The Journal of Urology
Volume 178, Issue 4, Supplement , Pages 1598-1601 , October 2007

Nerve Sparing Ventral Clitoroplasty: Analysis of Clitoral Sensitivity and Viability

  • Jennifer Yang
    • ,
  • Diane Felsen
    • ,
  • Dix P. Poppas

      Affiliations

    • Corresponding Author InformationCorrespondence: Institute for Pediatric Urology, Rodgers Family Professor of Pediatric Urology, New York Presbyterian Hospital, Weill Medical College of Cornell University, 525 East 68th St., Box 94, New York, NY 10021 (telephone: 212-746-5337; FAX: 212-746-8065).

References 

  1. Maharaj NR, Dhai A, Wiersma R, Moodley J. Intersex conditions in children and adolescents: surgical, ethical, and legal considerations. J Pediatr Adolesc Gynecol. 2005;18:399
  2. Krege S, Walz KH, Hauffa BP, Korner I, Ruben H. Long-term follow-up of female patients with congenital adrenal hyperplasia from 21-hydroxylase deficiency, with special emphasis on the results of vaginoplasty. BJU Int. 2000;86:253
  3. Lee PA, Witchel SF. Genital surgery among females with congenital adrenal hyperplasia: changes over the past five decades. J Pediatr Endocrinol. 2002;15:1473
  4. Clayton PE, Miller WL, Oberfield SE, Ritzen EM, Sippell WG, Speiser PW. ESPE/ LWPES CAH Working Group (Consensus statement on 21-hydroxylase deficiency from the Lawson Wilkins Pediatric Endocrine Society and the European Society for Paediatric Endocrinology). J Clin Endocrinol Met. 2002;87:4048
  5. Poppas DP, Hochsztein AA, Baergen RN, Loyd E, Chen J, Felsen D. Nerve sparing ventral clitoroplasty preserves dorsal nerves in congenital adrenal hyperplasia. J Urol, part 2. 2007;178:1802
  6. Vanden Broucke H, Everaert K, Peersman W, Claes H, Vanderschueren D, Van Kampen M. Ejaculation latency times and their relationship to penile sensitivity in men with normal sexual function. J Urol. 2007;177:237
  7. Jones HW, Wilkins L. Gynecological operations in 94 patients with intersexuality. Am J Obstet Gynecol. 1961;82:1142
  8. Lattimer JK. Relocation and recession of the enlarged clitoris with preservation of the glans: an alternative to amputation. J Urol. 1961;86:113
  9. Randolph JG, Hung W. Reduction clitoroplasty in females with hypertrophied clitoris. J Pediatr Surg. 1970;5:224
  10. Spence HM, Allen TD. Genital reconstruction in the female with adrenogenital syndrome. Br J Urol. 1976;45:126
  11. Mollard P, Jusskiewenskim S, Sarkissian J. Clitoroplasty in intersex: a new technique. Br J Urol. 1982;53:341
  12. Rajfer J, Ehrlich RM, Goodwin WE. Reduction clitoroplasty via ventral approach. J Urol. 1982;128:341
  13. Hutson JM, Voigt RW, Luthra M, Kelly JH, Fowler R. Girth-reduction clitoroplasty—a new technique: experience with 37 patients. Pediatr Surg Int. 1991;6:336
  14. Money J, Hampson JG, Hampson JL. Hermaphroditism: recommendations concerning assignment of sex, change of sex and psychologic management. Bull Johns Hopkins Hosp. 1955;97:284
  15. Gross RE, Randolph J, Crigler JF. Clitorectomy for sexual abnormalities: indications and technique. Surgery. 1966;59:300
  16. Farkas A, Chertin B, Hadas-Halperin I. 1-Stage feminizing genitoplasty: 8 years of experience with 49 cases. J Urol. 2001;165:2341
  17. Sircili MHP, de Mendonca BB, Denes FT, Mareira G, Sanchez-Bachega TAS, Arnaldo de Queiroz e Silva F. Anatomical and functional outcomes of feminizing genitoplasty in patients with virilizing congenital adrenal hyperplasia. Clinics. 2006;61:209
  18. Minto CL, Liao LM, Woodhouse CR, Ransley PG, Creighton SM. The effect of clitoral surgery on sexual outcome in individuals who have intersex conditions with ambiguous genitalia: a cross-sectional study. Lancet. 2003;361:1252
  19. Crouch NS, Minto CL, Laio LM, Woodhouse CRK, Creighton SM. Genital sensation after feminizing genitoplasty for congenital adrenal hyperplasia: a pilot study. BJU Int. 2004;93:135
  20. Frost-Arner L, Aberg M, Jacobson S. Clitoral sensitivity after surgical correction in women with adrenogenital syndrome: a long-term follow-up. Scand J Plast Reconstr Hand Surg. 2003;37:356
  21. Baskin LS, Erol A, Li YW, Liu WH, Kurzrock E, Cuhn GR. Anatomical studies of the human clitoris. J Urol. 1999;162:1015
  22. Gearhart JP, Burnett A, Owen JH. Measurement of pudendal evoked potentials during feminizing genitoplasty: technique and application. J Urol. 1995;153:486
  23. Steiner MJ, DeWalt DA, Byerley JS. Is this child dehydrated?. JAMA. 2004;291:2746
  24. Osborn DA, Evans N, Kluckow M. Clinical detection of low upper body blood flow in very premature infants using blood pressure, capillary refill time and central-peripheral temperature difference. Arch Dis Child Fetal Neonatal Ed. 2004;89:F168
  25. Sherber NS, Wigley FM, Scher RK. Autoimmune disorders: nail signs and therapeutic approaches. Dermatol Ther. 2007;20:17

 Study received medical institution review board approval.

PII: S0022-5347(07)01335-3

doi: 10.1016/j.juro.2007.05.097

The Journal of Urology
Volume 178, Issue 4, Supplement , Pages 1598-1601 , October 2007

Article Tools