Clitoral Hood Reduction 2
Clitoral Hood Reduction or Clitoral Hoodoplasty 2
The Procedure and Post-Operative Processes of the Clitoral Hood Reduction
1) Appointment day
- During 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.
- You 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.
- You 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
- The 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
- You will be monitored at the recovery room. When you are conscious with no abnormal bleeding, Dr. Vitasna will allow you to return home.
- Acetaminophen 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 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 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.
- 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 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.
- Within 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.
- You 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.
- During 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.
- 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 irritation. For the women with itching caused by the dissolving sutures and the process of healing, Dr. Vitasna prescribes antihistamine to control the itching.
- After 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
- Recovery varies individually. You can move around, but you should refrain from work and other daily activities within 1-2 days after the surgery.
- Within 2 weeks to 4 weeks after the surgery, tissues are beginning to produce and form new blood capillaries and the surgical wound are expected to heal. You may start your daily activities gradually, 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 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.