Frenulum removal (frenulectomy) at time of adult circumcision

Dr. Reed, What are the pros and cons of frenulum removal (frenulectomy) at the time of adult circumcision?  Oscar

Dear Oscar,

The purpose of the frenulum is to help pull the foreskin back over the glans after an erection.  80 % of my patients say they want is removed, and of the 230% that say “no”, 80% come back and say “doctor, now remove it.”  If we examine adults who were circumcised as a newborn most do not have a frenulum as it tears usually during the application of a clamp.

If your glans tend to point downwards when erect, this is called “frenulum breve” or short frenulum and often removing it rectifies the situation.

When removing the frenulum, the urologist should feel that area very carefully and if there is a cord below the skin, that is part of the frenulum and should be resected as well.  Afterwards we undermine the skin on each side to close in the midline.

Harold M. Reed, M.D.
The Reed Centre for Cosmetic Circumcision – Miami

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