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Is frenuloplasty worthwhile? A 12-year experience

Lookup NU author(s): Dr Prabhakar Rajan

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Abstract

Introductions: Frenuloplasty is commonly performed. Its outcome has never been reported. Patients and Methods: We have performed 213 frenuloplasties since 1992. Patients were sent a questionnaire regarding indication, treatment advised on presentation, anaesthetic, outcome (linear analogue satisfaction scere), and further intervention required. Results: Overall, 48 of 209 (23%) patients replied (median age of series, 27 years; range 16-78 years: and of respondents, 27 years; range, 17-78 years). Indications included tearing/bleeding of the foreskin (n = 32), balanitis (n = 3), pain on intercourse (n = 26), phimosis (n = 4), ejaculatory (n = 1) and hygiene (n = 1) problems. Twenty-five patients received general anaesthesia. Median satisfaction score was 8 (range, 1-10). Thirty four patients would recommend frenuloplasty to another with similar symptoms. Three of nine patients initiallay advised to undergo circumcision later underwent circumcision (frenuloplasty satisfaction score, 1-3), 1 awaits circumcision (score, 5), 1 has a tight foreskin (score, 3) and 4 are satisfied (scores 6,9,10,10). In total, 23 of 209 patients (11%; median age, 27 years) underwent circumcision following frenuloplasty. Median time to circumcision was 11 months (range, 5-52 months). Conclusions: This is the only reported series of frenuloplasty. The response rate reflects a young mobile population. Most men are satisfied with the outcome, including some initially advised to undergo circumcision. The overall rate of circumcision following frenuloplasty is likely to be 15-20%.

Publication metadata

Author(s): Rajan P, McNeill SA, Turner KJ

Publication type: Article

Publication status: Published

Journal: Annals of the Royal College of Surgeons of England

Year: 2006

Volume: 88

Issue: 6

Pages: 583-584

ISSN (print): 0035-8843

ISSN (electronic): 1478-7083

Publisher: Royal Society of Medicine Press Ltd.

URL: http://dx.doi.org/10.1308/003588406X130633

DOI: 10.1308/003588406X130633

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