A hoodplasty is a procedure that can be done alone or as a complement of labia minora reduction surgery, or labiaplasty. It is a surgical procedure that consists in the partial removal of the hypertrophic portion of the clitoris hood. The best technique is the one in which the surgeon is most comfortable and with which he achieves notable and consistent results.
There are different techniques, and they differ by the type of incision:
- Longitudinal Resection: Clitoris hood resection is usually done by simple mucosa excisions laterally performed on each side of the clitoris body. Mild to moderate excess of clitoris hood can be treated by a longitudinal resection.
- Horseshoe Resection: Clitoris hood resections are generally performed through simple mucosa excisions. Large longitudinal excess of clitoris hood or horizontal excess should be done with an extension resection on the upper aspects of a lateral resection on each side of clitoris body in a horseshoe manner resection.
- Clitoral hood reduction using extended central wedge resection: A central wedge or V is removed from the most protuberant portion of each labia minora and the outer portion of the V excision is usually curved lateral and anterior to excise redundant lateral labia and excess lateral clitoral hood.
Ensure you consider all aspects of a procedure. You can speak to your surgeon about these areas of the surgery in more detail during a consultation.
The procedure typically takes one hour but can last a little bit longer when performed with combined procedures.
For better results and more comfort, local anesthesia and light sedation is the rule for this surgery. However, local anesthesia, general anesthesia or pudendal blockage may be chosen.
The patient can leave the surgical facility the same day after recovery from anesthesia.
Poor results can result in clitoris exposure, visible scarring, pain, dyspareunia, and deformity. These complications can be minimised with appropriate patient selection, choice of procedure, and meticulous technique.
The area may be swollen for 4-6 weeks. Return to work is possible after 5-7 days. Sexual activity and sports are allowed after 4-6 weeks.
With good surgical technique, the results are very satisfying with improved self-esteem and quality of life.