Department of OB/GYN, Thomas Jefferson University, Philadelphia, PA 19107, USA.
J Sex Med. 2013 Jul;10(7):1889-92. doi: 10.1111/jsm.12113. Epub 2013 Feb 27.
Clitoral piercing is becoming more popular in the general populace, playing an aesthetic as well as likely sexual role. However, potential for injury also impacts future clitoral sexual function, thus highlighting the importance of proper repair.
To report a 29-year-old woman presented to the emergency department after a clitoral piercing injury. Examination revealed avulsion of most of the clitoral body. After the patient refused expectant and surgical management, reapproximation was performed using 2-octylcyanoacrylate.
2-Octylcyanoacrylate, commonly known as Dermabond(®) (Ethicon Inc., Somerville, NJ, USA), was used to reapproximate the clitoral laceration for this patient. It is a cyanoacrylate tissue adhesive, forming a strong bond between wound edges to allow for normal healing to occur below. Benefits of use are decreased time of repair, water-resistant flexible coating, and no need for suture removal.
The laceration was successfully reapproximated with 2-octylcyanoacrylate. The tissue held together satisfactorily and the patient was discharged to home. She was seen as an outpatient 3 days later, with a moderately tender and swollen clitoris, but with an intact repair and improved pain. A visit 8 weeks later showed a well-healed clitoris, and the patient reported resolution of pain and return of sexual function, with successful orgasms.
The delicacy of clitoral anatomy and the potential impact of its injury on future sexual function make it an intimidating area of repair for the general physician. The method of repair must be tailored to the injury, patient, and physician; however, 2-octylcyanoacrylate is a viable alternative to traditional surgical or expectant management, offering strength and flexibility while avoiding further trauma with suture.
阴蒂穿孔在普通人群中越来越流行，它不仅具有审美作用，还有可能起到性作用。然而，潜在的损伤也会影响未来的阴蒂性功能，因此强调了正确修复的重要性。
报告一位 29 岁女性因阴蒂穿孔损伤到急诊就诊。检查发现大部分阴蒂体被撕裂。在患者拒绝期待治疗和手术治疗后，使用 2-辛基氰基丙烯酸酯进行了重新接近。
2-辛基氰基丙烯酸酯，通常称为 Dermabond（®）（Ethicon Inc.，Somerville，NJ，USA），用于重新接近该患者的阴蒂裂伤。它是一种氰基丙烯酸酯组织粘合剂，在伤口边缘之间形成牢固的结合，以允许正常愈合。使用的好处包括修复时间缩短、防水、灵活的涂层和无需去除缝线。
成功地使用 2-辛基氰基丙烯酸酯重新接近了裂伤。组织紧密结合，患者出院回家。她在 3 天后作为门诊病人就诊，阴蒂中度触痛和肿胀，但修复完整，疼痛减轻。8 周后就诊时，阴蒂愈合良好，患者报告疼痛缓解，性功能恢复，成功达到性高潮。
阴蒂解剖结构的精细和其损伤对未来性功能的潜在影响使普通医生在修复方面感到畏惧。修复方法必须根据损伤、患者和医生进行调整；然而，2-辛基氰基丙烯酸酯是传统手术或期待治疗的可行替代方法，具有强度和灵活性，同时避免了缝线进一步创伤。
