Trends in conservative clitoroplasty

Area of Science:

• Surgical techniques in reconstructive urology
• Pediatric and adolescent gynecology
• Gender-affirming surgery

Background:

• Clitoroplasty is a surgical procedure to reconstruct or resize the clitoris.
• Previous techniques often resulted in suboptimal functional and aesthetic outcomes.
• A need exists for methods that preserve clitoral tissue and function.

Purpose of the Study:

• To present trends in a conservative clitoroplasty technique.
• To evaluate the morpho-functional results of this approach.
• To demonstrate the adaptability of the technique across varying degrees of virilization.

Main Methods:

• A retrospective review of 27 cases from 1980-1985.
• Description of a technique preserving maximal clitoral tissue.
• Utilization of preserved foreskin and shaft skin for labia minora reconstruction.
• Preservation of erectile function via corporal body mobilization and burial.
• Ventral muco-cutaneous pedicle preservation for the clitoral glans.

Main Results:

• The technique yielded safe and highly satisfying morpho-functional results.
• Maximal preservation of clitoral tissue was achieved.
• Labia minora were successfully reconstructed using available skin.
• Erectile function was maintained.
• The procedure was effective regardless of the degree of virilization.

Conclusions:

• Conservative clitoroplasty preserving maximal tissue offers excellent morpho-functional outcomes.
• This technique provides a safe and effective method for clitoral reconstruction.
• The described approach ensures preservation of both aesthetic and erectile functions.