New approach to clitoral phimosis. Hoodplasty

Background: Clitoral phimosis is seldom reported. It is treated by hoodectomy or dorsal slit. An alternative and easy surgical treatment is described. Cases: Six (6) patients complaining of a clitoral phimosis underwent hoodplasty. The hood of the clitoris is approached via dorsal incision resulting in two preputial flaps, which are de-epithelialized, reflected laterally and sutured. The outcomes were assessed objectively based on symptomatology regression, recurrence, photographs, and subjectively using two questionnaires to assess the surgical success and patient satisfaction. The two preputial flaps avoid retracting scars, phimosis recurrence or adhesions, or resubmerged clitoris. Patients reported that they were very satisfied or satisfied with the their surgery. Conclusions: Hoodplasty can be performed to clitoral phimosis with good functional and aesthetic outcomes and a high degree of satisfaction. It reconstructs a normal vulvar anatomy, avoiding even more vulvar scarring associated with the other techniques. © Copyright 2011, Mary Ann Liebert, Inc.