PMC4878251_01
Preoperative image showing enlarged clitoris and glans with deficient labia minora (original)
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F1
A 20-year-old female presented with an enlarged clitoris [Figure 1].
Incision on body of clitoris (original)
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F2
The ventral connection of the skin was preserved [Figures 2 and 3].
Semicircular skin incision has been given. A stay suture has been placed in the glans clitoris. A Foley catheter exits from the urethra (original)
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F3
The ventral connection of the skin was preserved [Figures 2 and 3].
Skin over the clitoral shaft has been reflected to reveal Buck's fascia (original)
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F4
Tourniquet was applied to the base using a vascular loop [Figure 4].
Longitudinal incision has been made to elevate the dorsal neurovascular bundle (original)
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F5
The dorsal neurovascular bundle dissected off the corpora and retracted with vascular loop. A separate vascular loop used as tourniquet to maintain haemostasis at the base of the phallus. The ventral cutaneous pedicle is isolated and reflected downward (original)
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F6
The dorsal neurovascular bundle was isolated and lifted off the phallic shaft using a vascular loop [Figure 6].
Extent of resection (original)
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F7
The two crura were identified, clamped and the mid body of the corpora resected [Figure 7].
Immediate postoperative image showing Neo Clitoris, Neo labial minora creation (original)
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F8
After haemostasis was confirmed, the skin was closed with 4-0 vicryl interrupted sutures to re-approximate the labia minor and the clitoris [Figures 8 and 9].
Late postoperative image (original)
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F9
After haemostasis was confirmed, the skin was closed with 4-0 vicryl interrupted sutures to re-approximate the labia minor and the clitoris [Figures 8 and 9].
Cross-section of the clitoris (original)
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F10
This will eventually help the patient in sexual life as the sensation to the clitoris in our patient was preserved [Figure 10].