[citation needed] A short frenulum can present in various grades of severity, and its diagnosis may depend on the subjective criteria of evaluation at physical examination in a medical office as there is no standard definition.
One study arbitrarily defined a "short frenulum" as that which causes a ventral curvature of the glans major of 20° or more upon gentle retraction of the foreskin in the clinic.
[3] Also, due to the limitation of the length of frenulum, and for the fear of pain, the strokes during Sexual intercourse may be shorter, but faster, thus leading to early ejaculation.
Severe frenulum breve when associated with significant difficulty during sexual intercourse may lead to erroneous labelling of the sufferer as having psychosexual problems.
Alternatively, it may be treated by a reparative plastic surgery operation called a frenuloplasty, or by complete circumcision including resection of the frenulum (frenectomy).
[6] This method may circumvent common complications such as frenular artery ligation and subsequent stenosis of the urethral meatus or creation of skin tags and suture remnants that create a poor cosmetic result.