It consists in the incision of the preputial frenulum and suture of the incision margins so as to obtain an elongation of frenulum itself.
Indications for the surgery of frenulotomy and frenuloplasty:
The indication for surgery of frenulotomy and frenuloplasty of the foreskin is represented by the presence of a short preputial frenulum.
Anesthesia:
The circumcision surgery is generally performed under local anesthesia by injection at the base of the penis of anesthetic drugs. In special cases (children or particularly anxious patients) it may be necessary to associate a sedo-analgesia.
Details about the surgery:
The circumcision surgery is usually performed on an outpatient basis (a few hours of permanence in the ward) or day-surgery (hospitalization of less than 24 hours). The patient, in the supine position, is subjected to anesthesia and we proceed to the removal of the foreskin; The operation lasts about 30 minutes; at the end of surgery the penis is bandaged exposing the urethral meatus to make urination possible.
Complications:
Possible complications of this intervention are represented by: bleeding, pain, hematoma formation, infection, excessive or insufficient removal of preputial skin, unsatisfactory aesthetic result, change of the sensations experienced during intercourse.
After surgery:
In order to avoid some complications and ensure proper healing of the wound it is necessary to avoid sexual intercourse for about four weeks. The suture stitches are of absorbable material and do not require to be removed; they generally fall within 15 days. After surgery the patient is subjected to at least one control visit generally in the first postoperative day; on this occasion it is removed the bandage previously applied. In some cases it may be recommended antibiotics and anti-inflammatory therapy for 4-5 days.