Girth-reduction clitoroplasty ? a new technique: experience with 37 patients

Feminizing Genital Reconstruction: Experience with 52 Cases of Ambiguous Genitalia

“…The older technique of clitoral amputation (clitorodectomy) has given way to much more functionally and cosmetically satisfactory techniques. Simple recession techniques without reductions were cosmetically unacceptable and associated with uncomfortable priapism (16). However, some authors have reported good cosmetic and functional results from simple recession (6).…”

Feminising Genitoplasty: One-Stage Genital Reconstruction in Congenital Adrenal Hyperplasia: 30 Years' Experience

“…Different methods have been used to correct the hypertrophied clitoris, ranging from clitorectomy [4] to reduction clitoroplasty with excision of erectile cavernous tissue while preserving the neurovascular supply to the glans [6,10] and recession clitoroplasty [11]. Currently the preferred technique in our institution involves the main features of recession or plication clitoroplasty as initially described by Stefan et al [14] and modified by us.…”

Clitoroplasty: past, present and future

“…This technique has yielded excellent cosmetic and anatomical results. This technique was published in 1991 [17], but included follow-up of patients treated 18 years beforehand by Robert Fowler, who devised the technique in the early 1970's.…”

“…On the lateral side the new labia minora flaps are sutured to the labia majora, taking deep tissue in each stitch to create a fold. An ellipse or diamond shaped piece of redundant virilised labium majus is excised to make the posterior rounded end of the labium (reproduced from Hutson et al [17], with permission) rigidity of the vaginal wall during the orgasm and should be preserved during surgery for clitoral reduction. These studies have also shown the exact nature of the suspensory ligament of the clitoris enabling the surgeons to preserve this structure in order to maintain a natural lie of the clitoris after the surgery.…”

“…This technique also provides a satisfactory cosmetic appearance. In our institution, we have developed a single stage surgery combining the girth reduction clitoroplasty as described by Hutson et al [17] with flap vaginoplasty and the use of excess dorsal clitoral skin to create labia minora. The girth reduction clitoroplasty allows adequate reduction of any clitoris without dissection of the neurovascular bundle and also creates a normal hairpin bend of the clitoris (Fig.…”