Monday, August 16, 2010

How does a frenulum work?

It may be a weird question, but I have either Phimosis or Frenulum Breve, and I'm not sure how the frenulum is supposed to work when it is working correctly.

Can any uncircumcised men describe how it moves when you retract your foreskin?How does a frenulum work?
Do not think for a minute that you have phimosis. Phimosis is the most over diagnosed condition in North America and results in unnecessary circumcision.

What you have is no different than every other intact (not circumcised) man on the planet had at your age,...a naturally tight foreskin. Over 80% of the males are intact so you are on the winning side.

Follow the information on foreskin stretches in the links below and work the stretches into the daily shower routine. Let the warm water loosen and relax the skin before stretching. I know you said you have been stretching but this takes time. Stretch the foreskin around the frenulum as this will also give some relief to the area.

The frenulum is the culmination of the super sensitive Ridged Band (google it) of tissue that encircles the penis just below the coronal ridge. Its purpose is to anchor the foreskin to the glans to help the foreskin roll back over the glans and cover it.

This skin that makes up the frenulum is a tougher skin than the foreskin so it takes a bit longer to stretch it,...but it will stretch, in time.

Another method you can employ to help this is when you masturbate, grip the skin so there is a gentle 'tug'' on the frenulum during the downward stroke. Remember,....the key word is 'gentle'

You do not want to tear it as it takes a while to heal and is painful when/if it tears.

I have posted a link specifically dealing with resolving a tight frenulum problem without letting someone take a knife to your penis. Check through the site about frenuloplasty and read up on the different methods used to treat it. I think you should try the stretches first, and keep at them. They can take 3-4 months but they will work.

Go to: and read about the reason and function of the foreskin and frenulum. You will see how very fortunate you are to still have yours and how misguided are those who promote circumcision.

Good luck with this.

MithrasHow does a frenulum work?
Phimosis is any condition in which the foreskin is too tight. In infants this usually means too tight to allow for the free flow of urine, causing ballooning of the foreskin, and often some pain, during urination.

By about the age of 8 all the synechial adhesions, which join the inside of the foreskin and glans at birth, should have broken down naturally. Any which have not can be easily broken by a doctor with a blunt probe. A boy should then be able to fully retract his foreskin, and indeed needs to be taught to do so daily to wash under it. Phimosis then shows itself as an inability to retract over the rim of the glans.

From the onset of puberty it is absolutely essential to be able to fully, freely and painlessly retract the foreskin to expose the whole glans and the coronal sulcus (groove) behind it. This is necessary both in order to remove the waste product called smegma which collects there and also for maximum sexual stimulation and enjoyment.

The frenulum is a 'cord' on the under side of the penis which connects the back of the glans to the inner layer of the foreskin. Its sole purpose is to assist the foreskin to return to covering the glans after an erection subsides. Sometimes the frenulum is too short and tight (a frenulum breve) due to a developmental abnormality (often associated with phimosis which is also a developmental abnormality). A frenulum breve prevents the foreskin from being fully retracted on the under side and puts a strain on the glans during erection, often distorting it to such an extent as to make insertion difficult or painful to one's partner.

There are no stretching exercises which can cure a frenulum breve. A phimosis is also rarely cured by stretching. Both can cause minute tears in the stretched skin which heal to scar tissue. This is even less elastic than the tight skin one is trying to stretch and thus the condition actually worsens rather than improving.

A frenulum breve can be cured by a frenuloplasty - a minor operation in which the frenulum is divided or removed under local anaesthetic.

Both phimosis and frenulum breve can be cured by circumcision - a quick and simple external operation which can easily be performed in the doctor's office under local anaesthetic.

Circumcised men are at up to 60% less risk of catching each of several STIs including chlamydia, HPV and heterosexually acquired HIV/AIDS.
I am not really going to try and answer your question directly. Instead, I have a huge question for you. Why on earth do you want to pull back the foreskin if it is not comfortable to do so?

The foreskin does not have to be retracted at all. As far as I can work out, this myth originated in the USA, which is one of the few countries of the world to have ever had a chronic fixation on circumcision. They promoted what came to be known as the ';clipped'; look and told the world that it looked good, was good for your health, was cleaner, etc. If you have studied even the most basic of medical science you will know that these claims are not worth the paper they are written on.

Retraction of the foreskin is something that occurs in most guys in their adult years, but it still leaves many millions of men, particularly in Europe, Africa, South America, Australia and Asia, who do not ever retract the foreskin. This number also includes men with what they think of as phimosis, whereas in most cases they simply have a foreskin that does not retract. Usually, in trying to pull it back so that they conform to the perceived notion that the foreskin should retract, they hurt themselves and, in some cases, rip the foreskin or the glans.

None of this is necessary. If your foreskin does not want to be retracted, leave it alone. It is quite simple to keep it clean and healthy without ever pulling the foreskin back. It is usually much easier to masturbate and to have sex without pulling the foreskin back than by forcefully doing so. You can pee quite comfortably with the foreskin retracted or not.

There actually are millions of men in the world at any one time, myself included, who do not retract their foreskin. I have a number of current patients in a similar condition and have, in the past, treated men in Asia and other countries with the condition of tight foreskin. Not one that I have personally met and not one that I have ever read about has a problem with cleaning. Nor do they have problems with masturbation or sex or peeing. And I have to join with them in saying that it is ridiculous to suggest that our penises, including yours, are not functioning properly.

You do need to understand that some people can retract their foreskin and some people can't. You are in the latter category, and that is not a problem. Just leave it alone. It will not cause you any disadvantage in masturbation or sexual activity.

I repeat - you do not have to open your foreskin just because other people do it. Millions of men are just like you and never open it all their lives. Their lives are not affected by it, so nor should yours be.

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