Reduction clitoroplasty: a technique for debulking the enlarged clitoris

Clitoral reduction, especially in an adult, is a rare procedure which often leaves the glans clitoris without the capacity for tactile sensation. We present the case of a 34-year-old woman with symptomatic clitoromegaly since puberty who underwent a clitoral reduction procedure designed to preserve the neurovascular supply of the glans clitoris. The surgical technique presented here removes the corpora cavernosa of the clitoris, but conserves important neurovascular attachments. While this procedure was done on an adult, it could just as easily be performed on children or adolescents with clitoromegaly, typically the at-risk group for this condition.