Clitoral Hood Reduction 2

 The Procedure and Post-Operative Processes of the Clitoral Hood Reduction

1) Appointment day

  • blue-shutterstock_65136556bullet_tickDuring your appointment, you are going to 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.
  • bullet_tickYou may also be asked about your expectations for the surgery and if you have any allergies or any condition 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.
  • bullet_tickYou have to refrain from drinking water or taking food for at least 6 hours prior to the surgery 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

  • bullet_tickThe procedure is performed in our operating room for approximately 1 hour under intravenous (IV) sedation or general anesthesia. While you are sleeping, local anesthesia is applied in the surgical area, and Dr. Vitasna will perform the surgery to remove the excessive clitoral hood and then suture the surgical wound and stop the bleeding with small dissolving sutures. The suturing is done alternatively with 2 or 3 layers, to avoid the post-operative bleeding.

3) After the procedure

  • bullet_tickYou will be monitored at the recovery room. When you are conscious with no abnormal bleeding, Dr. Vitasna will allow you to return home.
  •  bullet_tickAcetaminophen and anti-inflammatory medication will be given to you to relieve the pain. You must take antibiotic to protect a post-operative infection. The antibiotic should be completely consumed according to schedule.

4) Post operative care instructions at home

  • bullet_tickWithin 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.
  • bullet_tickWithin 1-2 days after the Clitoral Hood Reduction procedure, you should not take a shower which may potentially cause infection (–perhaps rub the body dry–). Clean the wound with antiseptic daily in the morning and before bedtime, then using warm dryer for 10-15 minutes around the surgical wound to let it heal faster.
  • bullet_tickYou 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 took a shower in the morning and before bedtime, then using warm dryer for 10-15 minutes around the surgical wound to let it heal faster.
  • bullet_tickWithin 2 weeks clean the perineum area after urinary excretion and after 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.
  • bullet_tickYou may experience light reddish bleeding out of the surgical wound in around 2-3 days after the procedure, and you should use a sanitary napkin to monitor the bleeding. In case 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 the surgical wound examination.
  • bullet_tickDuring the inflammatory phase of healing, which last up to 2-4 weeks after the surgery. At this stage, 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 be observed. This should not be a cause of worry because it may happen in a process of healing of the surgical wound in the vulvovaginal area.
  • bullet_tickThe 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 irritation. For the women with itching caused by the dissolving sutures and the process of healing, Dr. Vitasna may prescribe antihistamine to control the itching.
  • bullet_tickAfter the procedure, you may have itching or curd like discharge as a result of vaginal fungi, possibly following taking antibiotic to avoid post-operative infection and needing anti-fungal medication or suppository.

5) Recovery period after the procedure

  • bullet_tickRecovery 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 the physician’s appointment for follow up examination or treatment.
  • bullet_tickWithin 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.
  • bullet_tickWithin 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.
  • bullet_tickAfter 4 weeks of the surgery, you may do your usual activities. Relaxing exercises, lifting light weights are permitted. However, you should refrain from running, soaking in 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.

Read more about the Clitoral Hood Reduction.
If you decide to have a consultation with Dr. Vitasna, please call or email us to make an appointment date for the consultation or surgery.