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.
How to prepare for frenuloplasty
In the process of preparing for surgery, you should consult with a urologist, who will draw up a complete list of recommendations based on the individual characteristics of the patient and the results of the tests performed. A week before the planned procedure, it is necessary to avoid taking any aspirin and non-steroidal anti-inflammatory drugs.
On the day of surgery, you need to perform a number of simple steps:
- carry out a thorough toilet of the genitals and hygienic cleaning using special products for the care of the intimate area;
- shave the scrotal area;
- give up caffeine in the morning, and breakfast should be as light as possible, without fatty foods;
- Bring a set of sterile wipes and spare linen with you to the clinic.
If the patient is allergic to various drugs, you must inform your doctor about this, and take an antihistamine the day before frenuloplasty. In cases of a negative reaction of the body to general anesthesia, it is required to notify the anesthesiologist.
Compliance with all general recommendations for preparing for the correction procedure contributes to the most effective implementation of all surgical procedures with minimal risks of subsequent deviations.
Indications for surgery
— Diastema between the central incisors, in simple words, gaps between the teeth. Observing this picture, it can be noted that the frenulum simply prevents the teeth from taking the correct position. Gradually this only makes the situation worse. Due to the constant load, the gap only increases, for this reason the teeth can move to the sides or forward; — When installing special plates to correct the bite, you also need to pay attention to the frenulum. If it is short, then there are contraindications. Then it is not recommended to install braces; — Gum diseases; — In preparation for removable prosthetics. If the frenulum is shortened, before the prosthetic procedure it is advisable to carry out plastic surgery to trim the frenulum, since a short frenulum will not allow the prosthesis to be fixed; — Speech therapy problems. The guarantee that after the operation all speech defects will be corrected is close to 100%.
Plastic surgery of the frenulum of the upper lip, in fact, is not a complicated operation, although it is recommended to carry it out no earlier than the child is 5 years old or closer to 7-8 years of age. Then the first incisors (molars) had already erupted. There are exceptions when operations are performed on infants. There is a need for surgery only if there are serious problems with breastfeeding the baby.
Manipulation technique
In medicine, two directions of correction of the frenulum of the genital organ are used:
- frenulotomy, dissection of the connecting tissues of a previously intact frenulum;
- frenuloplasty, restoration of the length of the frenulum when a scar forms after its rupture.
The manipulation technique involves dissecting the tissues of the frenulum in the transverse direction, followed by stitching them longitudinally, increasing its length. The operation is performed using local anesthetics and takes no more than a quarter of an hour; the patient remains under observation for about half an hour, after which he is sent home. The period of complete recovery takes from two weeks to a month.
Immediately after the operation, no extraneous sensations are observed; during the next 24 hours after the intervention, some discomfort and pain persist:
- this is due to the presence of a wound surface that comes into contact with urine when the bladder is emptied;
- as well as during spontaneous erection at night, when, with an increase in the size of the organ, tension occurs in the unhealed tissues.
After healing, a neat suture remains, which runs along the lower zone of the organ. Restoring the length of the frenulum allows you to fully and painlessly open the head, without causing pain and discomfort during erection and sexual intercourse.
Symptoms and diseases of the frenulum of the penis:
- Rupture of the frenulum of the penis
- Removal of the frenulum of the penis
- Growths on the frenulum of the penis
- Soreness of the frenulum of the penis
- Papillomas on the frenulum of the penis
- Rash on the frenulum of the penis
- Itching of the frenulum of the penis
- Frenum of the penis
- Inflammation of the frenulum of the penis
- Swelling of the frenulum of the penis
Symptoms of incorrect placement of the frenulum of the tongue
With significant pathology of the frenulum, the following symptoms may be observed:
- It is impossible to stick the tongue out of the mouth due to the short length of the frenulum.
- When trying to stretch the tongue, it bends and takes an arched shape.
- When you try to reach the palate with your tongue, the tip of the organ expands, as there is a strong tension.
- When at rest, the tongue has the shape of a groove.
If you have such symptoms and discomfort, you should consult a specialist. Perhaps the doctor will conduct a more thorough diagnosis and make a diagnosis.
Complications after frenuloplasty
The procedure is a simple operation and is carried out quite quickly; on average, all surgical procedures take from 15 to 30 minutes. The number of risks is minimal.
Among the undesirable consequences are:
- infection in the wound, which contributes to the formation of balanoposthitis;
- allergic reaction of the body to the use of various anesthetics;
- suture dehiscence and subsequent bleeding;
- painful sensations in the area of the lower part of the penis;
- swelling of the foreskin;
- purulent discharge from the wound formed after the intervention;
- increase in body temperature.
Infectious infections occur quite rarely due to the use of antimicrobial drugs, which are prescribed to the patient for the rehabilitation period. The maximum duration of pain after the correction is two months.
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.
Rehabilitation after surgery
The recovery period after surgical procedures takes on average about a month. During this period of time, a scar is formed and natural blood circulation in the area of the head of the penis is restored.
To speed up the rehabilitation process, it is necessary to consult with a urologist, who, based on the patient’s individual indicators, will give a number of recommendations.
Here is a list of general doctor’s instructions, compliance with which will allow you to quickly return to natural intimate life and eliminate the risks of complications:
- the developing scar will require special care in the form of treatment with special solutions during the first week;
- complete abstinence from sexual contact until the wound heals;
- when urinating, you will need to bend the head of the penis so that urine does not get into the wound, this will help avoid unwanted irritation and the risk of infection;
- reduction of physical activity;
- carefully follow the antimicrobial regimen.
To soften the friction of the formed scar during sexual intercourse, after the recovery period has expired, you should use lubricants. If the doctor's instructions are not followed, complications may arise that require repeat surgery, which will be much more painful and will lead to the formation of scar tissue and a subsequent decrease in the normal functioning of the sexual organ.
Operation methods
There are several ways to perform plastic surgery of the frenulum of the penis, which depend on the anatomical features of the structure of the structural tissue of the foreskin.
Among the main methods, there are two types of surgery:
- Frenulotomy.
Lengthening the frenulum occurs by cutting in the transverse direction followed by longitudinal stitching, which allows you to naturally increase the length of the fabric up to 2 centimeters. With this method, the sensitivity of the genital organ is not affected. - Frenulectomy
. Complete removal of the frenulum, which is required for mechanical injuries of the foreskin and scarring of the tissue. The incision is made transversely around the circumference of the genital organ, followed by longitudinal stitching. The result is a scar that aligns with the natural suture at the bottom of the penis.
Quite often, both methods are implemented without the use of classical surgical instruments. Intervention in the tissue structure is carried out through laser exposure. The technology of the procedure fully complies with generally accepted rules, with the exception of the use of radiofrequency exposure instead of a scalpel; instead of stitching, the edges of the resulting wound are soldered.
The main advantage of using modern equipment is the minimal risk of bleeding during the process and natural disinfection of the wound through exposure to high temperatures.
Answers to frequently asked questions on the topic of the frenulum of the penis:
- Which doctor treats frenulum of the foreskin?
- Where to go with a problem on the frenulum of the foreskin?
- What tests should be taken if there are problems with the frenulum of the penis?
- Diagnosis of diseases of the frenulum of the penis
- Treatment of diseases of the frenulum of the penis
- Is it possible to remove the frenulum of the penis?
- Swollen frenulum of the penis
- Rash on the frenulum of the penis
- Herpes on the frenulum of the penis
- How does the foreskin affect sensitivity?
- How to stretch the foreskin?
- What is the foreskin for?
- Diagnosis of diseases of the foreskin?
- Why doesn't the foreskin open completely?
- What to do if the foreskin is swollen?
- Have plaque appeared under the foreskin?
- Do you perform foreskin plastic surgery at your clinic?
Operation technique
Before surgery, it is necessary to sanitize the oral cavity to avoid infection in the open wound during plastic surgery. Also, if possible, undergo the simplest tests and undergo fluorography (if the child is very small, a chest x-ray). Although it is believed that the operation of cutting the frenulum is low-traumatic, some specialists still require a minimum set of test results to be on the safe side. It is also recommended, without fail, to feed the child before the operation, because on an empty stomach, the child tolerates this procedure much more difficult, plus, hunger can provoke poor blood clotting.
There are several ways to correct a low frenulum attachment. Depending on the structure and complexity of the situation, the doctor prescribes a more convenient and effective method.
Frenotomy - dissection of the frenulum. Performed in cases where the frenulum is too narrow.
Frenectomy - excision of the frenulum. Performed in cases of wide frenulum.
Frenuloplasty is relocation of the area where the frenulum is attached.
Frenuloplasty according to Limberg. A vertical incision is made in the center of the frenulum, then incisions are made in opposite directions 2 more times diagonally, after which the resulting flaps are stitched.
Laser plastic surgery. A common and very convenient method that is very popular. Very easy to use. A laser is directed at the frenulum, which “dissolves” it. The advantages of this method are the absence of blood and noise, which can often frighten a child. There is no need to stitch the wounds after completion of the manipulations. The reduction in time and absence of pain is a big advantage, given that most of the patients are children.
All of the above methods of upper lip frenuloplasty are performed on an outpatient basis under local anesthesia.
What tests need to be done before surgery?
At the preparatory stage, before surgery, the patient must undergo a series of diagnostic measures as prescribed by the doctor. The main tests that will need to be taken include:
- general urine analysis;
- clinical blood test to study its coagulability in order to exclude possible bleeding during surgery;
- standard samples for research to detect syphilis, various groups of hepatitis and other sexually transmitted diseases;
- biochemical blood sampling.
Based on the results obtained, further diagnostic measures will be formed, if required. If all tests are normal, frenuloplasty surgery will be planned based on the information received and the individual characteristics of the patient.
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.
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.
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?
Contraindications
- Inflammatory and infectious processes of the genitourinary area. The operation cannot be performed due to the risk of spreading inflammation and infection.
- Rash in the intimate area. Plastic surgery is performed after the condition of the skin has normalized.
- Fever, poor health, colds and other infections.
- Reduced blood clotting - surgery is not performed due to the high risk of bleeding.
In emergency cases, for example, in case of rupture of the short frenulum of the penis, accompanied by bleeding, plastic surgery is performed even if there are contraindications. In this case, the possibility of intervention is decided specifically for each man.
