Abstract

Background: Various techniques have been identified for clitoral hoodoplasty that is commonly applied in cosmetic gynecology surgeries. The aim of this study is to investigate whether or not the technique applied with a minimally invasive and neuroprotective approach is effective in terms of cosmetic appearance and sexual function.

Material And Method: A total of 82 women were included in the study. During the operation, J-Plasma^®, using the plasma of helium gas as an energy source, was employed to dissect, coagulate, and tighten the clitoral hood and the surrounding tissue. All the participants were assessed with FGSIS and FSFI before the application and at 6^th and 12^th month after the application.

Results: No serious complication was observed in the long-term follow-up of the patients. While the FSFI mean score obtained by summing the scores of FSFI parameters was 24.1 ± 1.5 in the pre-treatment period, this value increased to 29.4 ± 1.5 and 30.4 ± 1.7 at the 6^th and 12^th months after the treatment, respectively. The difference between the pre-treatment, post-treatment 6^th month, post-treatment 12^th month FSFI mean scores was statistically significant. While the FGSIS mean score obtained by summing the scores of FGSIS parameters was 19.7 ± 1.8 in the pre-treatment period, this value increased to 21.9 ± 1.7 and 22.7 ± 1.8 at the 6^th and 12^th months after the treatment, respectively. The mean score in two periods after the treatment was also significantly higher than pre-treatment period.

Conclusion: This technique can be a new alternative minimal-invasive clitoral hoodoplasty technique by targeting minimal tissue extraction from an area with few nerve endings in the technique described and using an energy source with low vertical and thermal diffusivity as the energy source.

Keywords: Clitoral Hoodoplasty; J-Plasma; Minimal Invasive; Clitoral Hood; FSFI; FGSIS PT: Punch Tool; VSS: Vancouver Scar Scale; PDO: Polydioxanone.

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Citation

Citation: Bülent Cihantimur., et al. “A Minimal Invasive Clitoral Hoodoplasty Technique with J-Plasma”.Acta Scientific Medical Sciences 5.2 (2021): 04-10.

Copyright

Copyright: © 2021 Bülent Cihantimur., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.