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Frenectomy or lengthening of the penile frenulum

A frenulum breve, or short frenulum, is a condition in which the frenulum of the penis is too short and thus prevents the foreskin from retracting smoothly over the head of the penis. The frenulum is the band of tissue under the glans that connects to the foreskin. A short frenulum can cause discomfort and problems during intercourse.

Fortunately, the frenulum can be lengthened through a simple surgical procedure, performed under local anesthesia. There are several ways to describe this operation, including frenectomy, frenuloplasty or simply as a lengthening of the penile frenulum.

Frenectomy or lengthening of the penile frenulum


It is simply a matter of cutting the frenulum with an electric scalpel.

  • There is little preparation required.
  • Avoid taking Aspirin or blood thinners five days before the procedure.
  • No physical exertion for 48 hours.
  • Tylenol is sufficient for the first 48 hours.
  • Take a shower after 24 hours.
  • A bath is allowed after three days.
  • Apply Polysporin four to five times a day, for a month, to prevent sticking.
  • Avoid sexual activity for three to four weeks.

What is a frenectomy?

A frenectomy involves cutting the frenulum with an electric scalpel. In some cases, an excision is also made at the edges of the frenulum. This is done to produce a more esthetic outcome and avoid an unwanted protrusion on the glans and foreskin.

Dissolvable stitches are sometimes needed when the frenulum is large or when bleeding occurs. The procedure generally takes under 15 minutes.

What does a frenectomy procedure involve?

The appointment begins with a consultation and physical examination at our office. If we determine that a lengthening of the penile frenulum is the most appropriate procedure, we proceed with the operation in a minor surgery room. The operation is performed by an experienced urologist, who’s assisted by a urology nurse. After the procedure, the patient must stay in the waiting room for 15 minutes before leaving the clinic.

What type of anesthetic during a frenectomy?

This procedure is generally performed under local anesthesia. The frenulum is anesthetized using a very small needle, allowing the surgery to proceed with minimal discomfort for the patient. Prior to administering the local anesthetic, an anesthetic cream is applied to the base of the glans.

What are the risks and possible complications of a frenectomy?

The most common complications are bleeding, bruising, swelling and residual scar tissue. Other, more rare, complications include chronic pain and a narrowing of the external urinary orifice.

Are stitches used in a frenectomy?

Stitches generally aren’t needed if the frenulum is thin but may be required if the frenulum is larger. However, Dr. Marois’ surgery technique ensures that the stitches are rarely visible. He uses a surgical glue in order to obtain the most esthetic scar, without stitch marks.

Contact us to learn more about frenectomy procedures or to schedule a consultation at a urology clinic in Montreal, on the South Shore, on the North Shore or in Quebec City.

Would you like to make an appointment, or do you have any questions? Write to us and we will get back to you as soon as possible!

    Dr. Marois is a urologist who is not a member of the Régie d’Assurance Maladie du Québec (RAMQ). As such, the clinic can not claim the RAMQ for the payment of his services. If you consult Dr Marois, you must pay for the services rendered.

    Cancellation of appointment:

    To ensure the smooth running of the clinic and a minimum of courtesy towards other patients and our staff, we ask you to notify us 48 hours in advance for the cancellation of a consultation, 5 working days in advance for a surgery at the office and 21 working days in advance for a major surgery. If these deadlines are not respected, a cancellation fee of 50% of the service will be charged.

    Change of appointment:

    We understand that events occur, so we ask you to provide us with at least a 24-hour notice for any change in their appointment; we will be happy to accommodate you, the best we can. However, if you fail to inform us within this timeframe or do not show up, we will charge a $ 100 fee.

    Thank you for your understanding.

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