Stitchless Frenuloplasty (Tight Frenulum Treatment)
in India (New Delhi)
Frenuloplasty is the surgical treatment for tight frenulum of the penis.  Dr Vijayant Govinda Gupta in New Delhi pioneered the the “Stitchless Frenuloplasty Surgery for frenulum breve”. A frenuloplasty is also sometimes called as frenectomy (some difference is there read below).
Penile Frenulum is a thin vascular cord like structure connecting the human foreskin to the coronal sulcus (glans). It contains a single vessel called the frenular vessel. A tight frenulum (Frenulum Breve) prevents the free movement of the prepuce during sexual intercourse or masturbation.Â
A tight frenulum can cause pain during sex and in vigorous sex it can tear (frenular tear) and cause pain and bleeding. A tight frenulum is also the number one cause of Hypersenstivity and Premature Ejacualation in Men.
The surgical treatment of tight frenulum of the penis is called frenuloplasty. It may be done with or without stitches.
Stitchless Frenuloplasty (Dr. Govinda’s Technqiue) is superior to conventional frenuloplasty.
- Completely Stitchless
- No Post operative scarring
- Bloodless
- Quick recovery
- No Infections
- Smooth Postoperative period
- No Follow up needed
- 5 minutes office care procedure
Video Playlist On Stitchless Frenuloplasty In India (Treatment of Frenulum Breve)
Complete Guide on Frenuloplasty (in Hindi)
Frenuloplasty Surgery Steps (in English)
Essential Frenuloplasty Guide (in English)
Stitchless Frenuloplasty (Technique)
Cost of Stitchless Frenuloplasty In New Delhi India
The cost of Frenuloplasty in New Delhi, India is ₹15000 all inclusive. Frenuloplasty is not covered under insurance. EMI Facility is available.
Dr. Govinda's Stitchless Frenuloplasty
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Painless
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Scarless
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Daycare
What is Frenulum Breve / Tight Frenulum ?
A frenulum is a cord like structure connecting the foreskin to the glans in non circumcised males. If this frenulum is tight it is called frenulum breve. The problems a tight frenulum can cause are
- Pain during sex
- Premature Ejaculation
- Hypersenstivity of glans
- Cuts on frenulum
- Bleeding
- Frenular tear
How is Stitchless Frenuloplasty Surgery done ?
Frenuloplasty Procedure for the Penis
Frenuloplasty is a minor surgical procedure performed to lengthen the frenulum of the penis, relieving pain and allowing greater freedom of movement. Here’s a step-by-step outline of the process used by Dr. Vijayant Govinda Gupta in New Delhi, India, with his specialized approach for minimal scarring and quick recovery.
Step 1: Local Anesthesia
The procedure begins with the application of local anesthesia to the frenulum and surrounding area. This numbs the tissue, making the area completely pain-free for the duration of the surgery.
Step 2: Releasing the Frenulum
Once numb, the frenulum is carefully released from the coronal sulcus using a fine laser. Unlike traditional methods that may use electrocautery, Dr. Gupta’s laser technique minimizes bleeding and significantly reduces the risk of scarring, enhancing the aesthetic outcome.
Step 3: Sealing the Edges
To secure the elongated frenulum, Dr. Gupta uses a specialized, patented medical glue instead of traditional sutures. This glue effectively fuses the edges of the tissue, promoting faster healing and reducing the risk of complications. The glue naturally dissolves, eliminating the need for suture removal.
Recovery and Resumption of Activities
Patients can expect minimal downtime, with most resuming normal activities within days. The frenulum typically heals in about two weeks, after which sexual activity can be safely resumed.
This advanced approach to frenuloplasty ensures a smoother, faster recovery with minimal scarring and a natural appearance.
What Are The Techniques Of Frenuloplasty?
The types of frenuloplasty performed at Govinda Medicentre in New Delhi are
- VY Plasty
- Diamond shaped Frenuloplasty (As recommended by the BAUS)
- Z Plasty – In difficult cases or in revision frenuloplasty cases
- Frenular grafting
- Stitchless Frenuloplasty
What are the Alternatives treatment of Tight Frenulum ?
Alternatives to Frenuloplasty Surgery
If a tight frenulum is causing discomfort, there are alternative treatments to consider besides frenuloplasty. These options include circumcision, ZSR circumcision, and frenulectomy. Each procedure has unique approaches and outcomes, so it’s important to consult a specialist to determine the most suitable solution.
1. Circumcision Â
Traditional circumcision involves the removal of the entire foreskin (prepuce), which effectively addresses the frenulum issue by removing it along with the foreskin. This is a common option for men with multiple foreskin-related issues, such as phimosis (tight foreskin). It’s essential to confirm that the primary issue is indeed a tight frenulum and not phimosis before opting for circumcision.
2. ZSR Circumcision Â
ZSR circumcision is a minimally invasive, stapler-based technique that removes the foreskin without stitches. It is particularly beneficial for patients looking for a quick recovery and a smoother aesthetic result. Like traditional circumcision, ZSR circumcision removes the entire foreskin, which manages the frenulum automatically. This method is preferred by many for its precision, minimal scarring, and faster healing time.
3. Frenulectomy Â
Frenulectomy involves the complete removal of the frenulum rather than elongating it. In this procedure, the frenulum is carefully cut and removed, allowing more freedom of movement for the foreskin. Frenulectomy can be a good option for those who wish to avoid circumcision but require a permanent solution to frenulum-related issues.
Choosing the right procedure is a personalized decision based on your specific needs and symptoms. Consulting with a specialist like Dr. Vijayant Govinda Gupta will help ensure that you receive the best treatment for lasting comfort and functionality.
What are the Complications of Frenuloplasty ?
Potential Complications of Frenuloplasty (if not properly performed)
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While frenuloplasty is generally a safe procedure, complications can occur if it is not performed correctly. Some of the possible complications include:
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– Bleeding: Excessive bleeding can occur during or after the procedure, especially if blood vessels are not properly cauterized.
– Pain: Although some discomfort is normal during recovery, improper technique can lead to prolonged or intense pain.
– Infection: Infections can develop at the surgical site, requiring further treatment.
– Stitch Infection: In cases where stitches are used, there is a risk of stitch-related infections, which can delay healing.
– Scarring: Poor surgical technique may lead to noticeable scarring, which can affect the appearance and movement of the foreskin.
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Choosing an experienced specialist, such as Dr. Vijayant Govinda Gupta, minimizes these risks and ensures a smoother recovery with optimal results.
Are Their Negative Affect Of Frenuloplasty On Sexual Function ?
It is a common misconception that removing or modifying the frenulum reduces sexual pleasure or sensitivity. In reality, frenuloplasty does not affect sensation or pleasure during sexual activity. This procedure simply alleviates the discomfort caused by a tight frenulum, allowing for pain-free movement without compromising sensitivity or pleasure.
Does tight frenulum cause premature ejaculation ?
Yes, frenuloplasty can help improve premature ejaculation (PE) for men with a tight frenulum, as the procedure relieves tension that may contribute to increased sensitivity and rapid ejaculation. Studies suggest that a tight frenulum can be a cause of hypersensitivity, which in turn may lead to premature ejaculation.
According to research, frenuloplasty has shown positive results in reducing hypersensitivity by lengthening the frenulum, thereby improving ejaculatory control. A study published in the Journal of Sexual Medicine (2012) found that patients who underwent frenuloplasty experienced significant improvement in controlling ejaculation. Additionally, a study in Andrology (2016) reported that men with frenulum breve who had frenuloplasty showed notable improvement in ejaculatory latency times, suggesting that reducing frenular tension can help alleviate symptoms of PE.Â
While frenuloplasty may not directly address all cases of premature ejaculation, it can be beneficial for men whose condition is linked to frenulum breve. Consulting a specialist, like Dr. Vijayant Govinda Gupta, can help determine whether frenuloplasty is an appropriate option for managing premature ejaculation in individual cases.
What is the difference between Phimosis and Tight Frenulum ?
Phimosis and a tight frenulum (frenulum breve) are distinct conditions affecting the foreskin, each with unique treatment approaches.
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Phimosis occurs when the foreskin cannot retract over the glans, causing discomfort or pain. Treatment options include:
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1. Topical steroids to improve elasticity
2. Stretching exercises for mild cases
3. Circumcision for complete foreskin removal
4. Preputioplasty, a partial procedure to widen the foreskin without full removal
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A tight frenulum restricts movement due to its short length, causing pain during activity. Treatment options include:
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1. Frenuloplasty to lengthen the frenulum for better mobility
2. Frenulectomy, which involves removing the frenulum for increased movement
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Each condition can be effectively treated, and selecting the appropriate approach depends on individual symptoms and goals. Consulting a specialist ensures the best option for comfort and function.
