Professor Ostrzenski defines clitoral hoodoplasty, or better known as Clitoral Hood Reduction, as a surgical intervention which transforms the Clitoral Prepuce to more pleasing appearance with preservation of function. For more information on this procedure (including post-operative care information), please visit the Clitoral Hood Reduction page of this website.
The Clitoral Prepuce is the visible skin fold over the clitoris, which is known as the Clitoral Hood. There are two distinct types of Clitoral Hoodoplasty:
1) Reductive Clitoral Hoodoplasty
2) Restorative Clitoral Hoodoplasty
The Reductive Hoodoplasty is a surgical intervention aimed to decrease the excessive length of the Clitoral Prepuce tissue or to reduce the uneven thickness of the Clitoral Hood.
- Ostrzenski’s modification of hydrodissection with reverse V-plasty is used to reduce the excessive and overlapping Clitoral Hood.
- The hydrodissection with reverse V-plasty is used to split the adhesions between the inner surface of the Clitoral Prepuce and Clitoris.
- The extra Prepuce tissues removed during the reverse V-plasty hide the suture lines. This procedure can liberate the Clitoris so you can have a better sexual experience for you and your partner.
The Restorative Hoodoplasty procedure is performed to restore the damaged opening of the Clitoral Hood, which usually is due to skin conditions etc., and repair the lost Prepuce without causing permanent nerve injuries.
- By using sterile saline, the Hood can be separated from the Clitoral adhesions.
- Opening the partially or completely closed Clitoral Hood is done to expose the tip of the Clitoral Hood.
- This technique prevents complications of Clitoral numbness. The direct use of metallic instruments on the Clitoris is associated with Clitoral numbness.
Professor Ostrzenski conducted the clinical study between 2006 and 2010, which assisted him to develop a new Clitoral Hoodoplasty classification and new surgical procedures. This classification is very useful for women and doctors to select the appropriate procedure.
Clitoral Hood characteristics were used to establish a new classification:
- 1) Occluded Clitoral Hood (the Clitoral Hood opening is partially or completely closed with the Clitoris buried under the skin)
- 2) Hypertrophic-Gaping Clitoral Hood (the Clitoris foreskin can be elongated, too thick, or both)
- 3) Asymmetrical Subdermal Hypertrophy (uneven thickness of the Clitoral Hood)
Each category of clitoral characteristics will require a different surgical intervention. Dr. Ostrzenski emphasized that a “one-fit-all” procedure could not be offered to all women who requested Clitoral Hoodoplasty.
Dr. Ostrzenski based upon this classification has developed the following surgical interventions for Clitoral Hoodoplasty:
- Hydrodissection was applicable for the occluded Clitoral Prepuce
- Modified Hydrodissection with Reverse V-plasty was applicable for Hypertrophic-Gaping Clitoral Hood.
- Clitoral Subepithelial Hoodoplasty was applicable for Asymmetrical Subdermal Hypertrophy (uneven thickness).
Excerpted from Dr. Ostrzenski’s Advanced Gynecology Workshop, January 26 -29, 2012, St. Petersburg, Florida, USA.