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Circumcision and the Penile Frenulum

by Tally on May 27, 2010 Bookmark and Share

Corona and frenulum of intact penis (uncircumcised)Many men, when they start restoring their foreskin, have questions about the frenulum. To answer questions about the frenulum, we must first consider what the frenulum does and how it works.
(click the pics to embiggen - NSFW)

Frenulum with foreskin retracted showing frenular delta connection between ventral glans and the foreskin. Picture from http://en.wikipedia.org/wiki/File:Frein_du_pr%C3%A9puce.jpgThe frenulum is a body part that connects the glans penis to the ridged band of the foreskin. The frenulum functions as a tether. It is a relatively inelastic section of tissue extending from the meatus to the ridged band on an intact man. The frenulum is connected to the inner foreskin by a web. The frenulum prevents the intact foreskin from retracting and fully exposing the inner foreskin, like it is on a circumcised man.

To understand how the frenulum works, consider your tongue. The lower portion of your tongue is connected to the floor of your mouth with a frenulum. The bottom medial portion of the tongue is tethered to the floor of the mouth. Without that frenulum, the tongue would be able to move fully back into the throat. With the frenulum tethering the tongue, you cannot swallow your tongue.

The penile frenulum also cooperates with the ridged band (often called the frenar band) and the dartos sheath to automatically extend the foreskin to cover the glans. As a tether, the frenulum has a tendency to pull the foreskin toward the glans. After this motion is started, the ridged band and the contracting dartos sheath finish the job of fully extending the foreskin over the glans.

Another function of the frenulum on your penis is pleasure. The frenulum is highly innervated with Meissner's corpuscles, which are fine-touch nerves. The Sorrells study showed that the frenulum is one of the most sensitive areas on the penis.

With that background, what does it mean for a restored man?

First, no circumcised man has his complete frenulum. Because the ridged band is excised during circumcision, the part of the frenulum that connects to the ridged band is also removed. Depending upon how Dr. Butcher performed the circumcision, anywhere from a little to a lot of the frenulum may have been excised. Because the structure that makes the frenulum work as a tether is partially missing, the tether function cannot be restored. We must rely upon the dartos sheath and foreskin length to cover our glans.

Then there is sensitivity. As for sensitivity, it varies from man to man. Some men report that the frenulum remnant is the most sensitive area on their penis. Others report that the corona is the most sensitive. Regardless, restoring will dekeratinize the inner foreskin and glans after they are covered by the restored foreskin. Dekeratinization will return the penis to its natural and normal sensitivity level.

Every circumcised man has at least part of his frenulum removed. The part that connects to the ridged band is removed with the ridged band. Some doctors, for some warped reason, also scrape or excise the rest of the frenulum, or at least all that is visible. This is what most likely happened if the ventral (bottom) side of your penis is as smooth as the dorsal (top) side. Fortunately, some men report that, as they restore, the tissue where the frenulum should be changes and begins to look like a frenulum remnant.

My frenulum is surrounded by scar tissue. Based on reports from others, I think that when Doctor Butcher circumcised me shortly after birth, he used forceps to separate my foreskin from the glans. Those forceps must have pinched my inner foreskin, damaging the sensitive tissues. Because the foreskin is fused to the glans at birth, the bond between the foreskin and glans must be broken forcibly. If the doctor is not careful, the surface of the glans can be damaged and pitted. In my case, the tissue next to my frenulum shows signs of trauma. Before I began restoring, the area surrounding my frenulum was painful to the touch. I had islands of scar tissue surrounded by reddish/pink tissue, which I now know was the mucosal tissue of my inner foreskin remnant. The islands of hard scar tissue pinched the inner foreskin when the scars moved. Fortunately, restoring my foreskin has loosened up that scar tissue and I only occasionally experience pain when I touch the area near my frenulum.

Does it matter how much frenulum remnant is left? Maybe, but probably not to a great degree. Now that I have enough foreskin for the gliding action, I notice that my penis feels really good. But, I could not tell you exactly what part feels the best. During masturbation and sex the restored foreskin rolls up and over the corona and glans. The rolling motion stimulates the Meisner's corpuscles in the inner foreskin remnant, the frenulum remnant, and the corona. It is a combined stimulation that all happens together like nature intended. And, it feels a million times better than my circumcised penis ever felt.
 

Additional Links:

  • For intact foreskin frenulum pictures, see Celebrating Foreskin - Frenulum posts
  • Frenulum page at Foreskin.org, a collection of close-up photographs of the normal, natural, intact adult male foreskin
     
Tags:
  • Circumcision harm
  • Foreskin restoration
  • Sensitivity
  • Tally's blog
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Comments

#1 The scar tissue you speak of

Submitted by Anonymous (not verified) on Fri, 06/04/2010 - 11:48am.

The scar tissue you speak of can be broken up by Evening Primrose Oil. It is usually in a capsule, and you just apply the oil (massage it in) to the scar tissue. It helps soften and release it. I tell women who have had episiotomies (another form of genital mutilation, IMO) to use EPO on their scaring... it helps tremendously.

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#2 Thanks for the tip

Submitted by Tally on Fri, 06/04/2010 - 1:16pm.

I will have to get some Evening Primrose Oil and try it. I will report back.

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#3 how come my penis head around

Submitted by Anonymous (not verified) on Mon, 10/25/2010 - 6:03am.

how come my penis head around the Corona & Glans area got red spot ?

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#4 Sorry, no idea

Submitted by Tally on Tue, 10/26/2010 - 12:33am.

Without knowing more, I really cannot say. If you recently got red spots on your glans, I suggest that you see a doctor. If you have always had red spots, it may be your natural coloration. Or, if you are circumcised, the red spots may be caused from when your foreskin was separated from your glans. Before I started restoring my foreskin, my dorsal corona was purple most of the time. I never knew why at the time. After I started restoring I realized that the purple area was the only part of my penis that was not keratinized. The purple area was my natural mucosal tissue showing.

You may also wish to go to the Foreskin Restoration / Intactivism Network forum. You can post pictures and maybe someone can better answer your questions.

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#5 Restoring Frenar band

Submitted by Shamala (not verified) on Sat, 02/12/2011 - 2:12am.

I went through the web site restoring foreskin.org. But I want to know how to restore a circumcised frenulum, frenar band and foreskin. Please please please ..... let me know soonest.

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#6 Tug to restore your foreskin

Submitted by Tally on Mon, 02/14/2011 - 4:51pm.

You can restore your foreskin by tugging. Check out Beginner's Guide - How To Restore your Foreskin and Foreskin Restoration Methods and Devices.

The frenar, or ridged, band is typically excised completely by circumcision. There is no way to restore the missing structures. Also, at least part of the frenulum was excised by circumcision. Again, there is no way to restore the missing function. Although you can restore full sensitivity of the frenulum by keeping it covered so it dekeratinizes.

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#7 I am concerned that my

Submitted by Anonymous (not verified) on Thu, 04/21/2011 - 5:34pm.

I am concerned that my meatus, urethal opening is gradually getting longer.

The area underneath the opening is a little bit red along towards the frenulum and i think it is splitting along this line.

I have been circumcised since a very young age and the redness has always been there as long as i can remember. I have not thought it a big deal as there is no pain or discomfort but the direction of urine is more spread out recently and i am concerned the opening is splitting.

I don't know if this is something that can happen or what can be done to prevent it getting worse? Just hoping for some advice.

Thanks.

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#8 I have no idea

Submitted by Tally on Thu, 04/21/2011 - 8:08pm.

I suggest that you visit a urologist. I have not heard of anyone else with a similar problem. Meatal stenosis is a very common side effect of infant circumcision. Meatal stenosis is a narrowing of the opening of the urethra. It may be that you have meatal stenosis and it is resolving itself. A urologist should be able to tell you.

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#9 Help me please!

Submitted by Anonymous (not verified) on Wed, 12/07/2011 - 5:20am.

My Frenulum is connected to my pee hole (meatus) and it hurts during intercourse

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#10 Frenulum breve?

Submitted by Tally on Thu, 12/08/2011 - 6:21pm.

If your frenulum is too short, you may have frenulum breve. A short frenulum can be painful when the foreskin retracts. Does your glans pull down when you try to retract your foreskin? If so, I suggest seeing a urologist.

The typical treatment for frenulum breve is to cut the frenulum so that it does not pull on your glans. This is a tissue and nerve sparing operation. Circumcision is never warranted for frenulum breve.

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#11 ??0

Submitted by Anonymous (not verified) on Tue, 12/27/2011 - 3:43am.

What happens if my frenuLum tearS??

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#12 Ouch!

Submitted by Tally on Tue, 12/27/2011 - 2:41pm.

If your frenulum tears, the first thing to do is keep it clean and let it heal. Rinse the wound with clean water and avoid playing with it. Then you must ask yourself how you tore your frenulum.

If you are intact and your frenulum is short, you may have frenulum breve. There are simple ways to correct frenulum breve that do not involve circumcision. 

If your frenulum is not too short, did you tear it from having rough sex? The end of the penis is mucous membrane, which is much thinner than the skin on the shaft. An example of rough sex is dry masturbation for a circumcised man. Dry masturbation can unduly stress that thin tissue and cause abrasions or even tears. If rough sex is the cause, you must decide if it is worth it.

If you are restoring your foreskin and your frenulum remnant tore, then you need to change how you are tugging. If you are using a device, you may need a frenulum notch. For example, the DTR and TLC-X pusher plates can be notched to provide clearance for your frenulum remnant. Contact your restoring device vendor for more information.

If you continue to tear your frenulum, I suggest seeing a doctor (probably a urologist would be best).

Hope this helps.

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#13 Skin like spots on the frenulum

Submitted by Anonymous (not verified) on Sun, 07/01/2012 - 8:53am.

I have these two spots on my frenulum n I don't know wat it is it's been deer for mor than two weeks I could send you a picture please help me!!!!

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#14 Frenulum healing too slow after circumcision

Submitted by Sean (not verified) on Tue, 08/07/2012 - 3:25am.

Im 28 and got circumcisized 12 days ago because of tight foreskin. all is almost healed except the frenulum. nowadays i always wrap a cotton bandage around my penis head around the frenulum because the wound keeps on rubbing against my testis, its always wet with white raw skin or flesh. anyway there is no bleeding only a slight swelling that is not noticable and a clear discharge on the frenulum wound. Q: is this normal. im using neosporin ointment. Please advice.

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#15 Ask your doctor

Submitted by Tally on Tue, 08/07/2012 - 10:37am.

That is a question best asked of your surgeon. What you describe does not sound unusual, but an examination by a doctor should always be the first recourse, particularly after a surgery.

One thing to consider is how fast do you normally heal when you cut yourself? You will not heal any quicker after your circumcision and most likely take longer because a circumcision is much more invasive than the typical cut.

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#16 Something unusual

Submitted by Jason (not verified) on Mon, 08/13/2012 - 7:45am.

I am a 21 year old circumcised male who has researching the causes of premature ejaculation I have been facing. After I have realized that I may not have the usual symptoms mentioned in many different websites (although still may), I have noticed an unusual extra tiny piece of skin right where my frenulum ends (bottom end). It is very hard to describe but the only similar thing I have found to help me describe is a skin tag, except that its very soft even during an erection. The problem I am facing is that I believe it might be causing my PE because its more sensitive than both the frenulum and corona when stimulated, and therefore causes me to ejaculate earlier than usual.
Looking forward for advice.

Thanks.

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#17 Could be many things

Submitted by Tally on Tue, 08/14/2012 - 11:23am.

Depending upon how you were circumcised, you could have a skin tag or even a part of your original ridged band. It is difficult to tell from the limited information you have given.

You may want to consider joining Foreskin Restoration / Intactivism Network or RestoringForeskin.org. Both of those sites allow pictures to be uploaded so others can see what you have and perhaps help you. Someone on either of those sites may be able to give you better advice with more information.

If you think you have premature ejaculation because of sensitive spots on your circumcised penis, wear a condom. Condoms have a reputation of reducing sensitivity. If you still ejaculate too soon, then you may want to see a doctor to make sure that there is not a medical problem.

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#18 Circumcision Tightness

Submitted by Paul (not verified) on Fri, 08/24/2012 - 6:22pm.

I was csd when I was around 8 yrs old due to foreskin tightness. I am now pushing towards 50 and I have experienced extreme discomfort during erections since I can remember. During erections my testicle sack tightens and pulls the testicles up into my lower abdomen. I also can experience slight cracking in my skin that covers the length of my penis and can be quite sore after sex.

I feel as though the circumcision that was carried out when I was a child was done in such a way that my penis is held in a very tight outer skin and I have always felt that I was going to split. Everything feels so tight. Could the circumcision be responsible for these issues?  

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#19 Like many other men, your

Submitted by Tally on Sat, 08/25/2012 - 4:07pm.

Like many other men, your circumcision is likely the cause of the problems you describe.

It sounds like you have a very tight circumcision. The circumcising doctor too off too much skin. You do not have enough slack skin to support a full erection, so your shaft skin becomes taut, like an overstuffed sausage. I, too, had tight erections, but not nearly as tight as you describe. Foreskin restoration made all the difference for me and will likely help you, too.

I suggest that you investigate manual tugging method 2. Tug several times a day and soon you will notice that your erections are more comfortable. Tugging made a big difference with my tight erections. I was surprised at the difference between a tight erection and one with slack skin.

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#20 frenulum cut

Submitted by A worried Gentleman (not verified) on Wed, 06/05/2013 - 8:41am.

Hi, I'm 19 years old and I am circumcized for 8 years. But recently, after I masturbate (relax10 minutes) I've experienced a slight pain and discomfort. The next day, it seems my frenulum had teared

a little bit at the edge where the frenulum connected to my peehole . there aren't any blood or pain just a feeling of discomfort. Five days of not doing anything, the cut was gone but then i've had an erection and it opens up again.

I had no idea what to do, should I go to a doctor or should I let it heal by itself cause its only been five days. If so, does avoiding erections make it heal faster???

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#21 It takes time

Submitted by Tally on Thu, 06/06/2013 - 8:45am.

First, you need to let your penis heal completely. Five days is not enough. Initially, avoiding erections will help. But the important thing is to avoid any rubbing or pulling of the damaged area. If your circumcision is so tight that the cut opens when you get an erection, then you need to avoid getting an erection, which is difficult to do.

Second, you need to consider how you masturbate. An intact penis has the foreskin's gliding action that allows masturbation without direct friction on the penis. We lose that gliding action by being circumcised. So we move our hands over our inner foreskin remnant and glans. The friction brings us pleasure and, oftentimes, pain from abrasion. That is why many use a lubricant when masturbating.

Examine your penis. Is the pain and discomfort from abrasion? Perhaps you could use more or a different type of lubricant.  Perhaps your grip is too tight.

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#22 frenulum got cut during sex

Submitted by Anonymous (not verified) on Tue, 07/16/2013 - 2:33am.

hello sir,

I m 26 yrs old. i having problem during sex ......i got cut on frenulum during  sex and after blood is comes out, i examine the cut and find out that frenulum got cut and after some time no pain no any erection, after some days again during sex my frenulum gone cut agian and blood come out....so what to do now, is that my frenulum having some problem or my frenulum still not dolvepled and during masturbate no problem at all.

So What to do now plz tell me as soon as possible

Thank You

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#23 Frenulum Breve?

Submitted by Tally on Wed, 07/17/2013 - 1:15pm.

I assume that you are intact (uncircumcised or uncut). You may have frenulum breve, which is a frenulum that is too short to function properly. The foreskin is pushed back during sex, stretching the frenulum. In your case, it is stretching the frenulum so much that you are getting skin tears. I suggest that you contact a foreskin friendly urologist. You may need to have your frenulum cut (not removed) so that it does not stretch taut during sex. The frenulum is one of the most sensitive parts of the penis. You do not want to lose it. Circumcision is NEVER the answer to frenulum breve.

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#24 About frenulum sensitivity

Submitted by Anonymous (not verified) on Thu, 07/18/2013 - 6:56am.

Hi,

As an intact man with a tight foreskin - who has also undergone frenuloplasty for frenulum breve - I'd like to contribute something about frenulum sensitivty, perhaps it's of value.

I've seen a lot of cut guys complain about their missing frenulum - as is their right. But my point to restoring men is that the frenulum isn't necessarily this amazing male G-spot:

My frenulum was so thick and tight that I couldn't retract. If I stayed erect for a long time, the frenulum would become sore - for most of my life I thought that was normal.  That area was like gristle, it was so tight. For me as an intact male, my frenulum only felt pain, not pleasure -- I realised the good feelings from touching my frenulum was in fact pressure on the area itself - especially pulling on the meatus. Now, post-frenuloplasty, that still feels exactly as good. 

Although no tissue is lost in a frenuloplasty (as the frenulum is just a crease in the skin), I can claim to be an intact man with little-to-no frenulum, now. Prior to the op I worried I'd lose sensitivty by losing my frenulum - but I haven't lost one iota - I've only lost discomfort. 

Perhaps mine was a special case due to the tightness, but my point is: once you've restored your foreskin and have regained glans sensitivity, you'll be feeling what a lot of intact men feel. For me it was the frenular area that felt great - as it still does - and not the frenulum itself.

I hope that was of value to someone. Keep up the good work, all of you.

 

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#25 Frenulum sensitivity

Submitted by Anonymous (not verified) on Thu, 12/26/2013 - 2:51pm.

Hi  I got circumcised earlier this year and got healed but after the  healing process when I'm trying to have sex my frenulum stretches and causes slight pain or discomfort , what should I do ? Do you think I should have my tethered frenulum released 

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#26 A long story on torn frenulum & scar tissue

Submitted by Anonymous (not verified) on Fri, 01/24/2014 - 1:43am.

So, this is my brief (and ongoing) story about a torn frenulum & scar tissue...

Back in 2007, I noticed some slight tightness and itching in my foreskin. Some redness was present as well. Since I had a candida infection in the past, I used the same medication and the redness was gone. Case closed... (or was it?)

In the following months, I started having intermittent events of redness, itching and a slightly discolored band formed in the skin around the glans. The discoloration was very slight, and would "come and go", which is weird. I had my first consultation with an urologist that said it was hard to say what it could be, but it was nothing serious. He offered no explanation to the discoloration of the occasional itching.

The problem persisted and I visited another urologist. He looked around and said it *could* be a very early case of balanitis, but he didn't believe it to be. This was some year and a half after the start of the problem. He said he didn't know what the discoloration was (at this point, getting more obvious), but believed it could be vitiligo. His recommendation was to undergo a circumcision, which "maybe" would fix the problem.

Somewhere between 2007 and 2009, I started feeling discomfort in the area. Sometimes pain, but it was hard to locate exactly where. Sex started to get somewhat painful. By stretching the skin and holding other parts (isolating them from the tension), it became clear that the pain came from the frenulum area. I visited yet another urologist who also suggested circumcision as a possible solution. When I asked firmly how it would help, she said she was unsure it would help at all :\ She referred me to a dermatologist.

I've been following up with the dermatologist with mixed results since 2009 or so. In short, I can now clearly feel heavy scar tissue in the frenulum. The only way to improve things is by using steroidal creams, but a few weeks after I stop, things will get bad again. I also tried an steroidal injection under the skin the made it better for months, but was not a permanent solution. A more recent problem is that my foreskin in general seems "sensitive" and will become "red and angry" for anything. Just casual sex for two days will trigger this. Using moisturizing lotions before going to bed every night helps, but if things get too red, only the steroidal cream for a few days will help.

In 2013, I consulted with yet another urologist, specifically asking for a fourth opinion. This doctor said it was indeed a weird problem for which there was no specific solution. He proposed a surgery to "partially rebuild" the frenulum using the adjacent skin and some special stitches he uses on baby surgeries. Of all urologists, this seems to be the most knowledgeable, but again, he said it's quite possible the surgery will "make my penis look uglier" as some screen flap may remain. He also said I'll probably have to sign a ton of forms, since doctors are afraid of doing any kind of penile reconstructive surgery due to lawsuits.

So, in short, I find it amazing that five doctors cannot provide a proper solution to something apparently so simple and common. The solution given to every urologist in America seems to be "circumcise!" even when they say there's absolutely NO guarantees that things will improve! I'm considering traveling to a country where circumcision is less common in search of a solution or a "more experienced" opinion.

Hope it helps someone out there.

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