Part 3: Clitoral Hood Release for Buried Clitoris Review

Dear Fellow Surgeons,

Welcome to Part 3 of my series on how to manage the Buried Clitoris. For two years this patient had a progressive closure of her clitoral hood over the clitoris resulting in reduced sensitivity. It was barely noticed. There was minimal to no itching or discomfort. Watch this 30 minute video and listen to my in depth commentary.

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KEY POINTS

1. Lichen Sclerosus is a very common cause

2. Office procedure using precision RF pinpoint tip

3. Palpate for location of the clitoral bulb

4. Careful RF incision then blunt dissection

   1. Have fine Metzenbaum Scissors, fine Tonsils and fine Right Angle dissectors

   2. Dissect mostly laterally to isolate the clitoral bulb and body and avoid vessels sitting on top of the clitoris.

5. Must decide on no suturing or suturing of clitoral hood edge to the base of the clitoral body/bulb.

   1. If no suturing: Q-Tip Exercises daily to keep clitoris free and uncovered. This method may result in agglutination over the clitoral bulb if not aggressively performed daily.

   2. If suturing: suture the clitoral hood edge below the clitoral body/bulb. Use 5-0 Monocryl. This will better prevent agglutination over the clitoral bulb. Will still need to do Q-Tip Exercises.

6. Q-Tip Exercise daily to prevent agglutination over the clitoris (Video Next Week)

7. Use PRP or Amniotic fluid (or both) to reduce inflammation and aid in healing

8. Recurrence is common and maintenance with Energy (RF or Laser) and Biologics (PRP or Amniotic fluid injections, Exosome Creams) will prolong disease free intervals.

STEPS: Watch the Video for details