Nerve-Sparing Reconstructive Surgery for Cosmetic Repair in Idiopathic Clitoral Glans Enlargement: Clinical Experience with 23 Patients

Authors : Turan Şahin, Savaş Özgür Ağlamış, Eda Adeviye Şahin, Hanıfı Sahın

Pages : 129-134

Doi:10.33713/egetbd.1770753

View : 21 | Download : 41

Publication Date : 2025-12-31

Article Type : Research Paper

Abstract :OBJECTIVE: In this study, we aim to share our experiences and surgical outcomes using our original clitoral glans reconstruction technique in patients with isolated clitoral hypertrophy MATERIALS and METHODS: A single-center retrospective case series was conducted between January 2018 and November 2024. Twentythree patients, aged 16 to 23, who presented with complaints of excessive clitoral head growth during and immediately after puberty were examined. RESULTS: A total of 23 clitoroplasty procedures were performed and no serious life-threatening complications developed. Viability of all glans was preserved. Two minor complications occurred in two patients: In the first patient, the stitches were opened within the first week after surgery and were quickly re-stitched under local anesthesia. The second complication was that one of our patients developed superficial subcutaneous necrosis in a10% part of the clitoral glans, but 0.5 cc platelet rich plasma was applied to increase the blood circulation of this area and the area healed over time. No significant change was observed in FSFI (Female Sexual Function Index) values before and 6 months after the procedure in sexually active patients. As a result, it was observed that there was no negative impact on sexual function with a low complication rate and successful recovery. CONCLUSION: Clitoral hypertrophy revision surgeries have evolved from amputation surgery to reduction surgery with the development of modern surgical techniques. Further studies with a larger number of patients are required to confirm the data of this study.
Keywords : Klitoris ameliyatı, klitoris/anormallikler, rekonstrüktif cerrahi işlemler/yöntemler, kadın cinsel fonksiyon indeksi, tedavi sonucu, ergen

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