Plastic frenulum of the penis: the purpose of the operation and possible contraindications
In the overall structure of the incidence of the male reproductive system, developmental defects take a certain place.
They disrupt the normal physiological processes and lead to the impossibility of a full sexual life.
However, modern medicine has a whole arsenal of tools that can correct a congenital anomaly. This concerns the methods of plastic surgery, one of which is frenulotomy or plastic of the frenulum of the penis.
Purpose
Frenulotomy is a surgical procedure consisting in dissection of the frenulum of the penis due to its abnormally short length. This congenital condition, however, is detected only with the onset of sexual activity. In very rare cases, shortening the frenulum can occur as a result of injury and the formation of a rough scar.
Bridle (Latin frenulum) - elastic skin fold, longitudinally located on the lower surface of the male penis, and connecting his head with the foreskin. The main function of the structure is to ensure the free displacement of the latter around the head.
The presence of a shortened frenulum is clinically manifested only during intercourse, when the penis is in an erection state. At the same time, a man may feel pain, tension and lack of straightening of the penis. The greatest danger that can happen is tears and tears in the bridle, accompanied by massive bleeding.
If the tears were small and recurred, then scar tissue forms in their place, which will also lead to premature ejaculation up to the development of impotence. All this affects the psychological status of men and can cause depressive disorders (decrease in self-esteem, confidence, the appearance of feelings of inferiority, etc.).
For statement of the diagnosis there are enough complaints of the patient, anamnestic data and objective inspection of the urologist. Frenulotomy provides the restoration of the normal anatomical structure of the penis and does not represent any threats to the patient. The method is successful in 100% of cases.
Indications
Plastic surgery of the penis frenulum is necessary if the patient has the following symptoms:
- pain syndrome during the retreat of the foreskin;
- non-physiological deformation of the penis down during erection;
- feeling of pronounced tension and tension in the head;
- the presence of cracks, microdamages, scars on the surface of the bridle;
- rupture of this structure and the development of bleeding;
- premature ejaculation.
Surgical intervention should be performed immediately after the problem was detected. Delay in this case can be dangerous, both physically and psychologically.
Contraindications
Specific contraindications to surgery are absent.
However, among the general limitations of the following:
- acute infectious diseases, including venereal;
- blood diseases characterized by hypocoagulation (low clotting);
- malignant oncology;
- exacerbation of chronic pathologies of the genitourinary system;
- decompensated lesions of the liver and kidneys.
Plastic bridle of the penis: reviews and cost of the procedure
Before surgical correction of the defect, the urologist must examine the patient using standard examination methods:
- general blood and urine analysis;
- blood coagulation system indicators;
- fasting blood glucose;
- biochemical analysis of venous blood;
- fluorography / radiography of the chest (valid for 1 year);
- electrocardiogram;
- tests for viral hepatitis, HIV infection, syphilis;
- determination of blood group, Rh factor;
- consultation of the therapist and in the case of concomitant pathology specialist narrow profile.
Holding
The technique of operation is not difficult. Frenulotomy is performed under local anesthesia for
The patient can be allowed to go home on the same day, subject to further observation by the surgeon. The stitches are removed for
Another method that has recently been actively used is the use of laser technology. The incision in the bridle is performed with a laser knife, does not require stitching, and is distinguished by the maximum gentle effect on surrounding tissues. The duration of the manipulation is further reduced and does not exceed
In the case of a combined defect (for example, a combination of a short frenulum and narrowing of the foreskin ), surgical intervention involves both anomalies at once. Frenulotomy can be performed according to indications at any age. In children, the recovery period is much shorter and easier than in adults, but under the age of 14 years, general anesthesia may be required. In addition, the procedure for the child takes place only in the hospital and therefore will require hospitalization.
The success of plastic surgery depends not only on the methods and available means, but also on the qualifications of the surgeon, his experience and skills. During the recovery period, it is recommended to completely abstain from sexual activity for at least
At the insistence of the doctor can use special creams containing antibiotics. For individuals who have undergone plastic surgery on the frenulum of the penis, reviews of the procedure indicate a good tolerability of the surgical intervention and a quick healing process.
Possible complications
Frenulotomy complications are few and can be represented by the following types:
- bacterial infection (antibiotics are prescribed from the broad-spectrum group);
- hematoma (as a rule, it is located under the skin and does not require treatment);
- hypertrophied scar and, as a result, unaesthetic appearance (occurs when the seam has been improperly technique, requires re-correction);
- loss of sensitivity of the skin over the bridle or around it (passes on its own after a certain time);
- injury during plastic surgery of large blood vessels and urethra (urethra).
Surgical intervention for the correction of the short bridle of the penis, although it is an outpatient procedure, but should be carried out in medical institutions or specialized centers in compliance with all safety rules and standards.
Price and reviews
The cost of surgical correction of the frenulum of the penis varies in different limits.
The average price for major cities in the country is 4,000 rubles.
It may increase to 8000 if additional scar tissue is to be removed.
In clinics of a higher level, the price can reach 15,000 and higher.
Patient Reviews
Maxim, 19 years old: “Some time ago I had a problem with shortening the bridle of the penis. At the reception, the doctor also confirmed this and said about the need for surgery. The procedure itself was surprisingly quick, after the operation they were a little worried about the pain, but they were tolerant. I recovered quickly, after 2 weeks I was able to return to a full life. ”
Alexey, 20 years old: “I learned about my defect long ago. But all the time he was afraid of surgical correction. Because of this, he practically stopped communicating with girls, he closed in on himself. But then he nevertheless decided on the procedure, which he never regretted. At the operation I felt only an anesthetic injection, and she herself took no more than 10 minutes. I am very grateful to the staff who were able to calm down and spend everything correctly. ”
Sergey, 18 years old: “The first experience of sexual activity ended pitifully for me. As it turned out, the bridle of the penis was of insufficient length and was torn right during erection. After stopping the bleeding and for some time I had a plastic correction of the length of the bridle. Now there are no problems during intercourse. ”
Thus, frenulotomy is the optimal and radical way to treat the shortening of the penis frenulum, as it once and for all helps to get rid of this defect and return the full sexual life of a man.
