Aëtius of Amida describes a clitoridectomy, citing the physician Philomenes (jan 1, 450 – jan 1, 550)

Description:

‘The so-called nymphe [clitoris] is a sort of muscular or skinlike structure that lies above the juncture of the labia minora; below it the urinary outlet is positioned. [This structure] grows in size and is increased to excess in certain women, becoming a deformity and a source of shame. Furthermore, its continual rubbing against the clothes irritates it, and that stimulates the appetite for sexual intercourse.
For this reason, it seemed proper to the Egyptians to remove it before it became greatly enlarged especially at the time where the girls were about to be married.
The surgery is performed in this way: have the girl sit on a chair while a muscled young man standing behind her places his arms below the girl’s thighs. Have him separate and steady her legs and whole body. Standing in front and taking hold of the clitoris with a broad-mouthed forceps in his left, the surgeon stretches it outward, while with the right hand, he cuts it off at the point next to the pincers of the forceps.
It is proper to let a length remain from that cut off, about the size of the membrane that’s between the nostrils, so as to take away the excess material only; as I have said, the part to be removed is at the point just above the pincers of the forceps. Because the clitoris is a skin-like structure and stretches out excessively, do not cut off too much, as urinary fistula may result from cutting such large growths too deeply.
After the surgery, it is recommended to treat the wound with wine or cold water, and wiping it clean with a sponge to sprinkle frankincense powder on it. Absorbent linen bandages dipped in vinegar should be secured in place, and a sponge in turn dipped in vinegar placed above. After the seventh day, spread the finest calamine on it. With it, either rose petals or a genital powder made from baked clay can be applied. This [prescription] is especially good: Roast and grind date pits and spread the powder on [the wound]; [this compound] also works against sores on the genitals’
Aëtius Amidenus “Tetrabibilion 16”

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