Clitoroplastia na correção de hipertrofia de clitóris: descrição de uma técnica poupadora de estruturas neurovasculares
Clitoroplasty in the correction of clitoral hypertrophy: description of a technique that spares neurovascular structures
Felipe Lima Jacob; Nyara Rodrigues Conde de Almeida; Lívia Guerreiro de Barros Bentes; Rafael Silva Lemos; João Felipe de Sousa Barbosa; Katia Simone Kietzer; Luis Otavio Amaral Duarte Pinto; Edson Yuzur Yasojima
Resumo
A hipertrofia do clitóris é uma condição que repercute negativamente na vida íntima da mulher e pode causar constrangimento e impacto na vida sexual. O artigo descreve uma técnica cirúrgica de clitoroplastia realizada com incisão subcoronal circunferencial de 360° apenas na pele e na túnica de Dartos para evitar danos neuronais, seguida do desenluvamento até a base do clitóris, preservando o feixe neurovascular dorsal. Prosseguiu-se com a amputação do corpo do clitóris, preservando 0,5 cm do coto da haste clitoriana, e a glande suturada ao restante do tecido esponjoso remanescente. Destaca-se, por fim, que não houve queixas de perda de sensibilidade ou disfunções sexuais no pós-operatório.
Palavras-chave
Abstract
Clitoral hypertrophy is a condition that has a negative impact on a womans intimate life and can cause embarrassment and impact on her sexual life. The article describes a surgical technique of clitoroplasty performed with a 360° circumferential subcoronal incision only in the skin and Dartos tunica to avoid neuronal damage, followed by degloving to the base of the clitoris, preserving the dorsal neurovascular bundle. The body of the clitoris was amputated, preserving 0.5 cm of the stump of the clitoral shaft, and the glans was sutured to the rest of the remaining spongy tissue. Finally, it is noteworthy that there were no complaints of loss of sensitivity or sexual dysfunctions post-operatively.
Keywords
Referências
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Submetido em:
08/06/2024
Aceito em:
12/09/2024
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