Subtunical total reduction clitoroplasty: a safe modification of existing techniques

Area of Science:

• Urology
• Gynecology
• Surgical Anatomy

Background:

• Clitoromegaly, or an enlarged clitoris, can cause significant psychological distress and functional issues.
• Surgical reduction of the clitoris is often necessary to address these concerns.

Purpose of the Study:

• To evaluate the safety and efficacy of subtunical resection for clitoromegaly.
• To assess the preservation of glans clitoris vascularity following the procedure.

Main Methods:

• Subtunical resection of hypertrophied cavernous tissue was performed.
• The surgical technique focused on maintaining the integrity of the neurovascular bundle supplying the glans.

Main Results:

• The procedure successfully reduced the size of the clitoral shaft and glans.
• Intact blood supply to the glans was maintained in all cases, indicating a safe surgical approach.

Conclusions:

• Subtunical resection is a viable and safe surgical alternative for diminishing clitoral size in cases of clitoromegaly.
• This technique effectively addresses cosmetic and functional concerns associated with an enlarged clitoris while preserving essential vascularity.