Make an appointment for a preliminary visit with Dr. Karim. During this visit we will discuss your wishes. When you make an appointment you can nearly always count on being received by Dr. Karim within 2 weeks. A medical assistant is always present during any genital visit or treatment.
Dr. Karim will also consider the causes of your problem. If you wish, we can hold a follow-up meeting a few weeks after the first visit. Sometimes the problem turns out to be gynaecological or psychological. In that case, Dr. Karim would let you know.
The procedure can usually be performed within two weeks of the interview.
After the procedure, you should take a two-week break. Avoid pressure-increasing moments, such as bending and heavy lifting.
It takes about six to twelve weeks before the operation wound is completely recovered.
You will return regularly for a checkup: one, two and six weeks after the operation. Also after three and twelve months.
During the checkups there will always be a female assistant accompanying Dr. Karim.
Before the operation
Because you cannot drive home after an operation (no car or bicycle), it is important to make travel arrangements.
Do you use blood-thinning drugs? Please let us know if you do. Ask the doctor from whom you get the prescription and find out if you can temporarily stop treatment. Your doctor will tell you how many days before the operation you should or can stop taking the blood-thinning drug. Dr. Karim wants to ensure this is possible in order to avoid unnecessary risks.
Fever or flu the day before the operation? Contact Dr. Karim to decide if the operation can be performed or should be postponed.
Cosmetics and personal care products
We understand that you always want to look your best, but on the day of surgery you cannot use skin care products or makeup.
You may feel nervous about the operation, but you can’t drink alcohol the day before (or on the day itself, of course!)! Drinking alcohol increases the chances of subsequent bleeding of the wound.
During the operation
Reconstruction of the clitoris
For this, part of the base of the clitoris which is located inside your body is used.
After the operation
Application of cold
We will cool the treated area and take you to a recovery room for recovery.
You can go home the same day.
You can wet your wounds in the shower once the drains are removed.
The first two weeks you may feel pain when urinating and walking.
To reduce the first effects of the pain, we will prescribe an analgesic gel and a hormonal ointment:
– Vaseline with lidocaine: apply a thin layer of the product to the wound three times a day for three days.
– Synapause E3 Cream: Apply a thin layer of the product around the wound once a day for three weeks, starting on the second day.
In addition, you can take two 500 mg paracetamol tablets four times a day if necessary.
After a genital reconstruction surgery, the wound is closed with soluble stitches.
A genital reconstruction is a safe procedure.
Risks inherent to any operation
Subsequent bleeding, infection, fluid retention, thromboembolism, slow healing and/or unsightly scarring.
Temporary feeling of change in the clitoris.
More than seventy percent of women who have had their clitoris reconstructed can have normal sexual intercourse one and a half years after the operation.