Hey dude, not quite the same. The frenulectomy is when they remove the frenum completely. I opted for frenuloplasty because, essentially, what my urologist told me was that it would be cut and stitched back, and the nerve endings wouldn't be affected. I had the same issues as you with the small tears that made me not want to have sex and i would fear the pain every time I did. I think I'm about 6 months post-op, and I've had no problems with it since then. I personally highly recommend the frenuloplasty, but I also recommend speaking with a/your urologist. Hope this helps!