Frenulotomy and frenuloplasty are frenulum plastic surgeries that help relieve short frenulum-induced discomfort (pain, tension), which is usually felt during sexual activity.
A short frenulum is usually congenital, in some rarer cases it may become too short after a trauma or inflammation. This surgery can be done to improve hygiene and sexual health, as well as for religious reasons.
It is important to remember that frenulotomy and circumcision are two different surgeries. Frenulotomy treats the frenulum (frenulum breve), whereas circumcision treats the narrow foreskin (phimosis).
Both conditions restrict the movement of the foreskin, causing discomfort during sexual activity, but the cause is different: in the case of frenulum breve, it is the short frenulum and in the case of phimosis, it is the narrow foreskin.
Surgery is performed on both adults and children.
The patient can go home and take on activities which are not physically demanding the same day after the surgery. Those who do manual labour are advised not to go back to work until after about 4 weeks. The patient can resume sexual relations 4 weeks after the surgery or once the last piece of thread falls out.
We close the incision with dissolvable thread, therefore, you will not need to return to have your sutures removed.
Frenulotomy price includes the urologist’s consultation, lab tests needed prior to the surgery, and the surgery itself.
What factors affect the price?
The prices indicated below apply to citizens of the Republic of Lithuania and the European Union.
If you are coming from another country please check the price by telephoning or sending an email.
When are the examinations are carried out:
What should you know about a frenulotomy procedure?
- a complete blood count;
- blood coagulation test (APTT);
- electrocardiogram (EKG) and its evaluation;
- blood glucose level test;
- other tests if you have chronic diseases, as prescribed by your doctor.
The patient can bring their test records from other healthcare institutions, or they may have them done at the Medical Diagnostic and Treatment Centre. The tests take 2 hours. The tests must be performed no earlier than 14 days before the surgery.
The surgery is performed under local or general anaesthesia. Antibacterial prophylaxis may be needed prior to the surgery. During the surgery, the frenulum is cut crosswise, then stitched lengthwise with dissolvable thread, and the plastic surgery is done. The foreskin is pulled back upon the glans penis.
- After the surgery, the doctor may prescribe painkillers based on your individual needs.
- A doctor or a nurse will show you how to take care of the surgical wound. Dressing the wound using an antiseptic solution and sterile dressing everyday or more frequently (if the dressing gets wet while urinating) is recommended. Special baths with antiseptic solutions may be prescribed.
- Wear briefs, keep the penis upright.
- Suture removal is not necessary after the surgery—the thread we usually use is dissolvable. Once it is dissolved, the knots fall out in 2-3 weeks.
- Avoid intense physical activity, sexual relations, and penile injuries for a month after the surgery.
- The patient can eat and drink on the day of the surgery only with the doctor’s permission.
Most patients can go home the same day after the surgery.
To choose us
- Consultation and exams done in 1 day.
- The surgery can be performed the same week after the consultation.
- The rate of hospital-acquired infections is 0 in 5 years.
- The surgery is performed by some of the most experienced doctors in Lithuania.
FAQ (frequently asked questions)
- Bleeding and haematoma occur in up to 1% of patients.
- Wound infectionoccurs more often if the tissues of the foreskin had been infected prior to the surgery (2-3%).
Frenulotomy is usually recommended if the following conditions are diagnosed:
- Phimosis, when the foreskin is tight at birth or altered and scarred due to inflammation.
- Paraphimosis, when the glans penis is stuck in the tight foreskin.
- Short frenulum, either congenital or resulting from an inflammation, impeding sex life.
- A foreign body in the foreskin, when the patient has a foreign body (usually self-inserted) between the foreskin layers, causing a strong inflammatory response.
- Other penile or foreskin conditions, related to metabolism (e.g. diabetes), immune disorders or infectious diseases that can cause changes in the foreskin, impeding on daily life.
- Oncological diseases.