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It may be missing in men who were circumcised at birth, as it is often crushed and cut away, or broken during infant circumcision. Men who are circumcised as adults may specify whether or not they wish to preserve their frenulum. The frenulum was reported to be cut in 26.7%, 20%, and 33.33% of circumcised patients in various surveys.<ref name="Griffin-Kroovand1990"/><ref name="Gary2000"/>
Some men choose to have the frenulum removed as a form of treatment for [[frenulum breve]], a condition in which the frenulum of the penis is short and restricts the movement of the prepuce, which may or may not interfere with normal sexual activity. Yet, others may choose to have the frenulum removed purely out of cosmetic reasons.
[[File:Frenulum_comparison.jpg]]