Definition and Overview

A clitoropexy, also known as clitoral reduction, is a surgical procedure that adjusts the size and positioning of the clitoris. It is performed on women whose clitoris is enlarged or abnormally protruding through the vagina or clitoral hood. This may occur in different degrees for each patient, so its possible effects also differ, ranging from discomfort when wearing tight clothing to reduced self-confidence and sexual dissatisfaction.

The clitoris is the female sex organ equivalent to the male penis. Although small in size and usually protected by the clitoral hood, it is highly sensitive. Even the clitoral hood itself is an erogenous zone. Thus, it is considered as an important part of the female genitals. This explains why some women tend to be concerned about the appearance of their clitoris and clitoral hood, and why some of them consider undergoing a clitoropexy.

Who Should Undergo and Expected Results

A clitoropexy is beneficial for women who have:

  • Enlarged clitoris
  • Protruding clitoris
  • Clitoris with an abnormal projection, such as when the clitoris is rotated in an awkward position
  • Incorrectly positioned clitoris
    Any problems or abnormalities in the size, position, and projection of the clitoris may affect a woman in many ways. For some, it affects the way they wear clothes, as an unusually big clitoris may cause unsightly bulges in the clothes they wear. This may also have an effect on their self-confidence. For others, it affects their sexual responses during intercourse. As for those suffering from medical conditions, a clitoral reduction procedure can help relieve their symptoms.

A clitoropexy aims to adjust the appearance of the clitoris to make it look as normal as possible, regardless of the cause of the enlargement. It has a high success rating and is considered as one of the least invasive types of genital modification procedures for women.

** How Does the Procedure Work?

A clitoropexy is a simple and relatively safe procedure performed in clinics. It is considered as the simpler form of clitoral reduction that works best for milder cases of clitoral enlargement. It is also sometimes performed in combination with other genital modification procedures, such as labiaplasty.

The surgery begins with the administration of local anesthesia, which helps keep patients comfortable throughout the procedure. The surgeon then makes an incision on the clitoral hood and depending on the specific goals of the surgery, he sets the clitoris higher by suturing it, adjusts its projection, or cuts excess tissue away.

If the improved size, position, or projection of the clitoris makes some of the clitoral hood skin unnecessary, the surgeon may also excise some part of it during the same procedure. This makes the clitoral hood smaller as well.

The surgery, which usually takes less than an hour, is done on an outpatient basis. Patients report relatively fast healing, with minimal levels of post-surgical discomfort, bruising, and swelling, all of which only last for a day or two. Patients are able to walk, shower, and resume their normal activities shortly following the procedure. However, they may be advised to wait for a certain amount of time before having sexual intercourse.

Possible Risks and Complications

A clitoropexy comes with the risks inherent to any surgical procedure. These include:

  • Bleeding
  • Infection
  • Scarring
    There are also some risks inherent to genital modification procedures, such as:

  • Nerve damage

  • Loss of sensation or feeling

    References

  • Goodman M P. Female cosmetic genital surgery. Obstet Gynecol. 2009;113(1):154–159

  • Scholten E. Female genital cosmetic surgery—the future. J Plast Reconstr Aesthet Surg.2009;62(3):290–291

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