Hair tourniquet of the clitoris: A novel treatment

Zhong, Neng; Bhattacharyya, Ratul

doi:10.1016/j.epsc.2017.09.003

Cited by 5 publications

(3 citation statements)

References 8 publications

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“…Both general and local anesthesia were applied in 1 case report, in which labiaplasty was also performed 22 . In 1 case reported from the Caribbean, a packet of white cane sugar was applied to the clitoris, resulting in instant relief of edema and pain and easy removal of tourniquet with fine forceps 23 . Most cases involving excision of hair tourniquet reported immediate resolution of symptoms and return to normal anatomy and sensation, with no long-term complications.…”

Section: Resultsmentioning

confidence: 99%

“…22 In 1 case reported from the Caribbean, a packet of white cane sugar was applied to the clitoris, resulting in instant relief of edema and pain and easy removal of tourniquet with fine forceps. 23 Most cases involving excision of hair tourniquet reported immediate resolution of symptoms and return to normal anatomy and sensation, with no long-term complications. Reported complications include autoamputation of clitoral hood, hypertrophic clitoris, and labial skin necrosis, with pathology revealing benign squamous mucosa with hyperkeratosis, marked acute and chronic inflammation, and focal necrosis.…”

Section: Female Genitalia Httsmentioning

confidence: 97%

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Systematic Literature Review of Pediatric Male and Female Genital Hair Thread Tourniquet Syndrome

et al. 2022

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The aim of this study was to describe genital hair thread tourniquet syndrome (HTTS) and its treatment by pediatric and adolescent health care providers through a systematic literature review. Methods:We performed a systematic literature review on pediatric male and female genital HTTS. Studies were included if they involved genital HTTS in males or females 21 years and younger and were published in English. The main outcomes were body parts involved, symptoms, treatment, anesthetic type, providers involved in diagnosis and management, and implications of delayed or missed diagnosis.Results: There were 38 female cases from 33 publications and 147 male cases from 47 publications . The average age among females and males was 9.1 and 5.1 years, respectively. Among cases involving female patients, 93% of them were premenarchal; patients were circumcised in 90% of reviewed cases of male HTTS. The most commonly involved body parts were clitoris and labia minora in females, and penis and urethra in males. Males most commonly presented with edema and urinary symptoms, whereas females most commonly presented with edema and pain. General anesthesia was used for tourniquet excision in most cases. Male and female genital HTTS were mostly managed by urologists and emergency medicine physicians, respectively. Conclusion:This systematic literature review of more than 150 cases of male and female genital HTTS describes evaluation and management of genital HTTS spanning 7 decades. The main treatment of genital HTTS remains prompt diagnosis and removal of the tourniquet, as well as education on prevention strategies. Delayed diagnosis due to lack of recognition of the HTTS can lead to serious sequelae. Development of national guidelines regarding best practices in management of genital HTTS disseminated to all providers taking care of pediatric and adolescent patients will lead to improved patient care.

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Section: Resultsmentioning

confidence: 99%

Section: Female Genitalia Httsmentioning

confidence: 97%

Systematic Literature Review of Pediatric Male and Female Genital Hair Thread Tourniquet Syndrome

et al. 2022

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“…Both general and local anesthesias were administered in one case report, in which labiaplasty was also performed [17]. In one case reported from the Caribbean, a packet of white cane sugar was applied to the clitoris, resulting in instant relief of edema and pain and easy removal of the tourniquet with fine forceps [26]. Most cases involving excision of the hair tourniquet reported immediate resolution of symptoms and return to normal anatomy and sensation with no long-term complications.…”

Section: Discussionmentioning

confidence: 99%

The First Report of Isolated Clitoral Hood Hair-Thread Tourniquet Syndrome: A Study of Six Patients

AlJahdali

2022

Cureus

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Background and objectiveHair-thread tourniquet syndrome (HTTS) is a rare and potentially dangerous condition that occurs when a hair strand or fabric thread is wrapped around the penis, clitoris, toes, fingers, or other appendages, leading to focal edema, ischemia, and necrosis. This study aimed to examine the cases of six female patients with isolated clitoral hood HTTS. MethodsThis was a retrospective study involving six female patients (age range: two to six years) with isolated clitoral hood tourniquet who presented to the outpatient department (OPD) and emergency room (ER) of the pediatric and adolescent gynecology service at

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