Review of modern techniques of surgical correction of the short frenulum of the penis.

Abstract

Introduction. Short frenulum of the penis (frenulum breve) is a condition associated with a decrease in the length of the frenulum of the penis and/or a decrease in its elasticity. A number of different techniques have been proposed for the surgical treatment of a short frenulum of the penis, from a simple incision (frenulotomy) to complex frenuloplasty and frenulum grafting techniques. Purpose of the study. To assess the results of various surgical techniques in the treatment of frenulum brevis by examining the current evidence base in the world literature. Materials and methods. A search was made for publications in the international database MEDLINE on the platform PubMed, in the scientific electronic library eLibrary.ru and in the Google Scholar search engine. Results. A total of 12 publications were selected. Selected publications were represented by retrospective cohort studies and case series. 3 studies evaluated the results of frenulotomy (frenulectomy), 8 – different methods of frenuloplasty and one – circumcision in the treatment of a short frenulum of the penis. Conclusion. The results of the literature review showed that all techniques of surgical correction of the short frenulum of the penis demonstrate excellent early functional and aesthetic results, with a minimum number of postoperative complications. The best results in the treatment of a short frenulum of the penis can be achieved by choosing the optimal surgical technique in each case.