Penile Frenulectomy & Frenuloplasty in Ontario

Penile frenulectomy and frenuloplasty are procedures that can alleviate the pain associated with a tight band of tissue connecting the glans to the shaft of the penis on its underside. When the frenulum is tight or short this is called a frenulum breve.

A tight frenulum can exist in both circumcised and uncircumcised men and can create a restriction that is susceptible to micro-trauma, causing bleeding and painful erections.

A penile frenulectomy is a specialized technique that treats this condition by removing the tight restriction, allowing increased penile skin range of motion and sexual enjoyment.

At Gentle Procedures Hamilton and London clinics, the procedure is performed using a long-acting local anaesthetic and generally results in relief with a brief recovery period. 

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Penis frenectomy hamilton
Penile frenulectomy london

Penile Frenulectomy or Frenuloplasty to Resolve Penis Discomfort

Penile frenulectomy and frenuloplasty are similar procedures that can alleviate the pain often associated with a tight band of tissue between a penis’ shaft and the glans on its underside.

Penile Frenulectomy

The frenulectomy procedure involves the removal of the restricting tissue for increased range of motion in the penis and enhanced sexual pleasure due to the end of pain with erection.

The procedure (done in under 30 minutes) is performed using a long-acting local anaesthetic and generally results in effective relief of discomfort after a brief recovery period.

Frenuloplasty of the Penis

A frenuloplasty procedure can lengthen the penile frenulum and thereby relieve the discomfort caused by frenulum breve (a tight frenulum).

Our doctor will consult with you on the recommended procedure for your penis and expected outcomes.

Need more info about a penile frenulectomy? Book a consultation now.

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

The frenulum of the penis is a band of tissue located underneath the penis, sometimes casually called the “banjo string”.

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.

Common Questions at Our Ontario Frenuloplasty Clinics

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 penile frenulectomy is usually necessary to release the tight band of tissue.

A frenulectomy is a specialized technique that treats this condition by removing the tight restriction, allowing increased penile skin range of motion. It is done under local anaesthesia in our Hamilton clinic and takes only about 30 minutes to perform. 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 procedures under long-acting local anaesthesia and those men who have undergone this procedure usually describe it as virtually painless. There is some discomfort in the following days.
  • 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
  • Suboptimal 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 are able to return to office work in the next few days. If your work requires heavy or physical activity, you will need a few more days off.
We 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.
After a frenulectomy, because the tight band is released, sex becomes more pleasurable due to less pain and worry from tearing and bleeding.
Frenulectomy does not affect your foreskin and you will remain uncircumcised. Because the procedure only involves releasing the tight band of tissue underneath the penis where it attaches to your foreskin, your foreskin will be preserved. If you are interested in circumcision, please see more detail on getting circumcised as an adult.

A Tight Frenulum May Cause Premature Ejaculation

Premature ejaculation is uncontrolled ejaculation either before or shortly after sexual penetration. It happens with minimal sexual stimulation and before the person wishes. It may result in unsatisfactory sex for both partners. This can increase the anxiety that may add to the problem. It is one of the most common forms of male sexual dysfunction. While it is more common in younger men, it can happen at any age. Both psychological and biological factors can play a role in premature ejaculation. Although many men feel embarrassed talking about it, premature ejaculation is a common and treatable condition. Having an orgasm too soon is not always cause for concern. However, clinical diagnosis is made when a man exhibits the following symptoms:
  • Ejaculation occurs too quickly, often in the first few minutes of intercourse, or in other sexual situations, even during masturbation.
  • Inability to delay ejaculation most of the time.
  • Feelings of anxiety, or avoidance of sexual intimacy as a result.

Premature ejaculation can be classified as:

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.

Short Frenulum & Premature Ejaculation

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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London & Hamilton

Our Approach - Gentle Procedures Hamilton & London

Our doctor is familiar with several different techniques being used around the world so that we can provide optimal results for patients.

Depending on the size and shape of your frenulum, we may employ a scalpel or bipolar diathermy to release it.

Once the frenulum is released, we will then assess whether dissolvable stitches will be necessary to approximate the incision.

Regardless of your anatomy, our goal is to provide the optimal aesthetic and functional result.

Recovery using our technique takes only a few weeks.

Procedures are performed under long lasting local anaesthetic.

Before & After Penile Frenulectomy or Frenuloplasty

Patient Instructions Before the Procedure

  • Please research penile frenulectomy and consult with our doctor, and your own, so you are confident and informed about your decision.
  • For one week prior to your procedure, do not take any aspirin or anti-inflammatories. The doctor will confirm a specific list that must be avoided
  • Please avoid any alcohol the day before the procedure.
  • On the day of your surgery, eat a normal breakfast or lunch before your procedure to avoid becoming lightheaded. Take 2 tablets of extra-strength acetaminophen just before leaving your home to come to the clinic.
  • You are asked to arrive at least 15 minutes prior to your appointment. You are welcome to drive yourself to the office and back home unless you have a history of easy fainting.
  • Our staff will usher you into one of our surgical rooms and then our doctor will administer the local anaesthetic. It is then time for your procedure.

Patient Instructions After Penile Frenulectomy or Frenuloplasty

  • Most men do not require any additional pain medication after the procedure, but you may take up to 2 extra-strength acetaminophen tablets every 6 hours as needed for pain control. After 48 hours, you should take ibuprofen 400mg every 6 hours as needed for pain control if needed.
  • There may be a small amount of bleeding at the surgical site. This is normal and will stop in a few days. If it does not, call our office or emergency number.
  • Continue applying antibiotic ointment at the site for 1 week.
  • You may return to office work in the next few days but if your work requires a lot of activity you should take at least 2-3 days off.
  • We recommend no sexual activity for about 5-6 weeks or until the sutures come out completely.
  • Patients who are traveling more than 3-4 hours away may want to stay at a local hotel overnight.

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