Plastic Surgery

Clitoral hood reduction (Clitoral hoodectomy)

What is the Clitoral hood reduction (Clitoral hoodectomy)?

Clitoral hood reduction (clitoral hoodectomy / clitoropexy) is a procedure that involves removing the fold of skin that surrounds the clitoris thus making sexual intercourse difficult to enjoy as well as sometimes causing irritation.

The clitoris is sometimes entirely covered by the clitoral hood causing a condition known as clitorial phimosis. In this condition, the sensitivity of the clitoris can be completely or partially decreased. In most cases, the clitoral hood partially prevents stimulation.

The clitoral hood may also be abnormally large or disfigured to the extent that that patient would like to change its cosmetic appearance.

What is the procedure?

This is quite simple procedure which takes about thirty minutes to perform. Normally the procedure is performed using mild sedation and a local anesthetic. During the hoodectomy the hood is surgically incised and an adequate amount of tissue removed to allow for the clitoris to be stimulated easily.

Clitoropexy is the careful fixation of the clitoris when it protrudes beyond its normal anatomic location.

Clitoral hood hypertrophy is often seen in women who also have labial hypertrophy, and reduction of the tissue covering the clitoris is usually performed at the time of labiaplasty if desired. The nerves that supply the clitoris are not involved in these procedures, and therefore there is no decrease in sensation or orgasm experienced.

What kind of result can you expect?

The goal of clitoral hood reduction surgery is to increase exposure of the clitoris thereby increasing clitoral stimulation. Removing the skin fold to expose the clitoris will make sexual intercourse more pleasurable.

Clitoral hood surgery also can improve the cosmetic appearance of the vulva.

These changes are permanent, although there is a small chance the tissue can stretch and will change again following childbirth.

Recovery period and recommendations

After your procedure, you should expect moderate swelling and bruising, and, for a day or two, perhaps mild spotting along the incision areas. Pain is easily managed with medication, and usually resolves within a few days. Minimal bandages are used, and are maintained for only one or two days. Showering may usually be resumed on the day after surgery, and normal activities within several days. Strenuous and sexual activities may be resumed after six to eight weeks.

Possible side effects and complications

Specifically, risks for reduction of the clitoral hood may include painful intercourse and less than expected results. Small changes in sensation during sex are very rare. All forms of surgery carry some degree of risk for complications, including scarring, wound separation, and infection.

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