Frenuloplasty
Also known as: penile frenulum release, snipping the banjo string
Frenuloplasty is a surgery to fix a short or tight frenulum in the penis.
What is frenuloplasty?
Frenuloplasty is a minor surgical procedure used to relieve discomfort caused by a short or tight frenulum on the underside of the penis. This band of tissue, often casually referred to as the “banjo string,” connects the foreskin to the head of the penis. When it’s too short – a condition known as frenulum breve – it can cause pain during erections, restrict normal movement of the foreskin, and sometimes tear during sexual activity.
The procedure involves making a small incision in the frenulum to release the tension and stitching it in a way that lengthens the tissue. This allows for greater flexibility and range of motion. Unlike circumcision, frenuloplasty preserves the foreskin, which helps maintain natural sensitivity and appearance. While the same technique can be used on other parts of the body such as the tongue or lip, here we are focusing specifically on its application to the penis.
Why consider frenuloplasty?
Men often consider frenuloplasty when a tight frenulum causes repeated pain, tearing, or difficulty with sexual activity. The condition can interfere with the ability to retract the foreskin comfortably and, over time, may lead to anxiety, reduced sexual confidence, or avoidance of intimacy. Some men also experience irritation, inflammation, or recurrent infections in the area due to restricted movement and limited access to hygiene.
Undergoing frenuloplasty can make a big difference to your life by reducing discomfort and allowing you to have sex without pain. Since the foreskin is preserved, many patients prefer it to circumcision – especially those who want to keep the natural look and function of the penis. By increasing the range of motion and reducing tightness, the procedure helps to restore comfort and reduces the risk of future tearing or infections. Many men report improved physical and emotional well-being after the surgery, with studies showing significant gains in mental health and sexual satisfaction.
Who is a candidate for surgery?
Frenuloplasty may be suitable for individuals who experience persistent discomfort, tearing or pain due to a short frenulum. Those who can’t retract the foreskin, especially during erections or sexual activity, are often good candidates for this surgery. In some cases, the frenulum may tear repeatedly, causing bleeding, scarring or psychological stress. A consultation with a urological surgeon is necessary to confirm whether frenuloplasty is appropriate. The surgeon will assess the condition of the frenulum and discuss your symptoms and goals. However, certain conditions, such as lichen sclerosus or balanitis xerotica obliterans, may lead to scarring or damage to the foreskin, making frenuloplasty less suitable. In such cases, alternative treatments, including circumcision, may be recommended. The key is to evaluate the extent of the problem and tailor treatment to the individual’s anatomy and preferences.
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Ways to payBefore surgery
Initial consultation
The first step in preparing for frenuloplasty is a thorough consultation with a urologist. During this appointment, the surgeon will examine the frenulum, review your medical history, and discuss the expected benefits and potential risks of the surgery. This is also an opportunity to ask questions about the procedure, the recovery process, and any cosmetic outcomes. The surgeon will explain the type of anaesthetic that will be used, which is usually local, although spinal or general anaesthesia may be required in some instances.
Preparation for surgery
To help ensure your surgery goes smoothly, there are a few essential steps to follow in the days leading up to the procedure. You may be asked to stop taking blood-thinning medications, as these can increase the risk of bleeding. Your healthcare provider will guide you on when and how to do this. If you smoke, it’s best to stop beforehand, as smoking can interfere with wound healing and raise the risk of complications. Good hygiene is also essential; therefore, be sure to clean the genital area thoroughly the day before surgery to minimise the risk of infection. On the day of your procedure, wear loose-fitting clothing to avoid irritation or friction near the surgical site. And if you’re receiving sedation or general anaesthesia, make sure someone is available to accompany you and drive you home afterwards, as you won’t be able to travel alone safely. If you’re unsure about any of these steps, don’t hesitate to reach out to your healthcare team for support or clarification.
During surgery
Frenuloplasty is typically performed as an outpatient procedure and usually takes about 10 to 15 minutes. In most cases, a local anaesthetic is used to numb the area; however, other forms of anaesthesia may be recommended depending on your specific needs. Once the area is numb, the surgeon makes a small incision in the frenulum to relieve the tension and lengthen the tissue. The incision is made along the length of the frenulum and then carefully stitched in a way that allows the tissue to heal with greater flexibility.
Throughout the procedure, the surgeon takes care to preserve the natural shape and function of the penis, minimising scarring and ensuring a good cosmetic outcome. After the incision is closed, a light dressing is applied to protect the area. Most patients can leave the clinic shortly after the surgery, typically within a few hours, depending on the type of anaesthetic used. You will receive detailed instructions on how to care for the wound and what to expect during the recovery process.
After surgery
Recovery from frenuloplasty is usually straightforward. Some numbness from the anaesthesia may last for a few hours, and then mild soreness or swelling around the surgical site may occur. These symptoms usually improve quickly and can be managed with over-the-counter pain relief, such as paracetamol or ibuprofen. Most patients can return to light daily activities within a few days, while more physically demanding work may require a week of rest.
You’ll see your doctor 1-2 weeks after surgery to check on your healing and receive clearance to return to normal activities. The stitches used in frenuloplasty are dissolvable and usually disappear in 2-4 weeks. During this time, it’s essential to keep the area clean and dry and avoid bathing, swimming, or exposing the wound to excessive moisture for the first 48 hours. Patients are also advised to wear loose-fitting clothes and not to have sex for at least 4-6 weeks to allow proper healing and prevent tearing of the wound.
It’s essential to watch for signs of infection, including excessive redness, swelling, pus, or persistent bleeding. Mild bleeding or spotting is common in the first day or two. However, if symptoms persist or worsen, contact your healthcare provider. If any unexpected symptoms occur, such as severe pain or difficulty urinating, seeking prompt medical advice is recommended.
Potential risks and complications
While frenuloplasty is considered safe and effective, it does carry some risks, as with any surgical procedure. These include minor bleeding, infection, and temporary numbness or sensitivity in the area. Some men may be dissatisfied with the cosmetic outcome, or in rare cases, the initial symptoms may persist, potentially requiring further treatment or circumcision.
The risk of serious complications is low, particularly when an experienced urologist performs the procedure. Most side effects can be easily managed with proper aftercare and follow-up.
Long-term outcomes and benefits
For most men, frenuloplasty offers long-lasting relief from the discomfort associated with a short frenulum. The procedure improves sexual comfort, reduces the risk of tearing, and helps restore confidence and intimacy. Because it preserves the foreskin, it is often favoured over circumcision by those who wish to maintain natural sensitivity.
Overall, patients report high satisfaction rates, with many describing the procedure as life-changing due to the improvement in both physical comfort and emotional well-being.
Appointment and Treatment Plan
Initial Consultation
You’ll meet with a urologist to discuss symptoms like tightness, pain, or tearing. A quick exam will confirm if frenuloplasty is needed. Your doctor will explain the procedure, recovery, and answer any questions you may have.
Pre-Surgery Preparation
You may need to stop certain medications and avoid smoking. Ensure that someone is available to drive you home afterwards.
Day of Surgery
The procedure takes about 10-15 minutes. It’s usually done under local anaesthesia. The surgeon makes a small incision to release the frenulum and stitches it to lengthen the tissue. You’ll go home the same day.
Immediately after surgery
Mild swelling and soreness are normal. You’ll receive instructions on cleaning the area, applying ointment, and managing pain. Supportive underwear can help reduce discomfort.
Recovery at Home
Take it easy for a few days. Avoid sex, heavy lifting, and exercise for about 4-6 weeks. Stitches dissolve on their own in 2-4 weeks. Follow your aftercare instructions closely.
Follow-Up Appointment
You’ll see your doctor 1-2 weeks after surgery to check on your healing and receive clearance to return to normal daily activities.
Long-Term Outlook
Most men recover fully with little to no scarring. The procedure relieves pain and improves comfort during sex, with long-lasting results.
Experts
We are proud to provide patients with access to a wide range of clinicians, chosen specifically for their knowledge and reputation in their area of expertise. Our experts align with our values: putting you at the centre of your care and educating you on your options at each step of the journey. We encourage you to learn more about our clinicians and how they can help you below. As always, please contact our patient services team if you require any additional information.
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FAQs
A frenuloplasty does not require circumcision, as it primarily addresses issues with the frenulum without necessitating the removal of the foreskin.
The frenuloplasty procedure typically takes about 10 to 15 minutes to complete.
Local anaesthesia is adequate and commonly preferred for pain management during frenuloplasty.
Frenuloplasty generally leads to improved comfort during sexual activity, a reduced risk of infections, and an enhanced overall quality of life. These benefits contribute to a positive long-term outcome for individuals who undergo the procedure.
Normal activities can typically be resumed within one to three days for light tasks and around one week for more physically demanding jobs. Always consult your healthcare provider for personalised guidance.
Removing the frenulum entirely is generally not the preferred approach unless medically necessary. Frenuloplasty aims to preserve the frenulum by lengthening and loosening it, which maintains its function and sensitivity. Complete removal, such as in circumcision or frenulum excision, may reduce sensitivity and affect sexual pleasure. Therefore, frenuloplasty is considered a better option for treating a short or tight frenulum while preserving as much natural tissue as possible.
Frenuloplasty is considered a minor surgical procedure. It is usually performed under local anaesthetic and takes about 10 to 15 minutes. Unlike more extensive surgeries such as circumcision, frenuloplasty involves a small incision and minimal tissue removal, resulting in a quicker recovery and fewer complications. Patients can often return to their normal activities within a few days, making frenuloplasty a convenient and effective treatment option.
Pain during frenuloplasty is generally well-controlled with local anaesthesia, making the procedure relatively painless. After surgery, mild soreness or discomfort is common, but it can be effectively managed with over-the-counter pain medications, such as paracetamol or ibuprofen. The pain usually subsides within a few days as the healing progresses. Following post-operative care instructions helps minimise discomfort and supports a smooth recovery.
While frenuloplasty offers numerous benefits, it is essential to consider some potential disadvantages. These include minor risks such as bleeding, infection, swelling, and scarring. In rare cases, the procedure may not fully resolve symptoms, necessitating further treatment. Some patients may experience temporary numbness or altered sensation in the area. Discussing these factors with your surgeon can help set realistic expectations.