Resumen

Objectives: Clitoral hypertrophy, mainly due to androgenic supplementation, has been an extremely common condition, which causes patients extreme discomfort, not only during sexual intercourse, but also when wearing tight clothing, such as gym pants, and bikinis. The CO2 laser emits a 10 600nm beam of light. Applied to tissues, light interacts with water molecules, causing them to boil, which promotes heating and tissue inflammation, with consequent production of collagen, capable of promoting tissue retraction such that is not necessary to perform the surgery to reduce exposure of clitoris. Introduction: The fact is, despite the embarrassment that clitoral hypertrophy can bring, many women still feel extremely insecure about undergoing surgical clitoroplasty, due to fear of loss of local sensitivity or the desire to avoid poto avoid post-operative discomfort. The surgical technique has evolved and that in skilled hands the risk of sensitivity deficit is minimal, however many of them opt for non surgical clitoroplasty due to the desire for a procedure with quick recovery and minimal risks, even though they knwow the results are inferior to those of the conventional surgery. Materials / method: To carry out the treatment we have used the a metal tube CO2 laser, with 40 thermal microzones. We pre-clean the area with aqueous chlorhexidine and for anesthesia we apply an anesthetic cream, which we leave for 20 minutes and then we perform injectable anesthesia with 2% lidocaine. We have used the same applicator used for cutting when laser is used for surgical clitoroplastis. We apply the laser at multiple points, however without making a linear cutting. Results: In the device we use, which is a CO2 laser with a metal tube, 4W of potency with coagulation points every 0.5cm, usually bring good results in retraction and to reduce exposure of clitoris. In general, we perform 2 to 3 sessions of laser at 30-day intervals. It is important to note that this approach is exclusively indicated for patients whose clitoral hood retraction will be sufficient to reduce clitoris exposure. Women whose hood retraction may expose the glans should not undergo treatment. We use the same approach to retract labia minora, with good results. Conclusion: Despite having a relatively small series of just over 20 patients, we did not have any sensitivity deficit or any other local complication, with good results when the adequate patient selection was done. Clitoris with a vertical axis greater than 4cm exhibit the worst results.