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Updated: Mar 26, 2026

Microscopic Replantation of Penile Glans Amputation Due to Circumcision
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Frenulum Sparing Circumcision: Step-By-Step Approach of a Novel Technique.

Sunil Purshotham Shenoy1, Prashanth Kallaje Marla2, Pritham Sharma3

  • 1Head, Department of Urology, A J Institute of Medical Sciences & Research Centre , Mangaluru, Karnataka, India .

Journal of Clinical and Diagnostic Research : JCDR
|January 28, 2016
PubMed
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This study introduces a new frenulum-sparing circumcision technique, reducing complications and preserving sexual function. The method proved safe and effective in 42 patients, offering a promising alternative to conventional procedures.

Area of Science:

  • Urology
  • Surgical Innovation

Background:

  • Conventional circumcision involves frenulum division and foreskin excision, risking complications.
  • Some complications include frenular bleed, painful erections, chordee, meatal stenosis, and fistula.
  • Potential impact on sexual function is a concern with traditional methods.

Purpose of the Study:

  • To describe a novel frenulum-sparing circumcision technique.
  • To evaluate the safety and efficacy of this modified approach.
  • To explore potential benefits for preserving sexual function.

Main Methods:

  • A dorsal slit technique preserving a sub-coronal mucosal sleeve and the frenulum.
  • The frenulum remains intact, with a skin bridge connecting mucosal and shaft skin.
  • Closure with interrupted synthetic absorbable sutures in 42 patients over three years.
Keywords:
ComplicationsFrenular arteryPhimosisPrepuce

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Main Results:

  • No significant complications such as frenular bleed, painful erections, chordee, meatal stenosis, or fistula were observed.
  • The technique yielded pleasing cosmetic outcomes.
  • Procedure was technically easier than conventional methods.

Conclusions:

  • The frenulum-sparing technique is a promising modification in circumcision.
  • It offers technical ease and acceptable cosmetic results.
  • Further randomized controlled studies are needed to confirm benefits in larger populations.