Clitoral prepucioplasty with anterior commissure transposition: a case report and description of a new, minimally invasive surgical technique.

ABSTRACT

BACKGROUND: Clitoral prepucioplasty is a new surgical intervention for clitoral prepuce reconstruction. This procedure has not been described previously in the literature. CASE A 21-year-old, Caucasian woman, G0P0, presented with aesthetic concerns about her external genital anatomy, particularly the area surrounding the clitoral prepuce, which had significant excess folds of tissue on both sides. She underwent a new surgical procedure clitoral prepucioplasty with anterior commissure transposition. The redundant clitoral prepuce reconstruction with anterior commissure was performed under local anesthesia. Postoperatively, she gave an account of no feelings of regret about having the operation, and her negative emotional-social feelings about her anatomic aberrations, clitoral area unattractiveness, sexual undesirability, embarrassment during sexual contacts, very low self-perceived body image, and decreased quality of intimate and social life had subsided. No intraoperative or postoperative complications were observed. CONCLUSION: The redundant clitoral prepuce reconstruction was easy to perform and resulted in aesthetically pleasing outcomes, improved quality of life, improved self-perceived body image, and increased sexual desire and frequency.