Some men may not wish to go ahead with circumcision and may be candidates for the so called frenuloplasty. There are various techniques available for lengthening the male frenulum rather than needing to be fully circumcised. They would, of course, be discussed with the patient fully prior to any planned surgery.
The frenulum is the area where the foreskin on the inner surface connects to the glans via a very fine bridge of skin. In some men this bridge of skin can be very tight or in some cases tear during intercourse. By simply elongating this bridge of skin, the tightness of the foreskin may be reduced.
Individuals may have a very short frenulum of the penis, or it may be highly sensitive. In either case, sexual activity can be painful for men, which is why frenuloplasty is offered. Alternatively, circumcision may increase the sensitivity of the frenulum, hence the need for a further procedure to ease the discomfort.
For some men, the frenulum may be too tight. In many cases, it may cause a downward deflection of the head of the penis which can make penetration difficult and painful for both partners. It can also cause bleeding when the penis is erect. The degree of tightness and thickness of the frenulum is very variable.
For men who have gone through their life suffering from pain and/or bleeding, a frenuloplasty can improve sexual performance without losing normal sensation.
Frenulum reduction can be accomplished with a frenuloplasty.
For men who suffer from premature ejaculation and have tried topical or oral medications but have not found them effective, if the problem is due to excessive frenular sensation, a frenulectomy may be helpful.
A frenuloplasty involves either the removal of the frenulum or an incision to stretch it. The procedure is relatively high risk with between 15-20% of men eventually requiring a full circumcision.
Other risks may include reduced sensation and erection strength as well as bleeding or infection. Therefore, it is important for the patient to be knowledgeable about the risks in full before any surgery takes place.
The procedure will require stitches so there is a period of time when sexual activity is to be completely avoided. The penis should heal between six to eight weeks, by which point a final examination would be needed. Once examined, and Professor Suks Minhas is satisfied the area has healed well, you can resume a sex life that will hopefully be much improved upon.