Patient's question:
Premature ejaculation, Penile erection angle downward.Doctor's answer:
HelloA short frenulum of the prepuce, although rare, often causes pain during erection or intercourse and may lead to repeated tearing and bleeding of the frenulum. Long-term, recurrent sexual intercourse pain can cause various sexual issues. For example, during intercourse, if the frenulum is excessively tense, leading to tearing or pain, it not only diminishes the perception of sexual pleasure but also affects the amplitude, frequency, and intensity of vaginal thrusting. This makes it difficult to stimulate the climax center, making ejaculation difficult to occur. Pain can also limit erection, preventing intercourse from being completed. The fear of sexual pain will undoubtedly reduce the quality of sexual life, imposing a heavy psychological burden on the patient and severely impacting the marital relationship. If this is not corrected over time, it can enhance the inhibitory effect of the cerebral cortex, ultimately leading to low libido, weak erection, or even impotence.
A short frenulum of the prepuce is more common in young and middle-aged individuals with excessive prepuce. When the prepuce is retracted, a shortened frenulum of the prepuce can be observed. Some suggest that during circumcision, the shortened frenulum of the penis should be, then sutured longitudinally to relax and lengthen it. The surgery has achieved good results, breaking the past taboo of not cutting the frenulum of the prepuce during surgery. Their practical experience confirms that this surgery not only does not affect erection but also has a positive relieving and therapeutic effect on sexual dysfunction caused by the short frenulum of the prepuce.
After confirming the existence of a short frenulum of the prepuce, the patient should be explained the nature of the problem and the proposed treatment plan to gain their active cooperation and enhance their confidence in overcoming the disease.