Clitoral surgery

The clitoral foreskin, also called the "clitoral mantle", is a special tissue of skin and mucous membrane that covers the clitoris. The clitoral foreskin protects against irritation and hypersensitivity. The size of the clitoral foreskin varies. In some cases, the clitoral foreskin may protrude beyond the outer labia. These changes are often hereditary.

The excess of the foreskin can take on different proportions, which can be corrected surgically. In about 15% of patients, the clitoral foreskin is corrected in conjunction with a reduction of the labia minora. The clitoral foreskin is reduced in size using a gentle technique, which protects the subcutaneous tissue and thus the sensitivity to touch.

The incision made when the clitoral foreskin is reduced can influence the position of the clitoris. For aesthetic or functional reasons, the clitoris can be moved towards the vaginal entrance during foreskin reduction. This increases the excitability of the clitoris during sexual intercourse.

How is a clitoral skin correction performed?

Before each operation, it is routinely checked several times whether all necessary precautions have been taken to ensure maximum patient safety. The operation is not started until all the prerequisites have been fulfilled according to the checklist.

If the operation is performed in twilight sleep, you will be given medication that will relieve your anxiety and reduce your sensitivity to pain. Then an anaesthetic cream is applied so that you do not feel the anaesthetic injections at all. Within five to ten minutes the operation areas are numb. If you don't sleep deeply anyway, you may feel something happening on the surface of your body.

The excess skin is first measured and the incision is marked. The surgical plan is checked again. The incision is always based on the individually adapted planning, in the folds usually as an inverted "V". In order to be able to work with the greatest precision, the operation is performed with magnifying glasses. The excess skin is then gently removed. The wound is closed with fine sutures, which dissolve themselves after about three weeks.

The outpatient procedure lasts about 30 minutes. Immediately after the operation you will be continuously monitored in a so-called recovery room. You can drink something after the complete awakening and, if you tolerate it well, eat something. During your first visit to the toilet you will be supported by our nursing staff. Before you leave the practice, check-ups are arranged and the behavioural measures are discussed with you in detail. You will receive a comprehensive written report and a telephone number where you can reach the surgeon 24 hours a day in an emergency.

Before, after and even during the operation you can watch movies or your favourite series with virtual reality glasses. This is not only entertaining, the distraction also demonstrably leads to less sensitivity to pain.

How can you prepare for clitoral skin reduction?

  • All your questions about possible complications and alternative treatments should be answered before surgery.
  • The time of the operation should be as far away from the menstruation as possible.
  • The genital area should be free of infections, genital warts or inflammations.
  • Intimate shaving may cause skin irritation or injury. To minimize the risk of inflammation, only an electric hair clipper should be used in the week before the operation.
  • On the day of the operation, shower with a disinfectant soap (e.g. HiBiScrub® Plus, Octenisan® Wash Lotion, Prontoderm® Shower Gel).
  • Keep nicotine and alcohol consumption to a minimum.
  • If necessary, stop taking hormone-containing medication (the pill) temporarily.
  • Blood-thinning medication (e.g. ASS, Thomapyrin®) must be discontinued at least ten days before the operation after consultation with your treating physician.
  • Vitamin preparations (A, E) and dietary supplements (omega-3 fatty acids, St. John's wort preparations, etc.) must be discontinued at least four weeks before the operation.
  • Surgery limits the ability to travel by air. Therefore, do not plan any professional or private air travel during the four weeks following the operation.
  • Before performing aesthetic surgery, you should take out follow-up insurance.

What do you need to keep in mind after clitoral surgery?

  • This is followed by regular checks of your well-being and the results of the operation.
  • After the intimate operation, you should disinfect the fresh sutures in the morning and evening for 14 days (e.g. with Octenisept® or Lavanid® Gel).
  • Take a shower with a disinfectant soap (e.g. HiBiScrub® Plus, Octenisan® Wash Lotion, Prontoderm® Shower Gel) from the first postoperative day. Regular cooling helps to keep the unavoidable swelling to a minimum. After three weeks, the swelling has largely subsided.
  • As a rule, you can resume your work the day after the operation. However, we recommend that you do not sit much for the first ten days after the operation.
  • Tampons should not be used in the first three weeks after the operation.
  • You should avoid bending over, lifting heavy loads, swimming, saunas, sexual intercourse and sporting activities for four weeks, possibly longer if swelling still exists.

Author's statement

Author: Stéphane Stahl, MD, PhD. There are no financial relationships with the pharmaceutical or medical device industries that could have influenced the above text. Any reproduction, even partial, is permitted for personal use only. All texts used on this website are protected by copyright.

 

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