Clitoropexy – Surgical reduction of an enlarged, prolapsed or protruding clitoris, this condition is named Clitoromegaly.
Clitoropexy is a highly specialized procedure designed for women who have concerns about an enlarged, prominent, prolapsed, or protruding clitoris. Some women have naturally prominent clitoral anatomy, while others may notice changes associated with hormones, testosterone use, previous surgery, aging, or changes in the supporting tissues.
Women may seek treatment because of physical discomfort, rubbing against clothing, excessive sensitivity, difficulty with certain activities, or embarrassment and self-consciousness regarding the appearance of the clitoris.
Because the clitoris contains an important network of nerves and blood vessels responsible for sensation and sexual function, surgery in this area requires extensive knowledge of female genital anatomy and careful surgical technique.
Clitoropexy – Surgical reduction of an enlarged, prolapsed or protruding clitoris, this condition is named Clitoromegaly.
Clitoropexy is a highly specialized procedure designed for women who have concerns about an enlarged, prominent, prolapsed, or protruding clitoris. Some women have naturally prominent clitoral anatomy, while others may notice changes associated with hormones, testosterone use, previous surgery, aging, or changes in the supporting tissues.
Women may seek treatment because of physical discomfort, rubbing against clothing, excessive sensitivity, difficulty with certain activities, or embarrassment and self-consciousness regarding the appearance of the clitoris.
Because the clitoris contains an important network of nerves and blood vessels responsible for sensation and sexual function, surgery in this area requires extensive knowledge of female genital anatomy and careful surgical technique.
Q: What are the diagnosis steps for getting a Clitoropexy?
A: The diagnosis steps for before undergoing a clitoropexy procedure typically involve:
- Consultation: Schedule an initial phone consult with Drs. Miklos or Moore, they specialize in pelvic floor disorders and cosmetic vaginal surgery. During the consultation, patients can explain exactly what concerns them about the size, position, prominence, or appearance of the clitoris. The doctors may also discuss whether the condition has been present since puberty, developed gradually, appeared following another procedure, or changed after beginning testosterone or another hormone treatment.
Understanding when and why the change occurred can be an important part of determining the appropriate treatment. - Physical examination: During your consultation, the doctors will assess the extent of clitoromegaly: clitoral prolapse, clitoral enlargement and or clitoral protrusion as well as the condition of your pelvic muscles. The examination also allows the doctors to evaluate the relationship between the clitoris, clitoral hood, labia, and surrounding tissues. This distinction is important because what appears to be an enlarged clitoris may sometimes involve the position of the clitoris, the amount of surrounding hood tissue, or a combination of anatomical factors.
For patients who have undergone previous labiaplasty, clitoral hood reduction, clitoropexy, or other cosmetic gynecologic surgery, the doctors will also evaluate scar tissue and changes created by the previous procedure. - Diagnostic tests: If additional tests are required (rare) to rule out any underlying pelvic region conditions, an ultrasound or MRI may be included. Additional medical or hormonal evaluation may also be appropriate when clitoral enlargement has developed recently, progressed rapidly, or cannot be explained by the patient’s medical history. The objective is to understand the cause of the enlargement before determining whether surgical treatment is appropriate.
Q: What are the diagnosis steps for getting a Clitoropexy?
A: The diagnosis steps for before undergoing a clitoropexy procedure typically involve:
- Consultation: Schedule an initial phone consult with Drs. Miklos or Moore, they specialize in pelvic floor disorders and cosmetic vaginal surgery. During the consultation, patients can explain exactly what concerns them about the size, position, prominence, or appearance of the clitoris. The doctors may also discuss whether the condition has been present since puberty, developed gradually, appeared following another procedure, or changed after beginning testosterone or another hormone treatment.
Understanding when and why the change occurred can be an important part of determining the appropriate treatment. - Physical examination: During your consultation, the doctors will assess the extent of clitoromegaly: clitoral prolapse, clitoral enlargement and or clitoral protrusion as well as the condition of your pelvic muscles. The examination also allows the doctors to evaluate the relationship between the clitoris, clitoral hood, labia, and surrounding tissues. This distinction is important because what appears to be an enlarged clitoris may sometimes involve the position of the clitoris, the amount of surrounding hood tissue, or a combination of anatomical factors.
For patients who have undergone previous labiaplasty, clitoral hood reduction, clitoropexy, or other cosmetic gynecologic surgery, the doctors will also evaluate scar tissue and changes created by the previous procedure. - Diagnostic tests: If additional tests are required (rare) to rule out any underlying pelvic region conditions, an ultrasound or MRI may be included. Additional medical or hormonal evaluation may also be appropriate when clitoral enlargement has developed recently, progressed rapidly, or cannot be explained by the patient’s medical history. The objective is to understand the cause of the enlargement before determining whether surgical treatment is appropriate.
Q: What are the treatment steps involved in getting a clitoropexy?
A: The treatment steps with Drs. Miklos and Moore, for clitoropexy, typically include:
1. Preoperative preparation: such as fasting, continuation and or discontinuation of any medication that can interfere with the procedure.
Patients receive individualized instructions before surgery. These may include information about medications and supplements, eating and drinking before anesthesia, transportation after surgery, postoperative prescriptions, and preparing for the first several days of recovery.
Patients should follow the specific instructions provided by Drs. Miklos and Moore rather than stopping prescription medications on their own.
2. Surgery: Clitoropexy is performed under general anesthesia. Drs. Miklos and Moore will reposition or reduce the size of the enlarged clitoris and secure using sutures or other techniques. The doctors will explain the surgical procedure in detail prior to your surgery.
The exact surgical approach depends upon the patient’s anatomy and the reason for the excessive prominence. The objective is to improve the position or prominence of the clitoral structures while giving careful consideration to the nerves and blood supply responsible for clitoral sensation and function.
In selected patients, surrounding clitoral hood or labial anatomy may also need to be considered when developing the surgical plan. Every procedure is therefore customized rather than using exactly the same surgical technique for every patient.
3. Postoperative clitoropexy recovery: After surgery you will be monitored in the recovery room. Pain medication, antibiotics may be prescribed to prevent pain and infection. You will also receive instructions for wound care and specific activity restrictions.
Swelling, bruising, tenderness, and temporary changes in sensation may occur during the early stages of healing. The appearance immediately following surgery is not the final result because postoperative swelling can temporarily make the area appear significantly different.
Patients will receive instructions regarding showering, clothing, exercise, sexual activity, and other activities while the tissues heal. Following these instructions is an important part of protecting the surgical area during recovery.
4. Follow Up Care: Drs. Miklos and Moore may require an in-clinic visit or a virtual chat to monitor your healing progress. You are welcome to contact us anytime with any questions or concerns.
Follow-up allows the doctors to evaluate swelling, incision healing, comfort, sensation, and the overall progression of recovery. Because every patient heals differently, additional follow-up may be recommended depending upon the procedure performed and the patient’s individual recovery.
Patients traveling from outside Atlanta can discuss their travel plans and follow-up requirements with the office before scheduling surgery.
Drs. Miklos and Moore are Board Certified Urogynecologists with extensive training and knowledge of the clitoropexy procedure.
Dr. John Miklos and Dr. Robert Moore have extensive experience in urogynecology, reconstructive pelvic surgery, cosmetic gynecology, clitoropexy, clitoral hood procedures, and complex revision surgery.
Their experience is particularly important when evaluating women with unusual anatomy or patients who have previously undergone cosmetic vaginal or clitoral surgery. Rather than focusing exclusively on appearance, they consider the relationship between clitoral position, surrounding anatomy, sensation, function, and the patient’s individual goals when developing a treatment plan.
Patients travel to Miklos & Moore for evaluation of complex cosmetic and reconstructive concerns, including clitoral enlargement, clitoral protrusion, previous unsuccessful surgery, and cases requiring specialized surgical expertise.
Request a consultation with Dr. John Miklos or Dr. Robert Moore to discuss clitoromegaly, clitoral protrusion, or whether clitoropexy may be appropriate for you.