Clitoral reduction is a procedure for reducing size and area of clitoris in order to improve aesthetics or vulva giving smooth, tight yet functional clitoris. Clitoral enlargement can be either present by birth or acquired later in life. This usually is not cause of concern unless patient begin to feel:
Swelling that doesn’t go away within few days.
Pain, redness, feeling of heat,
Unusual vaginal discharge.
Blisters on genitals.
Itching
Pain during urination.
Reduced sexual pleasure.
Procedure is most commonly done along with labiaplasty, Clitoral reduction is usually done under either local anesthesia with oral sedation or under general anesthesia. The excess tissue is marked according to individual anatomy and excisions performed. There is risk of bleeding, hematoma(collection of blood), infection, under-resection or over-resection.
Patient will be discharged home on second postoperative day, return to daily activities at least after 10 days following procedure. The patient will feel pain, discomfort and may require pain medications. Sexual intercourse cannot be
engaged until forty-five days following the procedure. Patient has higher satisfaction rate of over 90 percent, and usually no need of revision surgery.
Outcome depends on the location and size of the fistula and status of surrounding tissues. Although most of the fistula closes after the surgery, some may recur and requires further surgery.
It usually takes less time than the original hypospadias repair and completes in less than an hour.
The surgery is performed under general anaesthesia and as a day care procedure. Patient can go home the same day after recovery from anaesthesia.
The most common complication is recurrence of the defect. Others complications include infection, difficulty in urination and stricture formation
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