Clitoral Hood Reduction 2
The Procedure and Post-Operative Processes
1) Appointment day
- During your appointment, you will meet Dr. Vitasna for discussion. You will be informed of the procedure details again. You may ask Dr. Vitasna for any additional information including consent forms and post-operative suggestion form.
- You may be asked about your expectations for the surgery. You will also be asked if you have any allergies or conditions that would not make you a good candidate for the procedure, as well as other additional inquiries. In case of uncertainty, doubt, worry, or for being uncomfortable for any reason of the surgery, you should postpone the surgery.
- You have to refrain from drinking water or taking food for at least 6 hours prior to the surgery. This is in order to decrease the risk of aspirating gastric contents during or after surgery. This complication is very serious and you need to strictly follow our recommendations.
2) During the procedure
- The procedure is performed in our Operating Room for approximately 1 hour under Intravenous (IV) Sedation Anesthesia. While you are sleeping Local Anesthesia is applied in the surgical area. Dr. Vitasna will then perform the surgery to remove the excessive clitoral hood, followed by suturing the surgical wound. The bleeding will be stopped using small dissolving sutures. The suturing is done alternatively with 2 or 3 layers to avoid post-operative bleeding.
3) After the procedure
- You will be monitored while in the recovery room. When you are conscious with no abnormal bleeding, Dr. Vitasna will allow you to return home.
- Nausea and vomiting may be experienced as a side effect of the Intravenous Sedation Anesthesia which is relieved as soon as the anesthesia effect wears off.
- An acetaminophen and an anti-inflammatory drug will be given to you to relieve the pain. You must take an antibiotic to protect you from post-operative infection. The antibiotic should be completely consumed according to schedule.
4) Post operative care instructions at home
- Within the first 24 hours after the surgery, applying a cold pack (s) to the general surgical site to promote a decrease in swelling is advised. A cold pack with ice in a plastic bag is not recommended because the moisture and steam from the plastic bag may potentially cause infection.
- Within 1-2 days after the Clitoral Hood Reduction procedure, you should not take a shower which could potentially cause infection (–perhaps rub the body dry–). Clean the wound with antiseptic daily; in the morning and before bedtime. This should be followed by using a warm dryer for 10-15 minutes around the surgical wound to let it heal faster.
- You will be allowed to take a shower 2 days after the procedure. Within 2 weeks after the procedure, clean the wound at the perineum with antiseptic daily after you take a shower in the morning and before bedtime. Then use a warm dryer for 10-15 minutes around the surgical wound to let it heal faster.
- Within 2 weeks clean the perineum area after urinary excretion. After the 2 weeks this may be done with sanitary wipes (-do not use the tap water-) and after fecal excretion done using water and toweling gently. You should try to avoid moisture around the surgical wound to let it heal faster.
- You may experience light reddish bleeding out of the surgical wound around 2-3 days after the procedure. You should use a sanitary napkin to monitor the bleeding. In cases of excessive bleeding or reddish blood clot, swollen wound and high fever, please contact the Center for suggestions or come to see Dr. Vitasna for examination of the surgical wound.
- During the inflammatory phase of healing, which last up to 2-4 weeks after the surgery, there is a wetting of the clitoral hood skin due to the moisture from the vaginal discharge in the surgical wound area. Sloughing off of tissues or necrosis can also be observed. This should not be a cause of worry as it may happen during the process of healing of the surgical wound in the vulvovaginal area.
- The material used is the suture which dissolves slowly (within 4-6 weeks). However, for some women, the suture takes longer than 6 weeks to completely dissolve, consequently this may cause irritation. For women who experience itching caused by the dissolving sutures and the process of healing, Dr. Vitasna may prescribe antihistamine to control the itching.
- After the procedure, you may experience itching or curd like discharges as a result of vaginal fungal infection, possibly following taking the antibiotic to avoid postoperative infection. In case of smelly vaginal discharge or vaginal fungal infection, additional medications should be taken.
5) Recovery period after the procedure
- Recovery varies individually. A day after the surgery, you can move around, but you should refrain from work and vigorous activities. You may return to work within 1-2 days after surgery. Moreover, you should adhere to Dr. Vitasna’s appointment for follow up examination or treatment.
- Within 2 weeks after the surgery, tissues are beginning to produce and form new blood capillaries, and the surgical wound are expected to start healing. You may start your daily activities gradually.
- Within 2-4 weeks after the surgery, the surgical wound is expected to heal appropriately, you may start your usual activities gradually, and strenuous physical activities should be limited.
- After 4 weeks of the surgery, you may do your usual activities. Relaxing exercises and lifting light weights are permitted. However, you should refrain from running, soaking in the bathtub, swimming, heavy lifting, cycling, other heavy activities, and sexual intercourse for 4-6 weeks after the surgery.
The rate of post-surgical complications is low, especially when laser is utilized by an experienced surgeon and you carefully and religiously follow our post-operative care instructions. In the unlikely event of post-operative complications, you should immediately see Dr. Vitasna for early examination and treatment to prevent worsening of the complication.