The Hoodectomy procedure is fairly
common in that its objective is to unhood the clitoris. But, how do you
specifically perform the procedure?
Well, this varies from surgeon to surgeon, as you might
expect. My technique has varied somewhat in the 150 procedures I’ve
done over the last several years. I’ve now gained significant experience
dealing with varying body types and anatomies to assure a good result.
The way I begin is by first determining the extent of the
sensory perimeter of the clitoris. By this, I mean I actually test the
region around the clitoris, when the patient is fully conscious, using
hot and cold swabs. This tells me two things. First, it tells me if the
woman has a hormonal issue, or one of sensitivity. If it’s a sensitivity
problem, this testing gives me an understanding about how far out the
nervous tissue from the clitoris extends. Now, don’t get me wrong
. . . normally the innervation of the clitoris is localized to the immediate
area, and few people know that sometimes there will be more sensitivity
to one side of the clitoris, versus the other. This is extremely important
in ascertaining the extent of the procedure. Next, I use the experience
I’ve gained from studying the natural folds and muscular action
of the genital area and mark what I believe will be the best areas to
remove. As I said, it’s very important to realize that there are
no two vulvas that are the same. A good result can ONLY come from doing
many, many procedures. The size of the clitoris determines the extent
of the Hoodectomy.
Once I’ve established a perimeter, and marked the
area accordingly, I apply a topical benzocaine anesthesia ointment to
numb the immediate area. After waiting for this numbing action to occur,
about twenty minutes, I further infiltrate the area with a more concentrated
anesthetic, usually one combined with epinephrine to reduce fluid loss.
From there, I retract the clitoral node from the Prepuce (clitoral hood)
allowing sufficient space for a surgical incision. Generally, I use a
very small curved incision made roughly 270 degrees in an arc, around
the clitoral hood. In most instances the incision is approximately 1⁄4”
long. Never, at any time, is the clitoris node near enough to the incision
area to risk any injury to the nervous tissue, because it is retracted
far enough to prevent accidental damage. At all times the patient is awake.
The area remains numb for approximately 60-90 minutes, which is more than
enough time to finish the Hoodectomy procedure. The small incision is
closed with a few sutures that dissolve in about seven days. Also, I used
some special instruments that I’ve designed that allow for a nice
accommodation of the artistic arc that’s needed to assure natural
tissue movement after the surgery is finished. I also use some graft techniques
that enhance healing and improve the results. I specifically don’t
talk about these because of the years it’s taken me to develop them.
But the bottom line is that my graft technique cuts down on pain, swelling
How long does the procedure take?
In virtually every case, the surgical part of the procedure I do, takes
less than an hour. Now that’s not the entire process, needless to
say, because I do some sensitivity testing beforehand.
What are the complications you’ve
I’ve never had any notable complications. However, as with any surgical
procedure, complications can occur. Usually they are few. Inflammation
is an example of something that can occur, not so much from the anesthetics,
but from a histamine reaction to the suture material. Sometimes there
is some irritation from the separation of the tissues. Infection is usually
never an issue because patients are given antibiotics a few days prior
to the procedure—and a week after, which virtually eliminates any
chance of infection happening. If any infection does occur, it is usually
treated with topical antibiotic creams and/or ointments. Actually, there
is something rather beneficial from having a Hoodectomy done. It’s
rarely talked about but it’s well known that for some women who
have frequent urinary tract infections and frequent vaginitis, those conditions
seem to resolve after a Hoodectomy. The theory behind it of course is
that if one has a considerable amount of excess tissue in this area; this
excess tissue can cause a problem with excess bacterial build up, thus
increasing the possibility of these feminine infections.
How painful is the procedure?
Most patients are able to return to normal activities within 36 hours,
many in less time. In every instance, they’ll never feel pain during
the procedure. Ice packs are provided as well and sometimes, for those
women who are particular sensitive, we’ll provide a mild pain reliever,
usually an oral med. I have many women who’ll fly in, have the procedure
done, and head right out to the airport to head home. No problems whatsoever.
What are the main reasons a woman would
want to have a Clitoral Unhooding done?
I’ve discovered that in most cases, the main reason is always the
same. The woman wants to have the procedure done to help her reach orgasm
faster, or to have a much stronger climax. Another reason given frequently
is that the woman wants to improve her potential for having multiple climaxes.
There’s been some data that says that roughly 15% of the population
is capable of multiple climaxes and that number improves significantly
with a Clitoral Unhooding. But, the real benefit for women, and for men
to a large extent, is that if a woman can achieve climax faster and with
greater intensity, she naturally wants to have sex more often . . . so
generally, her mate would benefit as well. Sex becomes real enjoyable,
for both people, again. That’s a huge benefit for a few thousand
How would you describe the typical woman
who is having this procedure done?
Well, there is no real stereotype. I’ve done procedures on women
in their early twenties and even on some women in their sixties. Some
are married, some divorced, some single. In many cases, a woman will come
to see me for a Labiaplasty problem, and she’ll also have the Clitoral
Unhooding done at the same time. The reason is because the Prepuce, or
Clitoral Hood is actually an extension of the labia. She might mention
to me that she’s had a difficult time with reaching climax or does
so very infrequently. She might say something like, “my friend says
she’s reaching orgasm with this guy in minutes and how great it
is, and she’s not achieving climax at all.” She’ll tell
me that sometimes she thinks it’s a mental problem, which is really
sad. I usually offer to give her a sensitivity examination and testing,
and in some of these cases, I’ll usually find the problem to be
with excessive Prepuce tissue. But at least half the time women come to
me solely to have a Hoodectomy done. As far as being a married woman or
being a single woman, well, the numbers are about even.
Are your patients usually willing to give
their perspectives on Hoodectomy postoperatively?
I’ve done numerous patients
who are willing to discuss their cases with prospective patients.
And, in fact, we have a few of them on this web site. I’ve never
had a patient who’s been unhappy with the results.
What have you heard about the main objections
from women to having this procedure done?
The main objection I’ve heard is largely from bad information that
they’ve heard or read about loss of sensitivity. Also, the procedure
is confused with Clitoridectomy, which is nothing more than Female Genital
Mutilation. But, let’s talk about the issue of loss of sensitivity.
Some people claim it can lead to loss of sensitivity . . . comparing it
to a male circumcision where it’s been documented that a man loses
sensitivity from the removal of the foreskin. To some extent, in the male
this is true . . . because part of the loss of sensitivity for a male
is when he loses the protective sheathing—the foreskin. The male
foreskin has a certain amount of innervation in the tissue itself. So,
in men, removing this tissue can actually result in a loss of feeling.
What people are talking about with Clitoral Unhooding is
usually a claim that involves loss of sensitivity over time, because of
chronic exposure. There are no studies that support this view. During
a Hoodectomy, there is no loss of sensitivity because if the surgeon has
the experience to not overexpose the clitoris and properly lets the clitoris
seat in its protective sheathing—meaning they have an aesthetic
understanding of each woman’s particular anatomy—there will
not be any chance of loss of sensation because the clitoris will still
have its protective hood. The concept isn't to completely remove the hood
. . . the concept of a successful Hoodectomy is to remove the problematic
tissue that is inhibiting the clitoris from protruding, thus keeping it
from receiving the proper amount of stimulation. That’s what this
is all about.
Let’s be honest here . . . does
this procedure really work to help increase stimulation?
Absolutely. There’s no doubt about it. The clitoris is the end of
the G-Spot. It's a long bundle of nervous tissue. Once I remove that excess
hood tissue there’s more of the highly innervated surface of the
clitoral node exposed, allowing more sensation and helping the woman achieve
a faster, stronger climax.
Are the results immediate?
I tell my patients that they should avoid sex for at least a few weeks,
to allow the area to heal properly. But, I will say that I've had women
call me after the first week, and tell me they couldn't resist, telling
me how wonderful the sexual climaxes can be. Now, I'm not recommending
this, but sometimes I hear about it. The results, however, are immediate.
What should a patient look for selecting
It’s like of like the real estate line. You know, the one that says,
“location, location, location?” Well, the same thing is true
of this procedure . . . only the saying is “experience, experience,
experience”. That's because experience is the key to assuring that
you’ll get a good result. A surgeon that has performed hundreds
of Clitoral Unhoodings, like I have, understands the aesthetic architecture
of the female genitalia and can allow for natural movement of the tissues
before, and afterward. How the exposure of the clitoral node appears after
the surgery is what's important. This is perhaps the most important aspect
of the procedure—to assure that the clitoral node won’t be
exposed too much, which can result in over stimulation and possibly pain.
You should only consider using a surgeon who has a huge number of procedures
to their credit.
How many procedures must surgeons do to
consider themselves "experienced" in it?
It's important to realize that there are fine differences between body
types, depending on race, weight, anatomical proportion and other issues.
ONLY an experienced surgeon that has performed a successful number of
Hoodectomies can appreciate this fine detail. A surgeon doing this procedure
usually gains the necessary experience after performing at least 35 procedures.
I'd say that’s the minimum number.
What is the best time for someone to get
this procedure done?
There’s nothing special about timing. The best answer to that question
is, whenever she feels it’s appropriate for her. One would think
that young women would want this procedure done more than older women,
but it’s exactly the opposite that is true. The reason is that as
women get older, they often feel more insecure about the problem during
sex. Younger women haven't usually discovered the problem yet.
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