Hello -

Several months ago the frenulum below the glans of my penis suddenly became tightened and sore (mildly sore when flaccid, and painful when erect). I'm 25 years old, circumcised, and have never had sex yet in my life. I visited a urologist, who recommended a frenuloplasty to correct it - however I wanted to try to get a few additional opinions before consenting to surgery.

I have 2 questions I'm hoping for advice with:

1) Along with the tightened frenulum, a vein on the left side of the frenulum has appeared where nothing was before (at the same time that I noticed the tightening of the frenulum). The vein is larger and darker than any other on my penis (looks a bit like bruising under the skin), and begins under the frenulum and ends a about 1/2" away at my circumcision scar. I showed this to the urologist, but he brushed it off as nothing - however, since it appeared simultaneously with the tightened frenulum, it seems worth considering. The extreme proximity to where the frenulum would be cut is also a concern to me.

2) In researching what a frenuloplasty involves, I've learned that some doctors do one or more simple horizontal cut(s) across the frenulum, while others do a more advanced "Z-plasty" that may minimize scarring. If my doctor recommends the "simple" method, should I request a Z-plasty instead (or vice versa)? If a Z-plasty is best and he is unwilling or unable to do it - I'd be open to changing doctors or even paying the full price of the surgery to make sure it's done right. Any advice on which to choose would be appreciated.

I also have several (very closely cropped) photos showing the affected frenulum and vein in case anyone is willing to view them to provide more accurate guidance. Available upon request.

Thanks in advance for any help you can offer