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(Extra Notes)
In Advanced Years
 In a certain percentage of men, the conditions reoccur in old age
as the skin becomes less flexible. This is also considered as a congenital
complaint. In comparison to the free movement of yesteryear the difference
is easy to notice and if operated on promptly the situation causes
minimal psychological complications.
Secondary Phimosis
A congenital primary phimosis can often lead to infections, and be
cured for reasons of this secondary symptom.
On the other hand, circumcision is a treatment often needed for a
variety of ailments (skin diseases and infections, penile cancer,
diabetes, injuries), and as a result of some of these, the secondary
phimosis which may develop. This development is noticable to the individual
and therefore (if treated without hesitation), bears little comparison
to a congenital primary phimosis.
FRENULUM BREVE
(Latin Frenulum: a small bridle. Breve: short).
The frenulum is like the joining ridge under the tongue, this membrane
joins the underside of the glans to the foreskin.
There are various
degrees of brevity. Occasionally the frenulum is so short that there
is actually no frenulum, the foreskin being attatched directly to
the glans.
With the frenulum breve, when erect the foreskin often pulls back
partially, and then simply slides forward again. Minor degrees allow
retraction behind the glans, apparently causing few problems. However
sufferers feel a tension which therefore limits optimal enjoyment.
The frenulum is the most sensitive area on the phallus. If the area
is sensitive to pain at present, this turns to pleasure after being
operated.
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Though a circumcision cures the frenulum breve, leaving it little
or nothing to pull on, the incision it is seen to require, is a specific
one. The frenulum plastic (please confirm the English name) is a surgically
insignificant operation, probably the smallest of all, it is generally
performed as an out-patient. An Urologist said he operates "approximately
once a month, . . basically the average age group is around 17 to
27 years old" 9.
WHEN THE FRENULUM RIPS
"Among a percentage of men" the frenulum is too short "so that on
erection it tightens to its limit, and then can even rip. . . . a
moment of great alarm follows for both participants at the resultant
bleeding" 10. Such incidents are "not unusual"11 . Sometimes it rips
on the first sexual encounter, often later, sometimes it rips partially,
and sometimes twice. My research showed from three cases of ripping,
that two had not informed their doctors, (it heals spontaneously).
There is reason to believe that this is occurring at a far greater
frequency than the medical profession realises.
General Notes
One woman described a man who was always soft inside her until ejaculation
when it hurt him, he was aware that the frenulum caused this pain.
One man who was aware of the frenulum being too tight, simply advised
his girl-friends not to touch him there. It appears some of the men
with this condition do have an awareness of it, problems being caused
mostly by the lack of information about the possibility of an improvement.
When the frenulum breve is combined with a partial phimosis, this
can lead to further complications. Some of these partial degrees of
phimosis are impossible to check for when flaccid, this is the conclusive
reason for the frenulum also being checked and treated before puberty.
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