Other Intimate Surgeries

In addition to the labial and vaginal surgeries listed in the menu of services, Dr. Hamori can also perform other ancillary cosmetic procedures requested by patients. These can include release of clitoral adhesions, excision of hymenal remnants and removal of anal skin tags.

See also:  Lichen Sclerosus Treatments

Clitoral adhesions

Clitoral adhesions (phimosis) or the clitoral hood closing over the clitoris — clitoral hood fusion — is not an uncommon condition. It can cause a woman discomfort, anxiety and sexual disfunction. The causes are not specifically known, but may be due to a low estrogen state, injury or irritation to the area, and/or lichen sclerosis — an autoimmune condition that affects women in the genital area (itching, rash and fusion of the labia minora).

Clitoral adhesions can trap normal gland secretions of the clitoral hood causing painful keratin pearls beneath the clitoral hood skin. These may need to be removed if painful. An initial non-surgical treatment is a topically applied estrogen and testatsterone cream. If that is not effective, then surgical release of the clitoral adhesions fused to the clitoral hood may be required. Clitoral adhesion removal surgery takes about 30 minutes in the office under local anesthesia. Postoperatively, growth factors such as PRP or nano fat can be applied to prevent recurrence. A biopsy may be performed if lichen sclerosis is suspected. 

Hymenal remnants

Hymenal remnants are small mucosal skin tags in the vagina, which are normal in sexually active women. Occasionally, one or several of the remnants becomes enlarged and visible through the vaginal opening. These visible remnants may become swollen and tender after intercourse. Surgical removal of prominent hymnal remnants can be done to decrease visibility of the tags and to eliminate swelling of the tags after intercourse.

The procedure takes approximately 30 minutes. Absorbable sutures are used and patient may return to work within a few days. Patients must abstain from intercourse for 5-6 weeks to allow for proper healing.

Anal skin tags

Anal skin tags are small tabs of skin around the rectal area. They are often a result of left over areas of stretched out skin after hemorrhoids shrink. They can make hygiene difficult and can be unsightly. Surgical removal of anal skin tags reduces the redundant skin. The procedure takes about 30 minutes to an hour and is usually done under twilight sedation. The sutures are absorbable and dissolve with time. 

PLEASE NOTE: Prior to consultation by Dr. Hamori, it is recommended that a patient first be evaluated by a general surgeon through their PCP to rule out hemorrhoids.