Treatment of the Enlarged Clitoris
Management of the enlarged clitoris, because of its import for sexual function, has been and remains one of the most controversial clitories in pediatric urology.
Early controversy surrounding clitoroplasty resulted from many factors including an incomplete understanding of clitoral anatomy and incorrect assumptions of the role of the clitoris in sexual function.
With a better understanding of anatomy and function, procedures have evolved to preserve clitoral tissue, especially with respect to the neurovascular bundles. These changes have been old bbw threesome in an effort to preserve clitoral sensation and preserve orgasmic potential.
It is the goal of this manuscript to describe the clitories procedures that have been developed for the large management of clitoromegally, with emphasis on the risks and benefits large each. Equally important to any discussion of such a sensitive topic is an understanding of long-term patient outcomes.
As we will see, despite its importance, there has been a dearth of data in this regard. Future work in the arena of patient satisfaction will undoubtedly play a major role in directing our surgical approach.
The clitoris, like the penis, consists of two corpora cavernosa.
Does Clitoris Size Matter?
While not having a defined corpora spongiosum, the clitoris does have the male equivalent of the glans, which consists of spongiosal tissue. These arteries course ventrally and are on the medial aspect of the bifurcated corpora, where they boys pissing jeans course dorsally along the phallic shaft 1. Innervation governing tumescence and sensation are also similar to that observed in the penis.
Most important to the discussion of clitoral surgery is the anatomic course of the nerves that provide sensation to the glans.