A short frenulum tugs, tears and bleeds during sex, and men often put up with it for years. Releasing it is a twenty minute procedure under local anaesthesia, and it keeps the foreskin intact.
The frenulum is the band of tissue on the underside of the penis connecting the foreskin to the head. When it is too short, a condition called frenulum breve, it pulls the glans downwards during erection, restricts how far the foreskin retracts, and can tear during intercourse.
Frenuloplasty releases that band and lengthens it. The tight tissue is divided across and closed lengthways with fine dissolving sutures, which converts a short band into a longer, looser one. The foreskin itself is left alone, so this is not a circumcision.
It takes fifteen to twenty minutes under local anaesthesia and you go home the same day. Dr. Ashutosh Shah examines you with the foreskin retracted and, where it is safe to do so, during erection, because a frenulum that looks fine at rest can still be the cause of the problem.
Men often assume this is normal and live with it for years. It is not normal, and it is one of the simpler problems to fix.
Most cases are simply how the tissue formed, but repeated injury makes any starting point worse over time.
A discussion of your symptoms and an examination with the foreskin retracted, because a frenulum that looks normal at rest can still be the cause of pain and tearing during sex.
A decision on whether release alone is enough or whether the foreskin also needs treating, and agreement on anaesthesia. A single all inclusive quote is given at this stage.
Local anaesthesia is given, the band is released and closed with fine dissolving sutures, and a light dressing is applied. The whole procedure takes fifteen to twenty minutes.
Discharge within an hour or two with pain relief, written aftercare instructions and a direct contact number. Most men manage the journey home on their own without difficulty.
A check in the first week to confirm there is no bleeding or infection and that the repair is settling. This is also when questions about erections and hygiene get answered.
A visit at three to four weeks to confirm healing and clear you for sexual activity, with practical advice on lubricant and taking it gently for the first few occasions.
Discomfort is mild and usually settles within two or three days with ordinary painkillers. Swelling on the underside is expected and looks more alarming than it is. Keep the area dry for forty eight hours and wear supportive underwear rather than loose boxers.
Most men return to desk work in two or three days. The dissolving sutures come away between the second and fourth week. Night time erections can tug at the repair in the first week, which is uncomfortable but not dangerous, and passing urine before sleeping helps.
Abstain from sex and masturbation for three to four weeks, and be gentle for a further two. Using lubricant when you restart reduces friction on the fresh scar and makes the first few times far more comfortable.
Frenuloplasty alone is one of the least expensive procedures we perform, because it is short and done under local anaesthesia. The figure rises if it is combined with circumcision or preputioplasty, if there is significant scarring from previous tears, or if you prefer sedation. Combining it with circumcision in a single sitting costs considerably less than having the two done separately. You are given one all inclusive figure after examination.
Not everyone needs the same operation. The right choice depends on whether the foreskin is also tight and whether there is scarring from earlier tears.
The tight band is divided across and closed lengthways with fine dissolving sutures, which converts a short frenulum into a longer, looser one. Fifteen to twenty minutes under local anaesthesia, with the foreskin left completely intact.
Ask about thisWhere previous tears have left dense scar tissue, the scarred band is removed rather than lengthened and the edges closed neatly. Preferred when repeated tearing has already occurred, because scar tissue does not stretch reliably.
Ask about thisFor men who have both a tight foreskin and a short frenulum, which is a common pairing. Both are dealt with in one sitting, one anaesthetic and one recovery period, at considerably less cost than two separate procedures.
Ask about thisWhere the foreskin ring is mildly tight and worth keeping, it is widened at the same time as the frenulum is released. Suits men with healthy, unscarred skin who would prefer not to be circumcised.
Ask about thisFor men whose earlier release has tightened again, usually because sexual activity restarted too early, or where the original release was insufficient. Planning and a longer period of abstinence afterwards matter more than the technique itself.
Ask about thisFor mild tightness without tearing, a period of lubricant use, gentle stretching and a short course of topical treatment is sometimes enough. Honest to try where symptoms are mild, and quick to abandon if tearing recurs.
Ask about thisHonest answers about this procedure in Surat.
Ask a QuestionNo. Frenuloplasty releases only the tight band on the underside and leaves the foreskin completely intact. If the foreskin is also tight, circumcision may be recommended alongside it, but that is a separate decision made with you. Many men have frenuloplasty alone and keep the foreskin entirely.
The area is fully numbed with local anaesthesia, so you feel pressure and movement rather than pain. Afterwards there is mild soreness for two or three days that ordinary painkillers handle easily. The most common complaint in the first week is night time erections tugging at the repair, which is uncomfortable but harmless.
Wait three to four weeks, including masturbation, so the repair reaches full strength. When you restart, use lubricant and go gently for the first few occasions. Restarting too early is the commonest cause of the repair breaking down and the tight band forming all over again.
It can contribute in some men, because the band is a sensitive area and the pulling sensation adds to arousal and anxiety. Releasing it sometimes helps, but it is only one factor among several. If premature ejaculation is your main concern, it deserves separate assessment rather than being blamed entirely on the frenulum.
Not always. A single tear sometimes heals longer and looser than before, which solves the problem by accident. More often it heals into a shorter, tighter scar that tears again. If you have torn more than once, or the scar still pulls during erection, surgical release is the sensible answer.
Most men report the same sensation without the pain and pulling, which they experience as a clear improvement. A small number notice the area feels slightly less sensitive for a few months while the scar matures. Complete loss of sensation in the region is not an expected outcome of this procedure.
The main ones are bleeding, because an artery runs within the frenulum, infection, and the repair tightening again if activity restarts too soon. Occasionally the release is insufficient and a second, small procedure is needed. Serious complications are uncommon, and careful technique with proper aftercare keeps the risk low.
Yes, and it very commonly is, because a tight foreskin and a short frenulum often occur together. Doing both in one sitting adds only a few minutes of theatre time, involves a single recovery period, and costs considerably less than arranging the two procedures separately.
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