Frenulum Repair or Modification Surgery

Understanding the Frenulum

The frenulum is a small fold of tissue that secures or restricts the motion of a mobile organ in the body. In the context of frenulum repair or modification surgery, the frenulum can refer to the band of tissue connecting the tongue to the floor of the mouth, or the band located underneath the penis.

When Does Surgery Become Necessary

Frenulum repair or modification surgery becomes necessary when the frenulum is too short or tight, a condition known as frenulum breve. This can cause tension during erections, leading to pain and bleeding, and can affect speech and feeding in infants if the tongue's movement is restricted.

Overview of the Surgical Procedure

Frenulum repair or modification surgery, also known as frenulectomy or frenuloplasty, involves the removal or alteration of the frenulum to relieve tension and improve mobility. The procedure is typically performed under local anaesthesia and takes less than 20 minutes.

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Further information

Related Concerns
A tight or short frenulum can cause significant discomfort, pain during erections, and bleeding in men. In infants, it can affect feeding and speech development.

Causes of the Issues

The exact cause of a short or tight frenulum is unknown, but it is usually present from birth. The degree of tightness and thickness varies from person to person.

Treatment Approaches

Treatment options for a short or tight frenulum include stretching exercises, steroid creams, and surgery. The surgical options include frenulectomy, where the frenulum is removed, or frenuloplasty, where it is altered to relieve tension.

Service Overview

Frenulum repair or modification surgery is a quick and effective solution for a short or tight frenulum. It involves the removal or alteration of the frenulum to relieve tension and improve mobility. The procedure is typically performed under local anaesthesia and takes less than 20 minutes.

Step-by-Step Guide to Frenulum Repair or Modification Surgery

1. The area is numbed with a local anaesthetic.
2. The surgeon makes an incision to release the frenulum.
3. If necessary, the wound is stitched to allow for optimal healing.
4. The procedure is completed in less than 20 minutes.
5. Post-operative care instructions are provided, including a recommendation of no sex for at least 5-6 weeks to allow the surgical site to heal optimally. ## References
6. Integrative Dental of Denver. (2023). Frenectomy Procedure | Tongue & Lip Tie Release | Littleton, Denver CO.
7. Pollock Clinics. (2023). Penile Frenulectomy & Freluloplasty | Frenulum Breve Relief - Pollock Clinics.
8. Operarme.com. (2023). Frenulectomy, duration, cost and step by step - Operarme.com.
9. PMC - NCBI. (2023). Tongue-tie Repair: Z-Plasty Vs Simple Release - PMC - NCBI.
10. Gentle Procedures Dallas. (2023). Penis Frenulectomy. Fix Frenulum Breve. Dallas Texas Clinic. ### Conditions Warranting Frenulum Repair or Modification Surgery Frenulum repair or modification surgery is recommended for individuals with a short or tight frenulum, a condition known as frenulum breve. This condition can cause discomfort, pain during erections, and bleeding in men. In infants, it can affect feeding and speech development. Lifestyle considerations such as sexual activity and speech quality may also influence the decision to undergo this surgery. ### Benefits of Frenulum Repair or Modification Surgery The surgery can alleviate discomfort and pain, improve sexual function in men, and enhance speech and feeding abilities in infants. It can also prevent potential complications such as tearing and bleeding. ### Risks of Frenulum Repair or Modification Surgery Like any surgical procedure, frenulum repair or modification surgery carries some risks, including infection, bleeding, and scarring. There may also be temporary changes in sensation. ### Preparation for Surgery Patients are usually advised to abstain from sexual activity for a few days before the surgery. They may also need to undergo a physical examination and blood tests. ### Pre-surgery Procedures and Checks On the day of the surgery, the patient's vital signs are checked, and the surgical area is cleaned and prepared. The surgeon will also confirm the procedure details with the patient. ### Postoperative Care After the surgery, patients are given instructions on wound care, pain management, and activity restrictions. They are usually advised to abstain from sexual activity for 5-6 weeks to allow the surgical site to heal. ### Recovery and Rehabilitation The recovery period varies, but most patients can resume normal activities within a few weeks. Physical therapy or exercises are not typically required for this surgery. ### Alternatives to Surgery Non-surgical treatment options for a short or tight frenulum include stretching exercises and steroid creams. However, these treatments may not be as effective as surgery in severe cases.

• Integrative Dental of Denver. (2023). Frenectomy Procedure | Tongue & Lip Tie Release | Littleton, Denver CO.
• Pollock Clinics. (2023). Penile Frenulectomy & Freluloplasty | Frenulum Breve Relief - Pollock Clinics.
• Operarme.com. (2023). Frenulectomy, duration, cost and step by step - Operarme.com.
• PMC - NCBI. (2023). Tongue-tie Repair: Z-Plasty Vs Simple Release - PMC - NCBI.
• Gentle Procedures Dallas. (2023). Penis Frenulectomy. Fix Frenulum Breve. Dallas Texas Clinic.