Frenulum Breve Treatment / Bent Penis Treatment

The penile frenulum is the elastic tissue below the glans penis that connects the shaft of the penis to the glans penis. 

In certain individuals, the frenulum may be exceptionally short, causing pain during erection/intercourse and tear with some bleeding. If it occurs to you please consult and seek professional advice before you go through a Bent Penis Treatment.

How to correct short Frenulum Breve?

The treatment method for frenulum breve is called a ‘frenuloplasty’, where the tension over the frenulum will be released surgically and a number of sutures would be applied to close the wound. 

Frenuloplasty may be done together with circumcision, sometimes, especially if the patient is having phimosis or other indications for circumcision.

Medication

Oral medications is a method to reverse erectile dysfunction by enhancing the effects of nitric oxide, a natural chemical your body produces that relaxes muscles in the penis.

Although they work in similar ways, each oral medication has a slightly different chemical makeup. These minor differences affect the way each medication works, such as how quickly it takes effect and wears off, and the potential side effects. Your doctor will consider these factors as well as other conditions you have and possible interactions with other medications you take.

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Sildenafil (Viagra)

This medication is most effective when taken on an empty stomach one hour before sex. It's effective for four to five hours or more if you have mild to moderate erectile dysfunction.

Duration of effectiveness/half-life: 4 hours Dosage: 25mg, 50mg, 100mg Common side effects: Hot flushing, headache, abnormal vision (changes in colour vision), muscle pain, uncomfortable stomach
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Tadalafil (Cialis)

Duration of effectiveness/half-life: 17.5 hours Dosage: 2.5mg, 5mg, 10mg, 20mg Common side effects: Hot flushing, headache, stomach upset, back pain, stuffy nose, dizziness

Duration of effectiveness/half-life:
17.5 hours

Dosage:
2.5mg, 5mg, 10mg, 20mg

Common side effects:
Hot flushing, headache, stomach upset, back pain, stuffy nose, dizziness

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Vardenafil (Levitra)

Duration of effectiveness/half-life: 4.5 hours Dosage: 2.5mg, 5mg, 10mg, 20mg Common side effects: Hot flushing, headache, stomach upset, back pain, stuffy nose, dizzines, flu-like symptoms

Duration of effectiveness/half-life:
4.5 hours

Dosage:
2.5mg, 5mg, 10mg, 20mg

Common side effects:
Hot flushing, headache, stomach upset, back pain, stuffy nose, dizzines, flu-like symptoms

Treatment

The treatment method for frenulum breve is called a ‘frenuloplasty’ or is also known as Bent Penis Treatment, where the tension over the frenulum will be released surgically and a number of sutures would be applied to close the wound. 

Frenuloplasty may be done together with circumcision, sometimes, especially if the patient is having phimosis or other indications for circumcision.

Men's Health

Frenuloplasty

Frequency: 
One-off removal 

Duration: 
Frenuloplasty alone, without circumcision, is around 15 minutes. 

Pre-procedure preparation: 
Numbing cream will be applied to site of procedure and left for at least 20minutes. 

If Numbing cream is not adequate, a penile block may be given.  

Post-procedural care: 
Minimal bleeding is normal post circumcision. Compression bandage will be applied post procedure. 

Wound would be bandaged for at least 3 days. 

Wound inspection would be done on day 3 after surgery, after which bandage would be removed and further follow up usually not required unless further complications should happen. 

Wound should be kept dry at all times after surgery. Make sure to dry/ blow dry with hair dryer after shower. 

Sutures used are usually absorbable suture – no need for removal. 

Frequently Asked Questions

Can Frenulum Breve and its Problems Associated Problems Get Better By Themselves?

No, unfortunately frenulum breve will not get better on its own. Some doctors may suggest stretching exercises but the frenulum is a rather tough tissue that is not easily stretched, therefore, the patient will end up with frenulectomy procedure to treat these conditions.

Is Frenulectomy Painful?

For men who have undergone this procedure, it is usually described as virtually painless since the patient will be under a local anesthesia prior to performing the frenulectomy.

If I Am Uncircumcised, How Will Frenulectomy Affect My Foreskin?

Frenulectomy does not affect your foreskin and you will remain uncircumcised. Frenulectomy only involves releasing the tight band of tissue underneath the penis and your foreskin will be preserved. However, circumcision can be done together with the frenectomy procedure.

What Are The Risks Of Frenulectomy?
  • Swelling and bruising at the site of the procedure
  • Infection requiring antibiotics
  • Bleeding (usually mild)
  • Scarring at the site of the operation
  • Lightheadedness after the procedure.
  • Suboptimal cosmetic or functional effect requiring a second procedure
  • Meatal stenosis (rare)
  • Chronic pain at the site of the surgery (rare)
How Long Does The Recovery Take?

Recovery from penile frenulectomy is fairly fast and painless. Most men are able to return to office work the next day. If your work requires heavy or physical activity, you may need a few days off.

When Can I Have Sex Again After Frenulectomy?

We generally recommend no sex for at least 4 weeks to allow the surgical site to heal optimally and sutures, if required at the time of the procedure, to dissolve.

How Will Frenulectomy Affect My Sex Life?

After a frenulectomy, sex should becomes more pleasurable due to less pain and worry from tearing and bleeding as the tight band has been released.

References

Arora, B. K. (2016). A Simple Technique of Frenuloplasty for Penile frenulum breve. International Journal of Scientific Research, 5(2), 289–291. https://www.researchgate.net/publication/301493831

Gyftopoulos, K. (2009). Male dyspareunia due to short frenulum: The suture-free, “pull and burn” method. Journal of Sexual Medicine, 6(9), 2611–2614. https://doi.org/10.1111/j.1743-6109.2009.01357.x

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