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Fig 4. Penis with the loosened foreskin replaced over the glans. Surgical methods range from the complete removal of the foreskin to more minor operations to relieve foreskin tightness: Dorsal slit (superincision) is a single incision along the upper length of the foreskin from the tip to the corona, exposing the glans without removing any tissue.
This may be a complication of circumcision or a naturally occurring event. When it is a naturally occurring event, a short frenulum can restrict normal retraction of the foreskin during erection (a condition known as frenulum breve). The goal of treatment is to allow normal retraction of the foreskin.
Preputioplasty or prepuce plasty, also known as limited dorsal slit with transverse closure, is a plastic surgical operation on the prepuce or foreskin of the penis, [1] to widen a narrow non-retractile foreskin which cannot comfortably be drawn back off the head of the penis in erection because of a constriction which has not expanded after adolescence.
The diagnosis of severe frenulum breve is almost always confused with that of phimosis and a generally tight foreskin, since the symptom is difficulty retracting the foreskin. Most men with phimosis also have frenulum breve to a certain extent. [5] A milder frenulum breve may go unrecognized, since foreskin may retract over the glans variably.
Once the frenulum is cut, the physician applies stitches to close the wound. The patient may be given a prescription for pain killers to take in case there is pain afterwards, but usually the only discomfort is from the pricking of the stitches on the foreskin. Once the stitches are removed, in about seven days, normal sexual activity can resume.
The best way to decrease refractory time is by increasing arousal. “This could be doing something different, like trying out a toy or talking dirty (or dirtier than usual). Even small changes ...