Moulton Laura J, Jernigan Amelia M
Cleveland Clinic Foundation, Ob/Gyn and Women's Health Institute, 9500 Euclid Ave. A81, Cleveland, OH 44195, USA.
Division of Gynecologic Oncology, Ob/Gyn and Women's Health Institute, 9500 Euclid Ave. A81, Cleveland, OH 44195, USA.
Case Rep Obstet Gynecol. 2017;2017:2402145. doi: 10.1155/2017/2402145. Epub 2017 Feb 19.
The prevalence of genital piercing among women is increasing. As the popularity increases, the number of complications from infection, injury, and retained jewelry is likely to rise. Techniques to remove embedded jewelry are not well described in the literature. The purpose of this report was to describe a case of a patient with a retained clitoral glans piercing, discuss a simple technique for outpatient removal, and review current evidence regarding associated risks of clitoral piercings. A 24-year-old female presented to the emergency department with an embedded clitoral glans piercing. Local anesthetic was injected into the periclitoral skin and a small superficial vertical incision was made to remove the ball of the retained barbell safely. In conclusion, among patients with retained genital piercing, outpatient removal of embedded jewelry is feasible. While the practice of female genital piercing is not regulated, piercing of the glans of the clitoris is associated with increased injury to the nerves and blood supply of the clitoris structures leading to future fibrosis and diminished function compared to piercing of the clitoral hood.
女性生殖器穿孔的患病率正在上升。随着其普及程度的提高，因感染、损伤和残留首饰导致的并发症数量可能会增加。文献中对取出嵌入首饰的技术描述不多。本报告的目的是描述一例阴蒂头穿孔残留的病例，讨论一种门诊取出的简单技术，并回顾有关阴蒂穿孔相关风险的现有证据。一名24岁女性因阴蒂头穿孔残留就诊于急诊科。在阴蒂周围皮肤注射局部麻醉剂，并做一个小的浅表垂直切口，以安全取出残留杠铃球。总之，在生殖器穿孔残留的患者中，门诊取出嵌入首饰是可行的。虽然女性生殖器穿孔的行为没有受到监管，但与阴蒂包皮穿孔相比，阴蒂头穿孔会增加对阴蒂结构神经和血液供应的损伤，导致未来纤维化和功能减退。
