Are you looking for a private frenuloplasty specialist in London? You have landed on the website of Dr Fabio Castiglione, who was awarded with Excellence Award 2022 from the European Society for Sexual Medicine.
Dr. Fabio Castiglione is both an Andrologist and Urologist. He graduated in Medicine and Surgery and subsequently completed his training in Urology at the Vita Salute San Raffaele University in Milan. He holds a PhD in stem cells and erectile dysfunction from the Katholieke Universiteit Leuven (Belgium). He is a member of the European Committee of Sexual Medicine (FECSM), of the European Urology Board (FEBU) and member of the scientific committee of the Andrological Guidelines of the International Sexual Medicine Society (ISSM), of the European Society of Urology (UAE) and of the European Society for Sexual Medicine (ESSM). Dr. Castiglione also holds the qualifications as Full Professor in Urology in Italy and Consult Urologist at the King’s College Hospital in London.
Dr. Castiglione is the author of over 90 publications in international journals and is the creator of P-Shocks® www.p-shotlondon.com, the most advanced treatment for Peyronie’s disease and erectile dysfunction. He was awarded with Excellence Award 2022 from the European Society for Sexual Medicine and from the international Society for Sexual Medicine (ISSM).
Without a question, these two experts are the most qualified to find the finest answer to this type of situation. Some specialists believe that the small frenulum may have a role in premature ejaculation since the patient may anticipate the end of the relationship due to the sensation of discomfort and traction. Dr. Castiglione, an Urologist and Andrologist, believes that a small frenulum can be addressed conservatively if it causes no discomfort or pain. In rare circumstances, the administration of steroid creams and stretching exercises can produce adequate effects to extend the frenulum. In most cases, however, surgery is required to relieve symptoms. Frenuloplasty (frenular release) is the surgical solution. Resection of the frenulum (frenectomy) or circumcision (removal of the foreskin) is sometimes required.
A circumcision is an operation that removes the entire foreskin. The foreskin is the sleeve of tissue that covers the head of the penis. Frenuloplasty, as we have seen, instead only alters the frenulum of the penis to relieve the restrictions.
Penile frenuloplasty consists in lengthening the frenulum of the penis (frenulum of the penis or preputial frenulum or also “thread” of the penis). It is often performed in conjunction with circumcision. The frenulum of the penis is the flap of skin that connects the foreskin to the glans penis (the head of the penis). It is a “V” shape located on the ventral side of the penis (the side facing the body). It has a lot of blood supply and contains numerous nerve endings, making it susceptible. The function of the frenulum is to prevent the foreskin, the flap of skin that covers the glans, from slipping excessively when the penis is erect. If the frenulum is too short, it doesn’t allow the foreskin to slide properly over the glans; this anomaly, called short frenulum.
Individuals may have a very short penile frenulum or it may be very sensitive.
N.B. Some specialists believe that the short frenulum may play a role in premature ejaculation as the feeling of discomfort and pulling may lead the patient to anticipate the end of the relationship.
Either way, sexual activity can be painful for men, which is why Frenuloplasty is offered. Frenuloplasty is therefore performed in cases where it causes discomfort and pain during sexual intercourse. In some cases it may become necessary in uncircumcised men, who have problems with foreskin sealing
Having the short frenulum can be a congenital problem but there are also other cases in which this intervention is used to repair a partial break. The case, for example, of partial rupture following “vigorous sex” or following traumatic accidents or penile surgery.
The diagnosis is taken for granted, which in most cases is evident and easily diagnosed with a visual examination; As with all operations, a series of checks must be carried out. Blood tests will be ordered two weeks before the operation and it will also be checked what medicines the patient is taking and if he smokes. Smoking increases the likelihood of complications and slows down the healing process while some medications can promote bleeding.
Frenuloplasty is used when the short frenulum causes discomfort to the patient. In the presence of a short frenulum, the patient may feel discomfort or pain when the penis is erect. The traction exerted by this skin flap can cause the erect penis to bend downwards and constitute an obstacle to sexual intercourse. When the frenulum rubs against itself during sexual activity or masturbation, it can become inflamed or even rupture. An event that causes a lot of pain and bleeding. The short frenulum, which hinders the movements of the foreskin, makes intimate hygiene more difficult and can increase the risk of infections. Frenuloplasty is also helpful for people with a short frenulum that didn’t start out that way but was caused by scarring after a frenulum broke.
Recovery time varies from person to person, but generally, a full recovery will be made about four weeks after the procedure. Immediately after the procedure you will be advised to take the rest of the day off. In case of total anesthesia, however, rest is also foreseen for the following day. The stitches will dissolve or fall out two to three weeks after the operation.
The indications to observe are few and clear. First of all, keep the area clean. The foreskin should be withdrawn gently to allow for thorough cleaning. This is not a huge wound, in fact it is very small and will heal quickly. Obviously you will be advised to not to have sex for at least six weeks after the operation. This is very important as it allows the wound to heal, as well as reducing the risk of bleeding.
The risks are partly related to the type of anesthesia that will be applied. General anesthesia is more risky than local anesthesia. However the risks are really limited, below is a list of the main ones with numerical statistics:
If you are looking for a private frenuloplasty specialist in London who is both Urologist and Andrologist, you have just discovered the best professional in London! Don’t wait, call Dr Castiglione to make a private appointment at +447830398165! Or forward an email with your requests to firstname.lastname@example.org; the first London clinic to use a scientific, holistic, non-invasive shockwave program for the treatment of sexual problems.F