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Tight Frenulum – A Cause of Penile Pain & Bleeding During Sex – Frenulum Breve

The frenulum of the penis is a band of tissue located underneath the penis. When the frenulum is tight or short, this is called a frenulum breve. This can result in tension on the frenulum during erections, which can rip and tear during vigorous activities such as sex, causing pain and bleeding, which in turn can cause men to lose their erections.


Some men go through their entire lives suffering from pain and bleeding unaware that there is a cure. The degree of tightness and thickness of the frenulum varies from man to man, but any man affected by an overly short frenular band should seek a consultation for a possible procedure to end uncomfortable tightness with erection. The issue can be addressed by removing or lengthening the penile frenulum. 

Gentle Procedures Clinic Penile Frenulectomy Method

A Tight Frenulum May Cause Premature Ejaculation

Frequently AsKed Questions

No, unfortunately a short frenulum generally does not get better on its own. Some physicians suggest stretching exercises but the frenulum is a rather tough tissue that is not easily stretched. A frenulectomy is usually necessary to remove the tight band of tissue in order to release it from the rest of the surrounding tissue.

A frenulectomy is a specialised technique that treats this condition by removing the tight restriction, allowing increased penile skin range of motion. It is done under local anaesthesia and takes roughly 10 minutes. The goal of the procedure is functional so that the tight frenulum is released, allowing improved sexual pleasure without fear of pain or bleeding. You can book a consultation with our doctor to see if a penile frenulectomy of frenuloplasty procedure could be appropriate in your case.

We perform frenulectomy under long-acting local anaesthesia, and men typically describe the procedure as virtually painless.
  • Swelling and bruising at the site of the procedure 1/100
  • Infection requiring antibiotics 1/500
  • Bleeding (usually mild) 1/100
  • Scarring at the site of the operation 1/100
  • Meatal stenosis due to injury to the frenular artery requiring a meatotomy (rare) 1/500
  • Sub-optimal cosmetic or functional effect requiring a second procedure 1:100
  • Chronic pain at the site of the surgery 1:500

Vasovagal reaction causing light-headedness after the procedure 1/200

Recovery from penile frenulectomy is fairly fast and painless. Most men do not require additional pain medications after the procedure and can return to office work the next day.

If your work requires heavy or physical activity, you will need at least 2 weeks off. We generally recommend no sex for at least 5-6 weeks to allow the surgical site to heal optimally and sutures, if required at the time of the procedure, to dissolve.

We generally recommend no sex for 6 weeks to allow the surgical site to heal optimally and sutures, if required at the time of the procedure, to dissolve.

Frenulectomy does not affect your foreskin, and you will remain uncircumcised. Because frenulectomy only involves releasing the tight band of tissue underneath the penis where it attaches to your foreskin, your foreskin will be preserved.

Lifelong (primary. Lifelong premature ejaculation occurs all or nearly all of the time beginning with your first sexual encounters.

 

Acquired (secondary). Acquired premature ejaculation develops after you’ve had previous sexual experiences without ejaculatory problems. Some studies report that a short frenulum is found in up to 43% of individuals affected by premature ejaculation. It is thought that the frenulum plays an important role in penile erection and when frenulum tension exceeds a certain limit, orgasm and ejaculation may be accelerated. When the frenulum is lengthened, penile tension and sensitivity may be decreased. Penile frenulectomy has been shown to be effective in some but not in all cases of premature ejaculation (see source study). 

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