[ ARC forum 2 ]

Fraenulum problems

Written by Paul B. at 01 Feb 2002 13:31:13:

As an answer to: Re: Dealing with phimosis and frenulum problems written by jim22 at 01 Feb 2002 08:57:24:

Well, only since you ask!

My impression was that the fraenulum contains a small artery - a good reason not to just lash out with a razor blade - but few nerves as such and certainly no defined nerve trunk since it is a midline structure.

I'm not so sure about this "bowing down" concept in general. Is that mainly based on this study? If so, one woman with a retroversion doesn't really seem to prove much!

I presume that the primary sensation is in the glans around the urethra, and that it is the mechanical action of the fraenulum which couples movement to this area and which is, naturally, interrupted by cutting the fraenulum. In which case, alteration in sensation would be quite proportional to the degree of the relief.

I have a maintenance problem with office cautery equipment, and consequently tend to avoid it in favour of crushing with a small forceps for five minutes or so before cutting the resulting web. If one were to do it oneself, this it the method I would advise, but of course it would be folly for someone to do so without the equipment and the expertise.

I have yet to be requested to perform this particular procedure myself however, so this is all speculative (and also indicates how uncommonly it actually constitutes a problem). Mostly, I hear of spontaneous rupture after the fact. In theatre, of course the diathermy after cutting (or of course, cutting by diathermy) is quickest.

BTW, what's the fuss regarding your name on the other forum?

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