This site discusses phimosis in its specific forms of phimotic ring, frenulum breve, adhesions or skinbridges. During erection these conditions inhibit the relationship between foreskin and glans. This functionally restricts the erection, and thus has an effect on the sexuality. With our culture's attitudes on health care, it would be appropriate to encourage early prevention.

Jan 2021 : Please read the new summary.

VR. CHITALE MS, FICS,
Z Plasty for Short Frenum of Prepuce of Penis
Ann Plast Surg 1991 Feb;26(2):196-7

Z plasty for short scarred frenum of prepuce of penis is presented as a useful new technique.

Short frenum of the prepuce of penis is a common condition. It gives rise to the following problems: 1) bleeding after sexual intercourse; 2) tear of frenum resulting in a small painful ulcer over the frenum, which does not heal easily; 3) a small ventral chordee, which produces pain after erection; and 4) all the above conditions cause psychoneurotic problems.

Previously we used to perform circumcision or frenoplasty with a transverse incision sutured vertically to treat this condition. Circumcision, however, was thought to be too big a procedure for this condition, and transverse incision sutured vertically did not give a satisfactory result. Hence a Z plasty was performed on the patient presented.

The two triangles slid very easily, and suturing was done with 6-0 chromic catgut. The result was very satisfactory. The patient had satisfactory sexual intercourse 15 days after operation.

(There are 4 pictures showing the operation which I have not included)