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Is frenuloplasty worthwhile? A 12-year experience.
Prabhakar Rajan1, S Alan McNeill, Kevin J Turner
1Department of Urology, The Freeman Hospital, Newcastle-upon-Tyne, UK. prabs_rajan@yahoo.co.uk
Annals of the Royal College of Surgeons of England
|October 25, 2006
Summary
Frenuloplasty is a common procedure with generally positive outcomes. Most patients report satisfaction, though a small percentage may still require circumcision.
Area of Science:
- Urology
- Surgical Outcomes
- Patient Satisfaction
Background:
- Frenuloplasty is a frequently performed surgical procedure.
- The outcomes and patient satisfaction following frenuloplasty have not been previously reported in medical literature.
Purpose of the Study:
- To evaluate the outcomes of frenuloplasty.
- To assess patient satisfaction and the need for further intervention after frenuloplasty.
Main Methods:
- A retrospective review of 213 patients who underwent frenuloplasty since 1992.
- Patients were surveyed regarding the reasons for surgery, treatment details, anesthetic used, satisfaction scores, and subsequent interventions.
Main Results:
- A 23% response rate was achieved from 209 patients. Common indications included foreskin tearing/bleeding and pain during intercourse.
- The median patient satisfaction score was 8 out of 10, with 34 patients recommending the procedure. 11% of patients underwent circumcision after frenuloplasty.
Conclusions:
- This study presents the only reported series on frenuloplasty outcomes.
- The majority of patients are satisfied with frenuloplasty, even those initially considered for circumcision. The overall rate of subsequent circumcision is estimated between 15-20%.
