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Frenulum Breve
Causes, Symptoms and Treatment

Βραχύς Χαλινός

Frenulum breve, or short frenulum, is a condition where the frenulum (the band of tissue connecting the underside of the penis to the foreskin) is shorter than usual. This can cause issues such as pain during erections or sexual activity, difficulty retracting the foreskin, and potential tearing or bleeding of the frenulum. Treatment options include conservative measures like the use of lubricants or topical creams, and surgical procedures such as frenuloplasty or frenectomy to lengthen or remove the frenulum.

 What is frenulum breve?

What is frenulum breve?




Frenulum breve can be caused by several factors:

  • Congenital Abnormality: Present from birth due to developmental issues.

  • Trauma or Injury: Scar tissue from injuries or tears.

  • Chronic Inflammation: Recurrent infections or inflammatory conditions.

  • Skin Disorders: Conditions like lichen sclerosus or balanitis.

These factors can lead to a shortened frenulum, causing discomfort or pain during sexual activity or difficulty retracting the foreskin.

Frenulum breve, or a short frenulum, refers to the condition where the frenulum of the penis (the elastic band of tissue under the glans that connects to the foreskin) is unusually short, restricting normal retraction of the foreskin. This condition can cause several signs and symptoms:

1. Tight Frenulum: The frenulum appears visibly shorter than usual, making it difficult to retract the foreskin fully.
2. Tearing or Scarring: The frenulum may show signs of tearing or scarring, particularly after sexual activity.
3. Curvature of the Penis: During erection, the penis may curve downward due to the tension of the short frenulum.

1. Pain or Discomfort: There is pain or discomfort during sexual activity, erection, or when retracting the foreskin.
2. Bleeding: There can be minor bleeding if the frenulum tears due to stretching.
3. Difficulty with Hygiene: Difficulty in fully retracting the foreskin can lead to challenges in cleaning underneath it, potentially leading to infections or inflammation.
4. Sexual Dysfunction: Problems with sexual performance or satisfaction due to pain or the inability to fully retract the foreskin.


Signs And Symptoms

Signs And Symptoms


1. Medical History: 
   - The doctor will ask about your symptoms, including pain or discomfort during sex or erections, and any incidents of tearing or bleeding.

2. Physical Examination:
   - The doctor will look at your penis to see if the frenulum is short or tight.
   - They will check for any signs of tearing, scarring, or inflammation.
   - They might ask you to retract your foreskin to see how much it moves and if there is any pain.

3. Erection Assessment:
   - In some cases, the doctor may need to see the penis during an erection to understand how the short frenulum affects it.

4. Ruling Out Other Conditions:
   - The doctor will make sure your symptoms are not caused by other conditions like phimosis (tight foreskin) or balanitis (inflammation of the glans).

5. Referral:
   - If needed, the doctor might refer you to a urologist (a specialist in urinary and male reproductive issues) for further evaluation and treatment.

By following these steps, the doctor can diagnose frenulum breve and discuss the best treatment options with you.



Treatment for frenulum breve aims to relieve the symptoms and improve the ability to retract the foreskin without discomfort. Here are the common treatment options:

Non-Surgical Treatments
1. Topical Steroid Creams:
   - How it works: Steroid creams can help soften and stretch the frenulum.
   - Application: Apply as directed by your doctor, usually twice daily for several weeks.

2. Stretching Exercises:
   - How it works: Gentle, regular stretching can gradually lengthen the frenulum.
   - Instructions: Gently pull back the foreskin to stretch the frenulum, holding for a few seconds and repeating several times daily.

Surgical Treatments
3. Frenuloplasty:
   - Procedure: A minor surgical procedure where the frenulum is lengthened or cut to reduce tension.
   - Recovery: Usually quick, with most patients healing in a few weeks.

4. Circumcision:
   - Procedure: Removal of the foreskin, which eliminates the issue of a short frenulum.
   - Recovery: Takes a few weeks, with instructions on wound care to prevent infection.

Post-Treatment Care
- Hygiene: Keep the area clean and dry.
- Follow-up: Attend all follow-up appointments to monitor healing and address any concerns.
- Avoidance: Refrain from sexual activity until fully healed to prevent complications.

- Discussion with Doctor: Discuss the best treatment option based on the severity of your condition and personal preferences.

By following the appropriate treatment plan, most individuals with frenulum breve can achieve relief from symptoms and improved function.


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