Clitoroplasty, pre- and post-operative considerations?

The clitoris is an amazing and unique organ in the entire human anatomy, whose sole physiological function is to stimulate sexual pleasure in women. As a kinetic center for incoming and outgoing sexual stimulation, it has the dual role of being both the most sensitive receptor and the most powerful sensor. Generally speaking, the clitoral head has six to eight times more nerve endings than the surrounding tissue, making it one of the most sexually sensitive areas for women. In women with clitoral circumcision, on the one hand, sexual stimulation from the clitoris is reduced; on the other hand, the clitoris has a weakened role in enhancing vaginal sexual excitement; sexual excitement is reduced, orgasm does not occur easily, and as age increases, sexual pleasure decreases further, leading to decreased libido or sexual frigidity over time. In addition, some women may have clitoral dysplasia, hypospadias, and adhesions between the clitoris and foreskin. For these people, the clitoris can be exposed by removing the long foreskin or loosening the adhesions under local anesthesia, called “clitoral exposure”. In addition, some women think that the long clitoral foreskin is unattractive and that the surface is gray-black and the inside is soft red, so they want to remove the gray-black surface and flip the soft red inside to make the whole clitoral foreskin more beautiful in terms of color and shape. Pre-operative must read: 1, menstruation, pregnancy, lactation, and should not be operated within 6 months; 2, 3 days before surgery, wash the vulva every night; 3, before surgery, gynecological pick-up to determine the absence of other gynecological diseases, such as the presence of gynecological inflammation, cervical lesions, the presence of pregnancy, and the health of the general condition; 4, 7-10 days after the menstrual period, the best time to arrange surgery; 5, 3 days before surgery, daily with 3 days before surgery, wash the vulva with 0.1% Neosporin to keep the pubic area dry and clean; 6. 3 days before surgery, no intercourse; 7. 2 weeks before surgery, do not take drugs containing aspirin; 8. 24 hours before surgery, stop drinking alcohol, drinking alcohol tends to accelerate blood circulation and will increase intraoperative bleeding; 9. 1 week before surgery, stop smoking, smoking tends to reduce the concentration of oxygen in the blood and affects wound healing. Post-operative care: 0~3 days severe swelling period Recovery tips: The vagina needs to be filled with iodoform gauze, there may be slight discomfort. Care: 1. You may not be hospitalized after surgery, but you need to stay in bed for 12-24 hours and keep in touch with your doctor; 2. After the surgery, the vagina needs to be filled with gauze to prevent hematoma formation and removed on the 2nd day; 3. You need to take antibacterial agent for 3-6 days after surgery. 4~6 days rapid swelling reduction period Recovery tips: small amount of blood oozing, swelling gradually absorbed, mild pain. Care: 1. Keep the surgical site clean and dry; 2. Use plain water diluted with cleansing lotion to wash the vulva; 3. Do not take aspirin medication; 4. Prohibit tobacco, alcohol, spicy and stimulating food; 5. Rest in bed as much as possible. 7 days stitch removal day Recovery tips: 7 days to the hospital to remove the stitches (need to follow the time of the doctor’s orders, to the hospital to remove the stitches, such as the use of absorbable sutures, or no need to remove the stitches). Care: 1. keep the wound clean to prevent infection; 2. no water on the wound for 24 hours after stitch removal; 3. do not rub the wound with force; 4. pay attention to a light diet and prohibit spicy and stimulating food. 8~15 days continuous swelling period Recovery tips: swelling is relatively rapid, no obvious pain reaction. Care: 1. After urinating, you need to wash locally with 1/5000 potassium permanganate solution; 2. Pay attention to keep the vulva dry and clean for about 10 days in total. 16~30 days tissue recovery period Recovery tips: Mild swelling and restricted activities. Care: 1. no straddling movements for one month after surgery; 2. avoid excessively dry stools and wear looser pants; 3. do not engage in strenuous exercise, such as bending over with excessive force and lifting heavy objects, etc. 31~90 days effect stabilization period Recovery tips: The effect is stable and presents excellent condition. Care: 1. Do not squat for too long; 2. Do not have sexual intercourse for two months after surgery.