After surgery, oral care requires special care and attention. The hardest part of the treatment is over, but for some time you still need to follow a number of rules that will protect your teeth and gums from new inflammations.
- After tooth extraction
- After frenuloplasty
- After implantation
Most often, special postoperative care is required during the postoperative period when installing dental implants. We will talk about it in more detail later, but for now we will list other, rarer, but also important cases when your teeth and gums require special care.
What is frenulotomy?
Frenulotomy is a simple operation, indicated for such a feature as a short frenulum of the genital organ. During this operation, the frenulum is transversely dissected and then sutured in the longitudinal direction. Thus, it stretches to its normal length. As a result, only a thin seam is visible from the inner surface of the foreskin, everything looks quite natural. The entire operation lasts no more than 20 minutes, it is not a complex surgical procedure, and is performed under local anesthesia.
Correction of the frenulum allows you to eliminate pain symptoms and eliminate the risk of ruptures and bleeding during erection. The procedure is quite simple, and the development of complications after it is extremely rare.
Where to have plastic surgery of the frenulum of the penis?
Our clinic uses modern equipment and has all the necessary tools for safe interaction with the patient. The consultation is conducted by doctors with extensive experience and knowledge in various branches of urology, who will give practical recommendations on preparing for the procedure, and then draw up the most effective plan for the rehabilitation period.
Our clinic has:
- specialized rooms for conducting hardware diagnostics;
- own laboratory for prompt research of the obtained tests;
- a modern operating room equipped with the required equipment and the necessary additional technical components.
During the operation, high-quality asepsis is used, which minimizes the risk of possible infectious complications later. A delicate approach that allows you to solve all intimate problems in a strictly confidential manner.
Indications for frenulotomy
A short frenulum can be a congenital or acquired pathology that occurs as a result of trauma to the penis or inflammatory processes. Pathology provokes:
- drooping of the head of the penis, discomfort and even pain during erection;
- premature ejaculation;
- there is a constant huge risk of tearing or rupture of the frenulum, accompanied by heavy bleeding.
It is better to perform a frenulotomy of the foreskin before the frenulum ruptures. And rupture of the frenulum if it is not long enough is almost inevitable. As soon as a man begins to perform intense friction during intercourse or masturbation, he risks tearing or tearing the frenulum. And using additional lubricant will not help here.
Some male representatives mistakenly believe that a good solution would be careful behavior and avoidance of intense friction. Even if you try to control the situation and perform only slow frictions, on a subconscious level there will still be fear and expectation of severe pain due to a tear or rupture. Of course, in such conditions it is unlikely that you will be able to get full satisfaction from sex.
Indications for surgery:
- An erect penis bends in such a way that the head bends downwards.
- Retracting the skin fold is difficult, causing pain and a feeling of tightness.
- Painful frictions cause discomfort and interfere with normal sexual intercourse.
- Frequent frenulum tears and bleeding.
- Phimosis or paraphimosis.
- Early ejaculation.
Frenulotomy is a simple operation and is often performed on an outpatient basis. Local anesthesia is usually sufficient, but in some cases general anesthesia may be necessary. The procedure does not last long, about half an hour.
Before the operation, the patient takes all the necessary tests, including HIV tests, and undergoes an examination. After this, if there are no contraindications, he goes to the operating room.
How is frenulotomy performed?
Surgery is performed on an outpatient basis under local anesthesia for adult men, or with general anesthesia for adolescents. The duration of the manipulations is no more than 20 minutes. The patient is asked to assume a supine position on the operating table and the surgical area is disinfected.
With local anesthesia, the anesthetic is injected into the tissues of the penis, with general anesthesia - into a vein. As soon as it begins to act, the surgeon dissects the frenulum of the penis across, allowing the skin folds to straighten to the required size.
After this, the edges of the incisions are sutured with threads, which will self-resolve in the postoperative period. If there are scars, they are first excised. Upon completion, a napkin with an antiseptic is applied to the penis, which can be removed no earlier than after 12 hours.
The operation can be performed using a conventional scalpel, radio knife or laser.
Classic frenulotomy
Classic method of penile frenulum correction:
- First, a transverse dissection of the frenulum is made.
- Then the edges of the wound are stretched in the shape of a diamond.
- The final step is to adjust the skin tension and apply sutures.
The suture is applied with the same threads that are used in maxillofacial surgery. By 21 days they usually completely resolve or fall out. The finished suture is filled with surgical glue to avoid infection and separation of the edges. Such a wound can be wetted within a day; when wiping, simply blot it with a towel. If the seam is simply treated with brilliant green, then it is not recommended to wet it for about a week.
Frenulotomy using laser
Frenulotomy using a radioknife The intervention is bloodless due to the fact that the laser cauterizes the edges of the wound, eliminating bleeding.
Unfortunately, this operation has one drawback, which is the risk of divergence of the edges of the wound during an erection.
Application of radio knife
The use of a radio knife involves exposure to high-frequency radio waves. They allow the destruction of skin growths and neoplasms, excluding the impact on healthy tissues along with blood vessels. Thanks to this, there is no risk of purulent processes and hematoma. If indicated, the operation can be combined with other techniques aimed at eliminating scar tissue or narrowing the foreskin. At the same time, circumcision of the foreskin is also carried out. It is used if the surgeon notes the impossibility of completely exposing the head due to an excessive amount of foreskin tissue.
A practical way to choose a clinic
Such a delicate problem, requiring a delicate attitude and correct solution, requires contacting a specialist, the necessary qualifications and preferably in a comfortable environment without additional expenditure of free time. Such services can be obtained within a private specialized institution, but how to decide on its choice?
Our Help Desk for private clinics in Moscow “Your Doctor” has all the necessary information; by visiting the site you can not only determine the location of a particular center, but also see all the listed characteristics, as well as make an appointment with a specialist or arrange a home call from a urologist, without leaving the page.
Publication date: 2019-12-11
Useful information on problems associated with the frenulum of the penis:
- Calling a urologist to your home
- Balanitis
- Balanoposthitis
- Frenum plastic surgery
- Urethral swab
- Prostate massage
- Circumcision
- Tests for STIs
- Treatment of sexually transmitted diseases
- Ultrasound at home
- Frenum of the penis
- Pyelonephritis
- Ultrasound of the bladder
- Diagnosis of sexually transmitted infections
- How to prepare for an appointment with a urologist?
- How to get tested for urological diseases?
- What tests can be done by a urologist?
- What diseases does a urologist treat?
- What symptoms should you consult a urologist for?
- How to make an appointment with a urologist at the clinic?
How to prepare for frenulotomy?
Doctors recommend giving up alcoholic beverages a week before surgery. Some clinics prescribe antibiotics for 2 days to protect against infectious inflammation.
In 2-3 days you need to remove hair from the groin area. To avoid cuts, you can use hair removal cream.
In preparation for frenulotomy, it is necessary to donate blood the day before (for HIV, hepatitis, syphilis, general analysis, coagulogram) and a test for lidocaine. The operation is not abdominal, so there is no need to undergo other standard preoperative examinations. An ECG is only required for patients over 40 years of age.
On the day of surgery you can eat and drink. The manipulation is performed under local anesthesia. The doctor injects lidocaine under the frenulum (to a depth of 2 mm) and waits until the target area is completely numb.
Rehabilitation after frenulotomy
After frenulotomy, the patient rests for several hours in the ward, then he is sent home. After 2-3 days you can go to work, if it does not involve lifting heavy loads (the seam may come apart).
There is usually some slight swelling or bruising in the first 24 hours, which goes away within a few hours. Within two days, a few drops of blood may come out of the suture. This is fine. They need to be blotted with a sterile napkin and observed over the wound.
Antibacterial therapy is usually not required. The course of antibiotics is replaced by antiseptic ointment "Levomekol". A thin layer of it is applied to the suture area once a day for 5 days. You must appear for a dressing change the next day, and for a final examination after 10 days. The pain goes away completely after 2 weeks. During an erection, slight discomfort may remain for 3-4 weeks.
During the rehabilitation period, the patient should adhere to the following recommendations of the attending physician:
- carry out hygiene measures after each visit to the toilet and use an antiseptic solution prescribed by a doctor for this;
- take a course of antibiotics to prevent the development of purulent infections;
- during rapid healing, do not use fat-based ointments, as they can prolong the rehabilitation period;
- visit a urologist a week after the operation so that he can determine the need to remove the remaining threads, which should be completely resolved by this time.
In addition, during the recovery period you should avoid:
- physical activity and sports;
- visits to baths, saunas, swimming pools;
- taking baths; sexual intercourse and masturbation.
- The latter is necessary in order to eliminate the risk of seams coming apart.
Possible complications after surgery
Foreskin frenuloplasty is a simple procedure. Reviews from men after surgery indicate the absence of complications. However, if during the manipulation the doctor made a mistake or the man did not follow the recommendations after the intervention, then negative consequences develop:
- infection resulting in an inflammatory process;
- seam divergence;
- intense bleeding from the wound;
- allergy to anesthesia medications.
- pronounced pain in the penis area;
- bleeding at the suture site;
- severe swelling of the shaft of the penis;
- postoperative scarring;
- unsatisfactory appearance;
- penetration of infection into the reproductive organ.
In most cases, complications are not dangerous and are treated on an outpatient basis.
Contact with water should be avoided for a week after frenulotomy. To do this, you can put a condom on the penis while swimming. Having sex is allowed only after complete healing, when a pink scar forms at the site of the wound. Sexual intercourse should be carried out carefully during the first month, it is recommended to use a lubricant.
Which doctor performs frenuloplasty?
If you have problems with the frenulum on the foreskin, you should consult a urologist. The doctor will conduct an initial examination and, if necessary, prescribe additional diagnostic measures, on the basis of which a decision will be made on the possibility of performing frenuloplasty.
After the operation, the urologist will consult the patient and give recommendations for the entire period of rehabilitation. If you fully comply with the doctor’s instructions, the surgical intervention will be carried out quickly and painlessly, eliminating possible complications in the future.
