CPT® Code 54164

A frenulotomy of the penis, also known as a frenuloplasty, is a surgical procedure aimed at addressing issues related to the frenulum, which is the band of tissue on the underside of the penis that connects the glans to the shaft. This procedure is typically indicated for patients experiencing conditions such as frenulum breve, where the frenulum is too short, causing discomfort or difficulty during sexual activity. The procedure is performed with the patient in a supine position, ensuring comfort and accessibility for the surgeon. Local anesthesia is applied either topically or through injection to minimize pain during the operation. The surgical site is then prepared and draped to maintain a sterile environment. The technique involves making precise incisions in the skin and tissue to elongate the frenulum, thereby alleviating any associated symptoms. The use of fine absorbable sutures for closure ensures that the healing process is efficient and minimizes the need for suture removal. In some cases, a variation of the procedure may utilize vascular clips instead of sutures, providing an alternative method for achieving the desired elongation of the frenulum without the need for extensive suturing. This procedure is generally well-tolerated and can significantly improve the quality of life for those affected by frenulum-related issues.