Short frenulum (frenulum breve) is a relatively common male condition that causes sexual problems and is treated surgically.
Principle and symptoms
The frenulum is connective tissue that is located under the foreskin. The frenulum is attached to penis and in normal conditions it facilitates dragging the foreskin over the glans penis. However, when the frenulum is too short, it prevents proper movement of the foreskin. This results in problems during sexual intercourse, which may be painful and it is frequently accompanied with a tear of the frenulum. Such tear is very painful and may bleed bringing an abrupt end to the sexual act. Frenulum breve is often associated with narrowing of the foreskin (phimosis), which aggravates the troubles.
Scheme - Short frenulum
The diagnosis easily done just by physical examination as the inadequately short frenulum can be seen at a first glance.
The integrity of the frenulum may be disrupted by regular local application of ointments containing corticosteroids, but this has not always the desired effect. The ideal therapeutic method is a surgical intervention performed in local anesthesia. The frenulum may be modified by methods of plastic surgery (frenuloplasty) or completely removed. When the problem is combined with phimosis, the urologists usually perform simultaneously total circumcision.