Clitoral frenuloreduction: A new surgical intervention

Abstract

BackgroundA clitoral frenuloreduction surgical intervention has not been described in the medical literature and through clinical-scientific research, a new surgical clitoral frenuloreduction intervention was developed. This procedure is based on the new anatomical discovery of the clitoral infrafrenulum fascial bundle, which is the deep stratum of the clitoral frenulum.MethodsA descriptive case series clinical research was designed with objectives to: develop a new clitoral frenuloreduction surgical intervention; evaluate surgical outcomes; assess the impact of this operation on genital self-perceived body image; female sexual activities; and to record complications. The primary outcome measured the ability to implement a new clitoral frenuloreduction surgical intervention. The secondary outcome measured: surgical outcome; the impact of this operation on external genital self-perceived body image; female sexual activities; quality of life; and recording potential complications. The validated instruments were used in the study.ResultsA clitoral frenuloreduction surgical intervention was executed in the procedure room on an outpatient basis under local anesthesia with light conscious sedation (oral Valium and Phenergan rectal suppositories). No complications were recorded. Three-consecutive women were subjected to a new clitoral frenuloreduction surgical procedure. The average time of surgery was 27 minutes. Improvement of sexual activities, quality of life, self-perceived body image, social life, and no feelings of regret of undergoing surgery was recorded.ConclusionsIn the current study, clitoral frenuloreduction was easy to implement without complications and with very pleasing aesthetic surgical outcomes. Self-perceived body image, quality of life, and sexual activities improved.

The Clitoris—An Appraisal of its Reproductive Function During the Fertile Years: Why Was It, and Still Is, Overlooked in Accounts of Female Sexual Arousal

“…Women who have common aberrations of their clitoral structure, such as their clitoral frenulum fusing with the labia, can report low sexual desire, pain, and difficulty in clitoral stimulation. It has been recently claimed that new clitoral surgery (clitoral frenuloreduction), admittedly in only three cases, improves their sexual activity, quality of life, self-assessed body image and sexual intimate function (Ostrzenski, 2019). Confirmation of the outcomes of the new surgical interventions needs to be undertaken by others in a greater number of patients.…”

Trilobal Methods for Composite Reduction Labiaplasty

“…The clitoral-labial triangle that contains the clitoral hood, clitoral glans, clitoral frenulum, and superior aspect of the labia minora is an important supporting structure and sex-sensitive area [ 6 , 7 ]. If the triangle is damaged, the natural junction between the clitoris prepuce and the labia minora, which is difficult to repair, will be destroyed.…”

“…This triangle is an important supporting structure and a sex-sensitive unit located in the midline of the vulva and cannot be destroyed [ 6 ]. Disrupting this anatomical structure during surgery leads to severe complications of the clitoral stabilizing mechanism, including clitoral glans stability [ 7 ]. In this study, a novel trilobal labiaplasty method for the simultaneous correction of labia minora hyperplasia and lateral clitoral folds via mixed edge and wedge resection techniques is reported.…”