Clitoroplasty in intersex: a new technique

Area of Science:

• Gynecology
• Pediatric Surgery
• Urology

Background:

• Clitoroplasty is a surgical procedure to reduce the size of the clitoris.
• Existing techniques may compromise glans sensitivity and erectile function.
• There is a need for conservative clitoroplasty methods preserving sexual function.

Purpose of the Study:

• To present a new reduction clitoroplasty technique.
• To preserve the erogenous function of the clitoral glans.
• To maintain the erectile capacity of the clitoral crura.

Main Methods:

• The technique involves subtotal resection of the clitoral shaft.
• Preservation of the dorsal neurovascular bundle of the glans is a key feature.
• The procedure was performed on 8 patients.

Main Results:

• Excellent anatomical results were observed in 8 patients.
• One patient (12-year-old) experienced partial necrosis.
• Functional outcomes are currently unknown due to the young age of the patients.

Conclusions:

• This reduction clitoroplasty technique is the most conservative reported to date.
• The method aims to preserve glans erogenous sensitivity and crura erection.
• Further long-term studies are required to assess functional outcomes.