VR. CHITALE MS, FICS,
Z Plasty for Short Frenum of Prepuce of Penis
Ann Plast Surg 1991 Feb;26(2):196-7
Z plasty for short scarred frenum of prepuce of penis is presented
as a useful new technique.
Short frenum of the prepuce of penis is a common condition. It gives
rise to the following problems: 1) bleeding after sexual intercourse;
2) tear of frenum resulting in a small painful ulcer over the frenum,
which does not heal easily; 3) a small ventral chordee, which produces
pain after erection; and 4) all the above conditions cause psychoneurotic
problems.
Previously we used to perform circumcision or frenoplasty with
a transverse incision sutured vertically to treat this condition. Circumcision,
however, was thought to be too big a procedure for this condition,
and transverse incision sutured vertically did not give a satisfactory
result. Hence a Z plasty was performed on the patient presented.
The two triangles slid very easily, and suturing was done with
6-0 chromic catgut. The result was very satisfactory. The patient had
satisfactory sexual intercourse 15 days after operation.
(There are 4 pictures showing the operation which I have not included)