Sagehashi N
Department of Plastic Surgery, Maebashi Red Cross Hospital, Gunma, Japan.
Plast Reconstr Surg. 1993 Apr;91(5):950-5; discussion 956.
For preservation of postoperative sensitivity of the glans clitoris, clitoroplasty for clitoromegaly due to adrenogenital syndrome is reported. The operative technique includes the removal of ventral corporal tissue, taking care to avoid damage to the dorsal neurovascular bundle. A small lump of glandular tissue, which is connected with the neurovascular bundle, is left over and affixed to the pubic bone. Postoperative appraisal of patients in whom this technique has been applied is satisfactory. However, precise assessment of glandular sensation is not possible because of the patients' young ages. Follow-up investigation at puberty is necessary for a final, proper appraisal.
为保留术后阴蒂头的敏感性,本文报道了针对肾上腺性征综合征所致阴蒂肥大的阴蒂成形术。手术技巧包括切除腹侧海绵体组织,注意避免损伤背侧神经血管束。将一小团与神经血管束相连的腺体组织保留下来并固定于耻骨。应用该技术的患者术后评估结果令人满意。然而,由于患者年龄较小,无法对腺体感觉进行精确评估。青春期进行随访调查对于最终的恰当评估是必要的。