Surgical treatment of phimosis and short frenulum


What is phimosis?

One of the most common pathologies of the foreskin structure in men is phimosis.
Phimosis manifests itself in the fact that the mouth of the foreskin remains narrowed, which makes it difficult (partial phimosis) and sometimes even impossible (total phimosis) to pull it down - both at rest and when erect.

Phimosis occurs in both infants (congenital phimosis) and adults (acquired phimosis). Although phimosis is neither life-threatening nor dangerous for a man's health, it should not be underestimated, because if left untreated it can lead to unpleasant and even dangerous health problems.

What is a short bridle?

Phimosis often occurs with a too short frenulum. The frenulum is a small fold of skin that connects the foreskin to the glans penis. A short frenulum is the cause of the problem with retracting the foreskin, it can also be the reason for the bending of the head of the penis when erect. Like phimosis, a short frenulum can be both a congenital and an acquired defect.

Health complications caused by phimosis and/or short frenulum

The consequences of untreated phimosis and/or a short frenulum are:

  • inability to lead a proper sex life due to pain when trying to have intercourse
  • the risk of the so-called cleft – when an attempt to pull the foreskin off by force ends up entangling it in the sulcus (which requires immediate action by the surgeon)
  • difficulty or even inability to maintain intimate hygiene, resulting in inflammation of the urethra, genitourinary tract and prostate
  • increase in phimosis due to tension caused by erections and attempts to pull the foreskin
  • in the psychological and sociological aspect - problems in male-female relationships, lower self-esteem, inhibitions and emotional problems.

What is the treatment of phimosis and short frenulum

Treatment of phimosis and short frenulum consists in carrying out a surgical procedure. The procedure is performed on an outpatient basis using local anesthesia or analgosedation (short-term intravenous anesthesia), so it is completely painless.

In the case of phimosis, the doctor during the procedure, by making small incisions, widens the opening of the foreskin so that it partially covers the glans, as is the case with a healthy man. Depending on the patient's condition, the details of the procedure may vary, so each time they are determined by the doctor.

In the case of a short frenulum, the doctor transversely cuts the frenulum, and then lengthens it and sutures it, which leads to the release of the foreskin and elongation of the frenulum.

Convalescence after phimosis and short frenulum treatment

In the first days, the patient most often feels discomfort resulting from swelling around the penis.
It is recommended to wear loose underwear and clothes and apply petroleum jelly.

After the procedure, frequent and thorough intimate hygiene as well as gentle but regular retraction of the foreskin (in order to prevent scarring and re-shortening of the foreskin) become the most important.

While wound healing takes an average of a week, the recovery period is 5 to 6 weeks. During this time, sexual abstinence must be strictly observed (due to the stretching of the skin at the time of erection).


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