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Frenulum of the foreskin

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{{GraphicWarning}}The '''frenulum of the foreskin''', often known simply as the '''frenulum''', is an elastic band of tissue under the [[glans penis]] that connects the [[foreskin]] (prepuce) to the vernal [[mucosa]], and helps contract the foreskin over the glans.<ref name="Jensen">{{REFbook
|last=Jensen
|first=Christian
|init=C
|year=2011
|title=Can I Just Ask?
|volume=
|chapter=
|pagespage=58
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|publisher=Hay House
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|year=1993
|last=Crooks
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|last2=Baur
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|year=1993
|title=Our Sexuality
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|pagespage=129
|location=Redwood City
|publisher=Benjamin/Cummings
|last=Saulino
|first=Michael F.
|coauthorsinit=MF
|title=Rehabilitation of Persons With Spinal Cord Injuries
|journal=WebMD
}}</ref><ref name="Pryor">{{REFjournal
|last=Pryor
|firstinit=JL |coauthorslast2=Leroy, |first2=Suzanne C.; |init2=SC |last3=Nagel, |first3=Theodore C.; |init3=TC |last4=Hensleigh, |first4=Hugh C. |init4=HC
|title=Vibratory stimulation for treatment of anejaculation in quadriplegic men
|journal=Archives of Physical Medicine and Rehabilitation
|DOI=10.1016/S0003-9993(95)80044-1
|accessdate=
}}</ref> <ref name="Gary2000">{{REFjournal
|last=Preiser
|first=Gary
|coauthorsinit=G |last2=Herschel, |init2=M.; |last3=Bartman, |init3=T.; |last4=Andersson, |init4=C.; |last5=Bailis, S.A.; |init5=SA |last6=Shechet, R.J.; |init6=RJ |last7=Tanenbaum, |init7=B.; |last8=Kunin, S.A.; |init8=SA |last9=Hodges, F.M.; |init9=FM |last10=Fleiss, P.M.; |init10=PM |last11=Antonopoulos, |init11=J.; |last12=Rockney, |init12=R.; |last13=Taylor, |init14=A.; |last15=Stang, |init15=H.; |last16=Snellman, |init16=L.; |last17=Fontaine, |init17=P.; |last18=Condon, L.M.; |init18=LM |last19=Lannon, C.M. |init19=CM |etal=yes
|title=Circumcision—The Debates Goes On
|journal=Pediatrics
==Pathology==
[[Frenulum breve]] is a condition in which the [[frenulum ]] is short and restricts the movement of the [[foreskin]], which may or may not interfere with normal sexual activity. Frenulum breve may be treated by manually expanding the [[shaft skin ]] by [[stretching]]. The condition may also be treated by [[frenuloplasty]], or [[frenectomy]]. Frenulum breve may contribute to frenular chordee, where the glans is pulled toward the vernal body of the penis.
The [[frenulum ]] may be entirely missing in cases of first degree [[hypospadias]].
It is possible for the frenulum to tear during sexual activities. The frenular artery, a branch of the dorsal artery, may be severed, causing significant [[bleeding]].
In the event of [[frenulum breve]] or frenular chordee, or to ensure that the glans can be freely and completely exposed, the frenulum may be partially or totally removed. It is also often removed in a [[circumcision]].<ref name="Griffin-Kroovand1990">{{REFjournal
|last=Griffin |init=AS, Kroovand RL |firstlast2=Kroovand |coauthorsinit2=RL
|title=Frenular chordee: implications and treatment
|journal=Urology
|DOI=10.1016/0090-4295(90)80060-Z
|accessdate=2019-10-01
}}</ref><ref name="Gary2000"/> It has been noted that the wound where the frenulum was amputated is usually slower to heal than the wound where the foreskin was amputated. Song et al. (2015) report that the frenulum may need to be lengthened after a circumcision amputates [[skin]] tissue from the penis.<ref>{{REFjournal |last=PreiserSong |init=B |last2=Hou |init2=ZH |last3=Liu |init3=QL |firstlast4=GaryQian |coauthorsinit4=Herschel, M.; Bartman, T.; Andersson, C.; Bailis, S.A.; Shechet, R.J.; Tanenbaum, B.; Kunin, S.A.; Hodges, F.M.; Fleiss, P.M.; Antonopoulos, J.; Rockney, R.; Taylor, A.; Stang, H.; Snellman, L.; Fontaine, P.; Condon, L.M.; Lannon, C.M.WP |title=Circumcision—The Debates Goes On[Penile frenulum lengthening for premature ejaculation] |journal=PediatricsZhonghua Nan Ke Xue |date=20002015-01-01 |volume=10521 |issue=3 Pt 12 |pages=681149-684152
|url=
|quote=
|pubmedID=1073339125796689
|pubmedCID=
|DOI=10.1542/peds.105.3.681 |accessdate=}}</ref><ref>{{REFweb |url=http://med.stanford.edu/newborns/professional-education/circumcision.html |title=Neonatal Circumcision: An Audiovisual Primer |last= |first= |publisher=Stanford School of Medicine |website= |date=
|accessdate=2019-10-01
|format=
|quote=
}}</ref> It has been noted that the wound where the frenulum was amputated is usually slower to heal than the wound where the foreskin was amputated.
 
Song ''et al''. (2015) report that the frenulum may need to be lengthened after a circumcision amputates skin tissue from the penis.<ref>{{REFjournal
| last=Song
| first=B
| coauthors=Hou ZH, Liu QL, Qian WP.
| title=[Penile frenulum lengthening for premature ejaculation]
| journal=Zhonghua Nan Ke Xue
| date=2015-01-01
| volume=21
| issue=2
| pages=149-52
| url=
| quote=
| pubmedID=25796689
| pubmedCID=
| DOI=
| accessdate=2019-10-01
}}</ref>
==Penis frenectomy==
A frenectomy can be performed to remove the frenulum from the penis, which is a treatment for [[frenulum breve]] or frenular chordee.<ref name="Griffin-Kroovand1990"/> This is a form of genital [[Genital frenectomy (disambiguation)|genital frenectomy]]. The frenulum may be cut when a male is circumcised. This may also reduce the size of the [[http://www.cirp.org/library/anatomy/mcgrath1/ frenular delta]]. 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"/>
<gallery>
{{SEEALSO}}
 
* [[Foreskin]]
* [[Ridged band]]
<!-- {{Commons category}} -->
* {{REFbook
|last=McGrath |first=Ken |firstinit=McGrathK
|author-link=Ken McGrath
|year=2001
|url=http://www.cirp.org/library/anatomy/mcgrath1/
|work=
|editoreditors=Denniston GC, Hodges FM, Milos MF
|edition=
|volume=
<!-- {{Authority control}} -->
 [[Category:GenitalsEducation]][[Category:Genital]][[Category:Medical information]]
[[Category:Penile anatomy]]
[[Category:Physiology]]
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