What Is a Clitorectomy?

In clitoris resection, the clitoris is pulled under local anesthesia, the clitoris is cut open, and the clitoral cavernosum is separated. The clitoris is cut off and the wound is directly sutured. Since the clitoral nerves, blood vessels, and most cavernous bodies have been removed, the sensitivity of the clitoris to sexual stimulation is significantly reduced after surgery, affecting sexual pleasure. Although the operation is simple, it can cause life-long pain to the patient.

Clitoris

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Clitoris resection

Clitoral hypertrophy is often a diagnostic basis for pseudohermaphroditism, so clinically, the possibility of female pseudohermaphroditism should be ruled out first. For clitoral hypertrophy, for women, it affects their physical and mental health. Therefore, patients should be asked to perform an effective cure as soon as possible.

The cause of clitoral hypertrophy is extremely complex, often related to genetic genes, caused by abnormal development of reproductive nodules under the control of genetic genes during embryonic development; acquired acquired is often associated with

There are two surgical methods, clitoris resection and clitoris labioplasty. The surgical principle of clitoris resection is: take lithotomy position, local anesthesia, cut off the clitoris at the root, and suture the wound directly. The disadvantage of this method is that, because the clitoris is removed from the nerve vessels and the clitoral cavernosal body, the sensitivity of the clitoris to sexual response is greatly reduced after surgery, which affects the production of sexual pleasure.

Preparation for clitoris surgery

Before the diagnosis of clitoral hypertrophy, it must be distinguished from male pseudohermaphroditism and female pseudohermaphroditism.

Clitorectomy should not be performed during menstruation or pregnancy.

The vulva is cleaned every night for three days before the operation. Preparation of the clitoris before surgery should not be performed during menstruation or pregnancy.

The vulva was cleaned every night three days before the operation, and the pubic hair around the clitoris was shaved and metronidazole tablets were taken the day before the operation.

Clitorectomy procedure

1) Clitorectomy: The clitoris is pulled under local anesthesia, the clitoral foreskin is cut and the clitoral cavernosum is cut off, and the wound is directly sutured. Since the clitoral nerves, blood vessels, and most cavernous bodies have been removed, the sensitivity of the clitoris to sexual stimulation is significantly reduced after surgery, affecting sexual pleasure. Although the operation is simple, it can cause life-long pain to the patient.

2) Clitoris and labiaplasty: take the lithotomy position, perform local anesthesia, and make a "Gong" incision on the skin on the back of the clitoris. The skin flap was isolated on both sides to expose the clitoral dorsal nerve and blood vessels, and the dorsal clitoral neurovascular bundle was separated. The hypertrophic clitoral corpus cavernosum is removed, and the head of the hypertrophic clitoris is wedge-shaped to reduce the clitoris. The wedge-shaped wound of the clitoral head is sutured, and the clitoral head is sutured and fixed to the root of the clitoris. The clitoris skin is folded and sutured to form part of the labia minora. This not only forms a normal female external genitalia, but also retains the sensitivity of the clitoral head.

Nursing after clitorectomy

After clitorectomy, the most important thing for the surgeon is to take care of the genitals and leave the catheter for 3 to 5 days.

Second, antibiotics should be used routinely to prevent infection.

Finally, the sutures were removed 5-7 days after surgery. Patients should be aware of clitorectomy before surgery and the physiological function of the clitoris in women. For gynecological plastic surgery such as the clitoris, patients need to have a correct mental awareness before surgery.