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Clitoral avulsion successfully repaired with 2-octylcyanoacrylate
1Department of OB/GYN, Thomas Jefferson University, Philadelphia, PA 19107, USA.
The Journal of Sexual Medicine
|March 1, 2013
Summary
Clitoral piercing injuries can be effectively repaired using 2-octylcyanoacrylate, a tissue adhesive. This method offers a strong, flexible bond, promoting healing and restoring sexual function with minimal trauma.
Area of Science:
- Urology and Gynecology
- Wound Healing and Tissue Repair
- Medical Device Technology
Background:
- Clitoral piercings are increasingly popular, posing risks of injury that can impair sexual function.
- Prompt and effective repair of clitoral injuries is crucial for preserving sexual health.
- Traditional repair methods may involve sutures, potentially causing further trauma to delicate tissues.
Observation:
- A 29-year-old woman presented with a significant clitoral body avulsion following a piercing injury.
- The patient opted for repair with 2-octylcyanoacrylate (Dermabond®) over surgical or expectant management.
- The application of the tissue adhesive facilitated wound edge reapproximation.
Findings:
- Successful reapproximation of the clitoral laceration was achieved using 2-octylcyanoacrylate.
- The patient experienced initial swelling and tenderness, which resolved within 8 weeks.
- Full resolution of pain and restoration of sexual function, including orgasms, were reported.
Implications:
- 2-octylcyanoacrylate presents a viable, less invasive alternative for managing clitoral lacerations.
- This tissue adhesive offers a strong, flexible repair, potentially reducing complications and improving patient outcomes.
- The successful use highlights the importance of considering advanced wound closure techniques in sensitive anatomical areas.
