Reduction clitoroplasty by dorsal approach: refinement of the nerve sparing technique

waligora M1, Palma P2, Lages S3, Waligora de Carvalho Lages E3, Waligora de Carvalho Lages H3

Research Type

Clinical

Abstract Category

Female Sexual Dysfunction

Abstract 192
Surgical Videos 2
Scientific Podium Video Session 16
Friday 19th September 2025
15:22 - 15:30
Parallel Hall 2
Female Genital Reconstruction Surgery
1. Albert Einstein Hospita, Sao Paulo, Brazil, 2. UNICAMP, BRAZIL, 3. Albert Einstein Hospital, Sao Paulo Brazil
Presenter
M

Miriam waligora
Albert Einstein Hospita, Sao Paulo, Brazil
Links

Abstract

Introduction 
Clitoromegaly is described as a clitoreal shaft over 3.5 cm.
It may cause disconfort, shame and has a negative impact in sexuality.
Design 
we present a case of clitoromegaly due to the use og anabolysing hormones.
The clitoreal shaft measured 5 cm an caused disconfort an shame.
We performed a dordal approach, using a supra clitoreal arciform incision.
A stay suture is placed at the glans clitoris to faciliatar dissection (Fig 1)
After dissecting the hood, we isolated the dorsal neurovascular bundle as in all nerve sparing procedure (fig 2).
The modified Nesbit plication was made bilaterally, resulting in a 2 cm long shaft.
The exceeding hood was trimmed off ane the skin reconstruction was made wit 4-0 absorbable sutures.
Results 
The cosmetic and functional was excellent and the patien very satsfied.
Conclusion 
Reduction clitoroplasty by dorsal approach is a very good alternative in the management of selected cases of clitoromegaly.
Figure 1 A stay suture is placed at the glans clitoris to facilitate dissection.
Figure 2 The dorda neurovascular bundle is isoleted #3
Disclosures
Funding None Clinical Trial No Subjects Human Ethics not Req'd It is an approved surgical technique Helsinki Yes Informed Consent Yes
13/07/2025 08:40:04