is performed on an outpatient basis, using local anesthesia. The injection is made directly into the genitals.

For patients under the age of 18, anesthesia is administered intravenously.

The duration of the procedure is 15-20 minutes.

Operation methods:

Classic bridle operation in men with the help of a scalpel. This traditional method of tissue incisions is still used most often. Its disadvantage is significant blood loss and the possibility of tissue infection during surgery.
Frenuloplasty with laser- a modern way of conducting operations. Laser equipment is successfully used in medicine for a variety of manipulations with body tissues.

Many patients prefer the virtually painless and bloodless method of laser surgery. Indeed, the laser beam acts on tissues softer than a scalpel. When organs are cut with a laser, the process of coagulation of blood vessels and cells occurs, and the liquid instantly evaporates. Thus, blood loss becomes minimal. Due to this, the recovery period is easier to bear, and the sites of incisions sealed with a beam are almost invisible after tissue healing.

However, the practice of frenuloplasty with a laser revealed serious shortcomings of this method. The most attractive advantage of laser surgery is the absence of sutures. But unlike other organs, which can be in a calm state during the rehabilitation period, the penis is mobile.

Even a slight erection can lead to a divergence of the tissues soldered by the laser.

Thus, until the wound edges heal, repeated fixation of their position is required. Otherwise, the constant divergence of tissues forms a rough scar.

Another significant advantage of the laser over the scalpel is the impossibility of introducing an infection during the operation.

The laser beam cuts tissues by heating them up to 400 degrees Celsius, which eliminates wound infection. Therefore, when deciding on the method of the operation, it is necessary to take into account this factor, since more than 10% of all postoperative complications are inflammatory processes and infections.

Regardless of the chosen method of surgical intervention, a bridle operation in men can cause a number of complications obtained during the operation or during the rehabilitation period:

severe pain;
pronounced swelling of the body of the penis;
bleeding from wounds;
poor aesthetic results;
scarring of seams;
genital infection.

All complications are treated on an outpatient basis and do not require hospitalization. Pain is usually relieved with analgesics, and swelling is reduced after the use of decongestant ointments. The issue of dissatisfaction with the appearance of the member after the operation is resolved directly with the surgeon.

How is frenuloplasty done: types of operations and rehabilitation period

Plastic surgery on the bridle differs in the technique of execution. It depends on the severity of the defect and associated complications. The most demanded are the plastic of a short frenulum and the operation after its rupture. In addition, surgeons often combine the operation with circumcision, since it is easier to eliminate the pathology of the frenulum and phimosis at the same time. No less popular is the operation to lengthen the frenulum technique V-Y. Consider the types of operations in order.

Rupture of the frenulum after active sex should be eliminated in the clinic. Self-healing of the wound can cause comorbidities and further darken the sexual life of a man. Immediately after the rupture of the frenulum, you need to apply a tight bandage and rush to an appointment with a urologist. The doctor in this case sutures the wound, applies an antiseptic bandage and prescribes medications that promote better tissue healing and prevent infection.
Short frenulum plasty is performed by the method of transverse dissection of the fold. If there is scar tissue or other growths on the bridle, they are cut out. After the incision and other necessary manipulations, the tissues are sutured in the longitudinal direction. In this delicate area, thin, self-absorbable sutures are usually used. The operation is carried out within 10 minutes, and soon the patient can go home.
Removal of the frenulum is carried out in the case when, as a result of ruptures and self-growth of tissues, the frenulum is completely covered with scars. If the doctor sees that there is no useful tissue left, then he cuts out the fold and sews up the wound. This operation is called a frenulectomy.
The operation to lengthen the frenulum is performed similarly to the short plasty. The difference lies in the shape of the cuts. For the purpose of lengthening, the doctor makes an incision along the fold in the shape of a V, and sutures it in the shape of a Y. Thus, it is possible to lengthen the frenulum by 1-1.5 centimeters.

Frenuloplasty is considered more of a cosmetic procedure than a major surgical procedure. However, a timely visit to a doctor to eliminate the defect will help maintain the functionality of this part of the organ and save you from serious problems.

Rehabilitation after the operation on the bridle lasts about a month. At this time, you need to carefully look after the genitals and exclude intimacy for at least two weeks.

In the first days, the patient needs to be dressed with a sterile cloth, use antibacterial ointments and other drugs prescribed by the doctor. As additional funds, baths with chamomile or oak bark can be recommended. During the recovery period, physical activity should be limited. Within a week after the operation, it is undesirable to wet the genitals when bathing. To do this, a man needs to put on a condom, tighten at the base, and after bathing, remove it.

After the wound has healed and a tender scar has formed, it is recommended to use lubricants to soften friction during sex.

Such a remedy should be applied to the genitals for at least a month.

The problem of a short frenulum is solved in only one way - by surgical intervention. The possibilities of today's medicine make this intervention minimally traumatic and easy for the patient.

Navigation:

Of course, we are talking about a laser. Laser technologies are constantly being improved, opening up more and more new applications in cosmetology and surgery. The DEKA clinic constantly presents innovations and novelties in the field of laser technology, raising the quality of service to a higher level than many other clinics. The equipment used by DEKA specialists is distinguished by reliability, safety and efficiency.

Benefits of using a laser for frenuloplasty

Bloodlessness. In the process of excision, the tissues are immediately cauterized.

Minimal injury. The laser affects only the “necessary” tissues, neighboring tissues remain intact.

Reducing the duration of the operation. The operation is faster than the traditional one and takes less time.

Sterility. The laser has a sterilizing effect on tissues.

Reducing the recovery period. And the process itself is not accompanied by strong painful sensations, because the intervention was minimal.

No scars. The edges of the wound are soldered, there is no need for suturing, after healing there are no traces left.

Disadvantages of using a laser for frenuloplasty

When using a laser, unpleasant surprises are possible - a deep burn or, for example, a low accuracy of the penetration depth. If a burn suddenly occurs, the recovery period can drag on for a very long time and will be painful, since the wound will heal slowly and, most likely, is problematic. Uncontrolled penetration can generally cause serious injury. For example, the urethra is very close to the area of operation, and therefore, if the beam penetrates too deep, it can be damaged.

Many more experts refuse to use a laser because of the peculiarities of male physiology, namely, because of the "inconstancy" of the size of the male penis. The edges of the wound soldered by the laser may diverge with the physiological increase (erection) of the penis, and then it will be necessary to solder them again. During the recovery period, such “fixing” of the edges can be repeated many times - as a result, an ugly scar is formed.

Taking into account all of the above, we can draw a simple conclusion: the main drawback of the laser is the lack of proper qualifications and experience of the surgeon. If an experienced specialist who is thoroughly versed in all the subtleties and nuances, has performed more than one hundred such operations with the help of a laser, any "unpleasant surprises" are excluded.

Recognized experts in laser technology in surgery can be found at the DECA Clinic. If you are tuned exclusively to a successful outcome of penile frenuloplasty, call and sign up for a consultation!

Be healthy and take care of yourself!

The quality of intimate relationships and the reproductive function of a man directly depends on the frenulum of the foreskin.

The anatomical protective part of the penis, which forms the protection of the organ, is a fold in the skin passing from the head of the penis to the foreskin.

However, during intimacy, the short frenulum is often torn, which causes bleeding and pain.

purpose

The bridle is a rather vulnerable place that successfully copes with the functions of the regulator, responsible for exposing the head during arousal. It establishes the correct ratio of its bends and prevents the foreskin from moving below normal.

A short frenulum of the prepuce is a congenital anatomical defect that entails discomfort and complications.

This extremely delicate part can suddenly stop functioning. A large number of nerve endings, lymphatic and circulatory structures endow the mechanism with increased sensitivity.

There are several times more terminal nerve formations in the frenulum than in the head itself. During intercourse, she is constantly in a tense position, which accelerates the erection and the climax of sex.

A small skin fold is responsible for the healthy functioning of the penis. Anomalies often lead to premature ejaculation, and later to impotence.

Afraid of experiencing a second breakup, a man restrains himself during sex, making the process of reaching orgasm longer physically and emotionally.

As a result, a man fails to achieve an increase in the volume of the penis, its hardening and straightening - impotence occurs.

Most men mistakenly believe that circumcision can fix the problem. But why resort to such drastic measures? Today, sparing plastic surgery is able to eliminate the defect of the frenulum.

Indications

Specialists in the field of urology recommend plastic surgery of a short frenulum if the pathology is congenital or acquired.

In this case, the man experiences the following sensations:

difficulties and pain during an intimate relationship;
violation of the anatomical continuity of the frenulum (tear, rupture) with subsequent bleeding;
pain during exposure of the head;
feeling of tension in the area of the skin fold;
significant descent of the head down during arousal.

In rare situations, after tearing the tissues of the frenulum, their natural regeneration occurs with the restoration of sufficient length.

Usually, the tissues in the area of the tear are scarred, which further shortens the frenulum of the prepuce and increases the risk of re-injury with the next sexual intercourse.

Contraindications

Contraindications for plastic surgery on a short bridle include:

development of an acute pathological process in the organs of the genitourinary apparatus;
the presence of benign or malignant formations in various organs and systems of the body;
violations of the functioning of the immune system, including HIV infection and AIDS;
diseases caused by infections of various etiologies;
acute hepatitis and other liver diseases in an acute form;
venereological pathologies.

Preparing for the operation

Before the operation, the patient should come for a consultation with the surgeon and discuss together the method of conducting the surgical intervention.

The doctor plans the date of the plastic surgery and writes out a referral for the patient to prepare for the intervention. Without fail, the patient undergoes a set of necessary examinations.

These activities are necessary to identify possible contraindications to plastic surgery, assess the general state of health, which will minimize the risk of postoperative complications and the harmful effects of anesthesia.

In the hospital, doctors prescribe the following tests:

general analysis of blood and urine;
blood biochemistry;
hemostasiogram;
blood type, Rh factor;
tests for hepatitis, syphilis, HIV;
determination of the concentration of PSA (prostate-specific antigen) in the blood of men over 55 years of age.

Functional diagnostics:

fluorography;
electrocardiogram;
examination of blood vessels by ultrasonic duplex scanning;
Ultrasound of the pelvic organs, scrotum and abdominal cavity (if necessary).

In addition to standard studies, the patient must comply with some medical recommendations:

Hairline in the work area must be shaved off. Do this in the evening on the eve of plastic surgery. You need to try to do this carefully so as not to damage the skin and avoid irritation.
If there are difficulties in implementing this recommendation, the medical staff of the clinic will provide assistance.
If a preparatory examination revealed an inflammatory process in the body or an exacerbation of an old disease, the patient is prescribed a treatment that will eliminate the signs of the disease in a short time.
Two days before the plastic surgery, the patient is prescribed to take antibacterial drugs, which will reduce the risk of postoperative wound inflammation.
When planning a surgical intervention under general anesthesia or spinal anesthesia, the patient is forbidden to eat 12 hours before the operation. On the morning of plastic surgery, you can not smoke or drink. On the evening before, the patient is given a cleansing enema, which is repeated in the morning.
If the patient is taking antithrombotic drugs, they should be stopped 5 days before the plastic surgery. In the preparatory period, they can be replaced with low molecular weight heparins.
Short frenuloplasty requires mandatory treatment of the penis with an antiseptic.

Remember, frenuloplasty is a simple and low-traumatic operation that is performed in a matter of minutes. In many clinics, it is performed using radio waves, which makes the intervention absolutely bloodless.

A short bridle causes a lot of trouble and causes a number of complexes in intimate life, therefore It is better to immediately decide on the operation and not to postpone the solution of the problem for the future.

Think about it: in just 20 minutes you will have the opportunity to get rid of the problem, pain, strong negative emotions that have tormented you for many years.

Holding

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In science, the plasticity of the frenulum of the penis is called frenulotomy. The essence of the operation is to cut the frenulum.

It is allowed to be carried out only if the elastic skin longitudinal fold has not been injured.. If there is a scar, the andrologist performs frenuloplasty.

The intervention is performed under local anesthesia and lasts no more than half an hour. The man has the ability to control the course of the operation without discomfort.

The specialist makes a transverse incision on the bridle, which is immediately stitched along the longitudinal line. 3-4 stitches are applied.

If pronounced scars have formed on the penis, formed as a result of a tear or rupture, the specialist dissects the scar tissue and stitches it in the longitudinal direction using the thinnest suture material.

Within 7 days after plastic surgery, the patient experiences discomfort. But in the future, the foreskin will not stretch, causing pain, and after the full stage of healing, a small thin trace will remain, which will visually continue the anatomical seam between the saccular formation and the lower surface of the penis.

After the intervention, the foreskin can be easily retracted and the head of the penis exposed, while pain and discomfort are completely absent. The tension of the skin fold ceases to bother the man, for this reason the penis does not fall down.

The frenulum correction procedure does not require circumcision of the prepuce. However, at the request of a man, circumcision (circumcision) is carried out in conjunction with the operation.

In some cases, circumcision is a necessity if the formation of a short skin fold is accompanied by the impossibility of exposing the head of the male genital organ (narrowing of the foreskin).

The video provides additional information about the operation.

Possible Complications

The operation on the frenulum of the penis is not difficult, so complications are rare.

Improper postoperative care can lead to bleeding in the work area, as well as pain and discomfort. If microbes enter the wound site, local infection is possible.

These manifestations can be avoided by strictly observing the doctor's instructions and the rules of personal hygiene. During the rehabilitation period, it is recommended to reduce physical activity.

According to statistics, after penile plastic surgery, the following complications are possible:

tissue infection and inflammation;
severe pain syndrome requiring the use of painkillers;
repeated clinical manifestations of adhesions;
significant swelling of the penis;
poor aesthetic result;
bleeding, after which repeated surgery is required.

Complications are treated on an outpatient basis. If the patient was dissatisfied with the result of plastic surgery, which did not eliminate functional and cosmetic defects, doctors recommend circumcision.

Rehabilitation

The next day after the operation, the man should visit the doctor for a follow-up examination.

exclude physical activity for 14 days;
refrain from sexual intercourse for 2 weeks;
after 7 days, visit the clinic for removal of stitches;
refrain from masturbation until the penis is fully restored;
regularly treat the wound site with means prescribed by a specialist;
do not remove the protective bandage from the penis for 12 hours after the intervention;
organ care should be carried out with baby soap and boiled water at room temperature.

The first days after surgery, it is advisable to stay in bed. This will reduce discomfort in the groin and increased sensitivity and soreness.

On the first day, a state of inattention, forgetfulness and impaired coordination is possible, but these manifestations are considered the norm.

Any surgical intervention is accompanied by tissue injuries, therefore, blue integuments in the operated area are possible. Bruises disappear on their own on the 8th-9th day of the recovery period.

After 7 days, the wound site ceases to disturb the patient, and the specialist allows the performance of small physical exertion. After 14 days, a man can return to his usual working life, and after 20 days - to active sexual intercourse.

Alternative - laser technique

Previously, frenulum defects were eliminated by the classical surgical method. Today, the field of medicine is actively using a laser for plastic surgery of the genital organs.

Laser technologies make it possible to minimize the release of blood during the intervention and eliminate the use of suture material. The essence of the method is to solder the edge lines together.

Many believe that laser and radio wave instrumentation reduces the risk of undesirable consequences. However, this is not the case.

In practice, the use of the laser revealed serious shortcomings. The natural physiological features of the male penis do not allow it to have a constant size. That is why the seamless technique is not always effective..

Minimal erection of a large penis can lead to divergence of the laser-welded edges of the wound area, which necessitates additional suturing.

To fully restore the bridle, several stages of fixation will be required. As a result, a pronounced scar is formed on the penis, which makes intimate communication problematic and becomes the culprit of premature ejaculation.

Remember, the elimination of frenulum defects with a laser or radio waves significantly increases the risk of injury to the urethra and other genital organs.

Learn about the benefits of laser plastics from the video.

Prices

The cost of the operation includes consultation with a specialist, necessary examinations, anesthesia, removal of suture material and dressing procedures.

Consider the average cost of plastic surgery of a short frenulum of the penis in popular clinics of the capital:

B-clinic - 6,000 rubles;
Detail - up to 8,000 rubles;
Golden section - 7,200 rubles;
Maka-Med - 8,800 rubles;
Doctor Plastic - 7,500 rubles.

Laser dissection of the frenulum varies between 8,000-12,000 rubles.

Some boys from birth have a defect in the development of the external genitalia - a short frenulum of the foreskin. Often, the pathology is inherited. In some cases, the problem occurs already in adulthood, when a man suffers a number of illnesses or injuries.

Features of the disease

If a man is diagnosed with a short frenulum of the foreskin, this means insufficient length and low extensibility of the skin fold, which passes to the head from the foreskin. Such an anomaly is diagnosed in 5% of men and boys, while the severity of the disease varies from mild to severe. Pathology code according to ICD-10 - N47 (Excessive foreskin, phimosis, paraphimosis).

A normal-sized frenulum, the tissues of which are elastic, perfectly stretches and does not interfere with the movement of the skin during intercourse. A short bridle does not allow the head of the penis to be exposed during an erection, which causes a lot of suffering to a man.

A short frenulum contributes to the shortening of sexual intercourse, leading to early ejaculation. More often, pathology occurs in a child from birth, but due to the described features, it is detected during the onset of sexual activity, in adolescence.

Causes of the pathology of the foreskin

Almost all newborn boys have physiological phimosis - the narrowness of the foreskin with the inability to expose the head. Pathology is combined with shortening of the frenulum. But by the age of 7, in 95% of children, congenital phimosis and other problems disappear. The remaining boys are diagnosed with a congenital form of a short frenulum.

Acquired forms of pathology also occur. There are many reasons for this state of affairs.

In teenagers or older men, shortening of the frenulum of the foreskin can happen when:

Injury to the head of the penis against the background of hard sexual contact;
Abuse of wearing tight underwear, trousers;
Long-term traumatic sports;
Damage to the foreskin by piercing, after the introduction of ointments and petroleum jelly;
Transfer of infectious pathologies of the genital area - balanoposthitis, urethritis;
Transferring STIs - syphilis, gonorrhea, etc.

Often, men with diabetes mellitus against the background of circulatory disorders suffer from recurrent balanoposthitis, in which the foreskin and skin of the head of the penis become inflamed. It also causes the frenulum to shorten over time.

The photo shows a normal and short frenulum of the foreskin (from left to right)

How to know if the bridle is short?

The appearance of the penis outside an erection can be normal, so in boys the problem is detected only by chance, during a routine examination by a urologist or surgeon. But during the period of active sexual life, the symptoms of the disease become more pronounced. During an erection, a too short frenulum does not allow the penis to straighten sufficiently, sometimes the erection immediately disappears from tightness and pain. The head of the penis in a tense state looks down. In such cases, the question arises: what to do?

During intercourse, if possible, a man has to look for a suitable position, otherwise there is pain, discomfort in the head area. The shorter the frenulum tissue, the more intense the pain. Rough sexual intercourse can even lead to a rupture of the frenulum and the appearance of bleeding. With untimely first aid, it can be long and plentiful.

A urologist, andrologist or surgeon will help diagnose the disease, which is recommended to contact if such troubles are identified. The examination method is simple - already during the examination, the doctor can easily determine the pathology.

Objective symptoms of shortening the frenulum of the foreskin are:

When pushing back the foreskin, the short part of the frenulum does not allow this to be done sufficiently;
When you try to strongly displace the foreskin, pain occurs.

Sometimes a psychologist is involved in the treatment of a disease if a man has complexes, and a sexologist, while there are violations and dysfunctions in the intimate sphere.
On the video about the causes and symptoms of a short frenulum:

Treatment

A complete cure is possible only by surgery, since it is not possible to stretch the skin of the frenulum with any drug. A frenulotomy operation is used - dissection of the short frenulum of the penis in order to restore its normal size.

The indications for surgery are:

Congenital short frenulum;
Scars on the bridle as a result of trauma, inflammation;
The appearance of cracks, bleeding;
Concomitant pathologies - phimosis, ejaculation disorders.

In case of acute infections, exacerbation of inflammatory processes, the presence of skin and purulent pathologies, the operation is performed only after complete recovery. Before the intervention, it is important to be tested for STIs, hepatitis, HIV, no special preparation is required. It is only necessary to shave off the hair on the genitals and thoroughly wash the genitals.

In childhood, the operation is not performed and the question of how to stretch the bridle does not arise. Usually, surgery is recommended for adolescents from 12 years of age and adults. In the first case, general anesthesia is used, in the second - local or general anesthesia. After disinfection of the penis area, the frenulum is transversely dissected, the artery is ligated, and the edges of the wound are sutured longitudinally. Only self-absorbable threads are used.

If there are scars, they are also removed (frenuloplasty). In some cases, Z-shaped plasty is shown - dissection of the frenulum in the shape of the letter Z, followed by suturing of two triangular flaps.

The duration of frenulotomy is up to 20 minutes. With a combination of severe phimosis and a short frenulum, circumcision is performed.

Often, laser and radiosurgical types of frenulotomy are performed. They are produced in the same way, but instead of a scalpel, a laser beam or a radio knife is used. There is practically no bleeding during this type of operation. The disadvantage is the risk of wound dehiscence as the size of the penis increases during an erection.

The bandage after the intervention should be worn for up to a day, then the wound should be opened to prevent infection from urine. The seams are treated daily with brilliant green, while they do not forget to visit the doctor regularly. Be sure to take antibiotics, if necessary - painkillers.

Important features of patient rehabilitation after frenulotomy:

When taking a shower, put a condom on the penis so as not to wet the wound.
Do not have sex until the wound is completely healed.
Up to 2 months after the operation, it is mandatory to use lubricants during sexual intercourse.

On the video about the treatment of a short frenulum of the foreskin by performing a frenulotomy:

Effects

Without surgery, complications may develop. So, due to constant injury, cracks appear on the skin of the penis, where the infection easily penetrates. The result is often a recurrent inflammatory process. Men with a short frenulum experience early ejaculation and other problems in intimate life.

A serious consequence is bleeding and sharp pain from the rupture of the frenulum. In this case, it is important to immediately stop the blood - press the head for 10 minutes, then take a bath with a disinfectant and apply a bandage. After such a complication, it is important to consult a doctor as soon as possible and perform the operation even before the growth of scars on the frenulum.