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A frenuloplasty is a medical procedure done on the head of the penis to remove the penile frenulum and any excessive tissue most likely due to alleviate restriction. The frenulum of the penis connects the foreskin (prepuce) to the shaft of the penis. When the frenulum is tight or short, the subsequent tension that occurs after an erection will cause pain and prevent intercourse. Patients may also have a congenital defect in their frenulum  called "frenulum breve." If patients suffer from this condition, their penis will be curved and patients will be diagnosed with a condition called "bent penis." This will typically be done in patients that have an uncircumcised penis. This is a procedure that should not be confused with a circumcision. During a circumcision, the entire foreskin that is covering the penis will be removed while during a frenuloplasty, just the tissue attached to the frenulum is removed and the foreskin will remain. 

Another possible point of confusion would be between frenuloplasty and frenulectomy. A frenulectomy is a procedure that is only entails cutting the frenulum. The excess tissue will not be removed so skin will be hanging for the penis still. It is a treatment that is generally reserved for the elderly who no longer engage in sexual activity and it is only done to help relieve tension. 

During a frenuloplasty, patients will require a short surgery and it may be uncomfortable for the first few weeks following the operation. If you are getting a frenuloplasty, patients will be able to leave shortly afterwards. The sutures that are used will be absorbed into the skin after a week and patients are encouraged to thoroughly wash the area with soap and water daily for the first two weeks. After this time, the pain should subside and patients will be able to live with a higher quality of sex life. 

The most likely reasons for patients to require this operation include tearing or bleeding of the foreskin, pain during intercourse or ejaculatory or hygiene issues. About 20 percent of the time, patients will also require an additional operation for a total circumcision. All in all, however, this study concludes stating that patients can elect to alleviate their pain during intercourse without the need for a total circumcision. This will preserve the foreskin and reduce the chance for infections, and decrease penile sensitivity. [1]

This may be a difficult decision of male patients considering the permanence of such a decision but another study was done to determine if the patients had successful outcomes. In this investigation, 106 patients over a 10-year period were followed up 3 months after the surgery and satisfaction was measured. Patients came from groups having the V-Y plasty, Z plasty, or a combination of both of them. Out of all these cases, patients reported a satisfaction rate of 8.9 out of 10. Minor complications like bruising or bleeding were only seen in 8 percent of cases and 97 percent reported that they would recommend this procedure to a friend. [2]

This is a procedure that can be quite beneficial for these particular patients so it is a good option to consider if you face this question. 

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