Clitoral lysis of adhesions is a procedure to remove adhesions (scar tissue) that have formed around the clitoris. These adhesions can cause the clitoris to be partially or completely covered, potentially leading to decreased sensitivity and discomfort.


Adhesions can form due to:

  • Chronic inflammation or infection (e.g., recurrent yeast or bacterial infections).
  • Trauma or injury to the area.
  • Previous surgeries.
  • Conditions like lichen sclerosus, a chronic skin disorder.

Symptoms may include:

  • Decreased clitoral sensitivity or numbness.
  • Pain or discomfort during sexual activity.
  • Difficulty achieving orgasm.
  • Visible fusion or covering of the clitoral glans.

Candidates are individuals who:

  • Experience symptoms affecting their sexual health and quality of life.
  • Have confirmed adhesions through a medical examination.
  • Are in good overall health and have realistic expectations about the outcome.

The procedure typically includes:

  • Local anesthesia or sedation.
  • Gently separating and removing the adhesions to expose the clitoral glans.
  • Ensuring minimal trauma to the surrounding tissues.
  • The use of fine sutures if necessary. The procedure time is short and is done on an outpatient basis.

Recovery involves:

  • Mild swelling and discomfort: Common in the first few days.
  • Pain management: Over-the-counter pain relievers or prescribed medications.
  • Hygiene: Keeping the area clean and dry to prevent infection.
  • Activity restrictions: Most patients can return to normal activities within a week.

As with any surgical procedure, there are potential risks, including:

  • Infection
  • Scarring
  • Changes in sensation (temporary or permanent)
  • Pain during healing
  • Reformation of adhesions
  • Bleeding or hematoma formation

Results can be long-lasting, especially if the underlying cause of adhesion formation is addressed (e.g., managing chronic infections or skin conditions). However, there is a possibility of adhesions reforming, which may require additional treatment.