The closing of the vaginal opening required defibulation together with clitoroplasty according to the wishes of the patient.
Keywords: Female Genital Mutilation, Complications, Defibulation, Clitoroplasty, Cystectomy
Mots-cles: Mutilation genitale feminine, Complications, defibulation, clitoroplasty, cystectomie
Bowers provides in her practice is functional clitoroplasty
for females who have undergone genital mutation, a procedure that has impacted an estimated 140 million women worldwide, especially those in Indonesia.
INTRODUCTION: Clitoroplasty is the most widely practised corrective surgery for clitoromegaly, but it is feared as nerve destruction during surgical removal of excess erectile tissue may occur.
Nerve sparing ventral clitoroplasty was done which is a new treatment where nerves to clitoris are spared so that the sensation is preserved.
KEY WORDS: Congenital adrenal hyperplasia, Clitoromegaly, Virilization, Clitoroplasty, Ambiguous genitalia.
Her management comprised surgical correction of enlarged phallus by clitoroplasty with dorsal neurovascular bundle preservation and glucocorticoid replacement therapy.
The standard therapy for CAH is steroids replacement (tab: hydrocortisone, prednisone or dexamethasone), fludrocortisone (given in salt losing type), and clitoroplasty
and vaginoplasty in virilized females, if indicated6.
The core surgical interventions for MTF transsexuals are penectomy, orchidectomy, vaginoplasty, labiaplasty, and clitoroplasty.
However, it should be noted that some surgeons prefer a two-stage operation, performing the labiaplasty and clitoroplasty after the initial vaginoplasty has fully healed (Bowman & Goldberg, 2006; Sutcliffe et al.
The "core" surgical procedures identified for MTF transsexuals are clitoroplasty
, labiaplasty, orchidectomy, penectomy, and vaginoplasty (Sutcliffe et al.