Changes

In men with spinal cord injury preventing sensations from reaching the brain, the frenulum just below the glans can be stimulated to produce orgasm and peri-ejaculatory response.<ref>{{cite journal REFjournal | last=Saulino | first=Michael F. | coauthors= |title=Rehabilitation of Persons With Spinal Cord Injuries | journal=WebMD |firstdate=Michael F. 2006 |lastvolume=Saulino |publisherissue=WebMD |yearpages=2006 |url=httphttps://wwwemedicine.emedicinemedscape.com/orthopedarticle/topic425.htm1265209-overview | quote= | pubmedID= | pubmedCID= | DOI= | accessdate=2019-10-01}}</ref><ref>{{cite journal REFjournal |pmid=7811177 |doi=10.1016/S0003-9993(95)80044-1 |year=1995 |last1last=Pryor |first1first=JL |last2coauthors=Leroy |last3=, Suzanne C.; Nagel |last4=, Theodore C.; Hensleigh , Hugh C. |title=Vibratory stimulation for treatment of anejaculation in quadriplegic men | journal=Archives of Physical Medicine and Rehabilitation | date=1995 |volume=76 |issue=1 |pages=59–64 59-64 | url= | quote= |journalpubmedID=Archives of Physical Medicine and Rehabilitation 7811177 |first2pubmedCID=Suzanne C. |first3DOI=Theodore C10. 1016/S0003-9993(95)80044-1 |first4accessdate=Hugh C. }}</ref>

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]].<refname="pmid2305537">{{REFjournal |pmid=2305537 |year=1990 |last1last=Griffin AS, Kroovand RL |first1first=AS |last2coauthors=Kroovand |title=Frenular chordee: implications and treatment | journal=Urology | date=1990 |volume=35 |issue=2 |pages=133–4 133-134 | url= | quote= |journalpubmedID=2305537 | pubmedCID=Urology |doiDOI=10.1016/0090-4295(90)80060-Z |first2accessdate=R. }}</ref><refname="pmid10733391">{{cite journal |pmid=10733391 REFjournal |doi=10.1542/peds.105.3.681 |year=2000 |last1last=Preiser |first1first=G Gary |title=Circumcision--the debates goes on |volume=105 |issue=3 Pt 1 |pages=681–684 |journal=Pediatrics |first2coauthors=Herschel, M. |first3=; Bartman, T. |first4=; Andersson, C. |first5=; Bailis, S. A. |first6=; Shechet, R. J. |first7=; Tanenbaum, B. |first8=; Kunin, S. A. |first9=; Hodges, F. M. |last2=Herschel; |last3=BartmanFleiss, P.M.; |last4=AnderssonAntonopoulos, J.; |last5=BailisRockney, R.; |last6=Shechet |last7=TanenbaumTaylor, A.; |last8=KuninStang, H.; |last9=Hodges |last10=FleissSnellman, L.; |first10=Fontaine, P.; Condon, L. M. |last11=Antonopoulos; Lannon, C.M. |first11title=J. Circumcision—The Debates Goes On |last12journal=Rockney Pediatrics |first12date=R. 2000 |last13volume=Taylor; 105 |first13issue=A. 3 Pt 1 |last14pages=Stang 681-684 |first14url=H. |last15quote=Snellman |first15pubmedID=L. 10733391 |last16pubmedCID=Fontaine |first16DOI=P10.1542/peds. |last17=Condon; |first17=L105. M3. 681 |last18accessdate=Lannon |first18=C. M.}}</ref><ref>{{cite web |title=Neonatal Circumcision: An Audiovisual Primer |publisher=Stanford School of Medicine |url=http://newborns.stanford.edu/Circumcision.html}}</ref>

A frenectomy can be performed to remove the frenulum from the penis, which is a treatment for [[frenulum breve]] or frenular chordee.<ref name="pmid2305537"/> This is a form of [[Genital frenectomy (disambiguation)|genital frenectomy]]. The frenulum may be cut when a male is circumcised. This may also reduce the size of the [[frenular delta]]. The frenulum was reported to be cut in 26.7%, 20%, and 33.33% of circumcised patients in various surveys.<ref name="pmid2305537">{{cite journal |vauthors=Griffin AS, Kroovand RL |title=Frenular chordee: implications and treatment |journal=Urology |volume=35 |issue=2 |pages=133–4 |year=1990 |pmid=2305537 |doi=10.1016/0090-4295(90)80060-Z}}</ref><ref>{{cite journal|url=http://pediatrics.aappublications.org/cgi/reprint/105/3/681.pdf#searchname=%22%20Frenular%20chordee%22|title=Circumcision—The Debates Goes On|journal=Pediatrics|volume=105|issue=3|pages=681–684|doi=10.1542/peds.105.3.681|year=2000|last1=Preiser|first1=Gary}}<"pmid10733391"/ref>