Short bridle

A short frenulum of the penis (phimosis) is a condition when the skin is too tightly wrapped around the head, which causes discomfort and pain during erection and urination. It is treated surgically, with the help of cutting (circumcision). The decision on the operation is made by the urologist-andrologist after examination.

Urologists of the K+31 multidisciplinary clinic have been working with this problem for many years. Innovative treatment methods are applied, such as sutureless circumcision. Diagnostics and therapy are carried out using high-tech methods, taking into account international protocols. This allows diagnosing urological diseases and selecting treatment regimens taking into account the patient's situation.

What is a bridle in men

The frenulum (frenulum) of the penis is a small fold of skin that is located on the underside of the head and connects it to the inside of the skin (prelamina). It is an important anatomical structure of the male penis that holds the skin in place during an erection and helps prevent it from contracting too much during intercourse. Normally, it is quite long and elastic, due to which the foreskin moves freely, exposes the head and returns back.

If the frenulum is too short or tight, it causes urinary or erection problems and needs to be treated.

Causes of short frenulum in men

A short wrinkle on the underside of the head of the penis, also known as phimosis, can occur due to the following reasons:

  • Genetic factors - some men are born with this problem.
  • Injuries in the genital area - scars are formed that shorten the length.
  • Infections - balanitis and postitis cause cicatricial contraction of the skin fold on the underside of the head.

It is known that 20-30% of men have a congenital anomaly. If you are concerned about pain or discomfort, contact a urologist-andrologist at the K+31 clinic. The doctor will listen to complaints, conduct an examination and tell you if there are problems. In some cases, surgery may be required.

Symptoms and signs

The problem with the fold of skin on the underside of the head of the penis manifests itself in different symptoms and signs, depending on how much it is reduced. Some of the common signs and symptoms include:

  • Pain or discomfort during intercourse: If the frenulum of the penis is so contracted that it does not allow the edge of the skin on the head of the penis to fully roll back, this causes pain or discomfort during an erection or during intercourse.
  • The inability to completely push the edge of the skin on the head of the organ makes it difficult to maintain hygiene of the genital organs and increases the risk of developing infections. It also negatively affects the quality of sexual life.
  • Tearing: if the crease on the underside of the glans is short, it is stretched and there is a risk of tearing during intercourse.
  • Sharp pains during erection occur due to the fact that the longitudinal fold of skin on the underside of the head cannot be stretched along with the skin of the male genital organ. It hurts and causes discomfort.
  • Impaired urination - in some cases, a short fold on the underside of the head leads to impaired urination in men. This is due to the narrowing of the opening of the urethra.
  • Irritation and itching - appear in the genital area due to insufficient hygiene and insufficient air circulation.

Do not endure pain and discomfort. If there are similar symptoms, you need to see a doctor for professional advice and therapy.

Diagnosis

Diagnosis is based on a physical examination of the male genital organ. Includes the following steps:

  • Visual examination - the urologist examines the male genital organ, determines the length and flexibility of the fold on the lower side of the head, as well as the presence of other anatomical features.
  • Physical examination - the doctor asks the patient to tighten the penis to see how the frenulum interacts with the rest part of an organ.
  • Ultrasound - the wrinkle on the underside of the head is measured and analyzed using ultrasound research.
  • In some cases, additional tests, such as x-rays or MRIs, are ordered to see more detailed picture.

After examining and analyzing the results of the studies, taking into account the situation of the patient, the urologist recommends an extension or frenuloplasty surgery.

How treatment is carried out at the K+31 clinic

The main way to fix the problem is plastic surgery to lengthen (frenuloplasty). The operation is simple and safe. It is performed under local anesthesia in a hospital ward. Takes about 30 minutes and can be carried out during the day.

The following stages are distinguished:

  • Preparation of the patient - before the operation, you need to take a shower and shave off the hair in the groin and penis area, this reduces the risk of infection. The patient may also receive local anesthesia to reduce pain during the procedure.
  • Local anesthesia - the doctor disinfects the injection site and inserts an anesthetic needle into the area where the operation will be. This process causes discomfort, but lasts a few seconds.
  • Notch - can be horizontal or vertical, depending on which method is most suitable for specific case.
  • Removing part of the frenulum depends on the specific case and how much length you want to achieve. Often deleted part towards the tip of the penis.
  • After the part is removed, the wound is closed with absorbable sutures or closed with medical glue to reduce the risk of infection.
  • After the operation is completed, the patient remains under observation for several hours, so that the doctors make sure no complications. Before being discharged home, the doctor tells how to care for the wound and gives recommendations on how to further therapy. She also prescribes antibiotics to prevent infection.

It is necessary to exclude sexual intercourse and masturbation for 4-6 weeks after the operation in order for the wound to heal. You can also use an ice pack to reduce pain and swelling in the penis.

Complications

Like any surgical procedure, penile frenulum circumcision can have risks and complications, such as:

  • bleeding;
  • infection;
  • scarring;
  • loss of sensation or change in the shape of the male genital organ.

However, these complications are rare and usually easily treated.

Benefits of treating a short frenulum of the penis at the medical center "K+31"

The advantages of treatment at the K + 31 clinic are:

  • Skilled professionals. Doctors of the clinic have been diagnosing and treating diseases of the genitourinary system for many years. Urologists - candidates of medical sciences, doctors of the highest category. Periodically participate in conferences and lead own scientific work and clinical research.
  • Modern equipment allows high-precision diagnostics and therapy using the latest technologies.
  • Individual approach - taking into account the characteristics of the patient's health in order to determine the best method treatment in each specific case.
  • Safety - only proven and safe therapies are used in the clinic.
  • Accompaniment - there is a service of a personal manager who organizes treatment.
  • Comfortable conditions of stay. A friendly and relaxed atmosphere has been created here, which helps patients to feel confident and calm.

For more information about the work of the Department of Urology, please visit the website of the clinic. Choose a doctor and make an appointment through contact form. We will answer questions, tell you about the services and promotions of the clinic, and help you choose Convenient day and time for appointment.

Service record

Services



Specialists

All specialists
Rasner
Pavel Ilyich

Consultant in urology, urologist

Doctor of Sciences, PhD, professor

Osmolovsky
Boris Evgenyevich

Head of the Department of Urology, Urologist

PhD

Tereshchenko
Suren Alexandrovich

Doctor urologist-andrologist

Doctor of Sciences, PhD

Kamalov
Armais Albertovich

Chief Consultant in Urology, Urologist

Academician, professor, Doctor of Sciences, PhD

Pshikhachev
Ahmed Mukhamedovich

Urologist, Oncologist

Doctor of Sciences, PhD

Gomberg
Mikhail Alexandrovich

Dermatovenereologist

Doctor of Sciences, PhD, professor

Marchenko
Vladimir Vladimirovich

Leading urologist-andrologist, urogynecologist, pelvic pain specialist