Revista do Colégio Brasileiro de Cirurgiões (Nov 2024)

Clitoroplasty in the correction of clitoral hypertrophy: description of a technique that spares neurovascular structures

  • FELIPE LIMA JACOB,
  • NYARA RODRIGUES CONDE DE ALMEIDA,
  • LÍVIA GUERREIRO DE BARROS BENTES,
  • RAFAEL SILVA LEMOS,
  • JOÃO FILIPE DE SOUSA BARBOSA,
  • KATIA SIMONE KIETZER,
  • LUIS OTAVIO AMARAL DUARTE PINTO,
  • EDSON YUZUR YASOJIMA

DOI
https://doi.org/10.1590/0100-6991e-20243781-en
Journal volume & issue
Vol. 51

Abstract

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ABSTRACT Clitoral hypertrophy is a condition that has a negative impact on a womans intimate life and can cause embarrassment and impact on her sexual life. The article describes a surgical technique of clitoroplasty performed with a 360° circumferential subcoronal incision only in the skin and Dartos tunica to avoid neuronal damage, followed by degloving to the base of the clitoris, preserving the dorsal neurovascular bundle. The body of the clitoris was amputated, preserving 0.5 cm of the stump of the clitoral shaft, and the glans was sutured to the rest of the remaining spongy tissue. Finally, it is noteworthy that there were no complaints of loss of sensitivity or sexual dysfunctions post-operatively.

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