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Medicine Group Case Report Article ID: igmin254

A Rare Entity of Idiopathic Clitoromegaly with HBsAg Positive Status Managed with Dorsal Nerve Sparing Clitoroplasty

Obstetrics & Gynecology Surgery DOI10.61927/igmin254 Affiliation

Affiliation

    1Assistant Professor, Department of Burns and Plastic Surgery, NAMS, Bir Hospital, Nepal

    2Associate Professor, Department of Burns and Plastic Surgery, NAMS, Bir Hospital, Nepal

    3Professor, Department of Burns and Plastic Surgery, NAMS, Bir Hospital, Nepal

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Abstract

Clitoromegaly, defined as an enlarged clitoris with a clitoral index of more than 35 mm2 is a frequently seen congenital malformation but an idiopathic entity is a rare one. The most acceptable method of treatment of clitoromegaly is clitoroplasty with preservation of neurovascular pedicle to glans to achieve normal genital anatomy and to preserve tactile sensation. We present a rare case of idiopathic clitoromegaly managed by dorsal nerve sparing reduction clitoroplasty in an HBsAg-positive patient. 

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References

    1. Nigam A, Prakash A, Sarema P, Yadav R, Raghunandan C. Hirsutism and abnormal genitalia. J Indian Acad Clin Med. 2011;12:46-48. Available from: https://www.researchgate.net/publication/254311860_Hirsutism_and_Abnormal_Genitalia
    2. Tuteja N, Saluja S, Jain SK, Yadav A, Agarwal LD, Hooja N. Congenital idiopathic isolated clitoromegaly. Int J App Basic Med Res. 2014;4:192-194.
    3. Kaefer M. Management of abnormalities of the genitalia in girls. In: Campbell-Walsh-Wein Urology. 12th ed. Philadelphia: Elsevier; 2020; 975. Available from: https://shop.elsevier.com/books/campbell-walsh-wein-urology/partin/978-0-323-54642-3
    4. Kujur AR, Joseph V, Chandra P. Nerve sparing clitoroplasty in a rare case of idiopathic clitoromegaly. Indian J Plast Surg. 2016;49:86-90. Available from: https://doi.org/10.4103/0970-0358.182241
    5. Lezzi ML, Lasorella S, Varriale G, Zagaroli L, Ambrosi M, Verrotti A. Clitoromegaly in childhood and adolescence: behind one clinical sign, a clinical sea. Sex Dev. 2018;12:163-174. Available from: https://doi.org/10.1159/000489385
    6. Copcu E, Aktas A, Sivrioglu N, Copcu O, Oztan Y. Idiopathic isolated clitoromegaly: a report of two cases. Reprod Health. 2004;1:4. Available from: https://doi.org/10.1186/1742-4755-1-4
    7. Rawat J, Singh S. Sensation preserving clitoral reduction surgery: a preliminary report of our experience. Afr J Paediatr Surg. 2022;19:23-26. Available from: https://doi.org/10.4103/ajps.ajps_32_21
    8. Kujur AR, Joseph V, Chandra P. Nerve sparing clitoroplasty in a rare case of idiopathic clitoromegaly. Indian J Plast Surg. 2016;49:86-90. Available from: https://doi.org/10.4103/0970-0358.182241
    9. Wahyudi I, Islianti PI, Situmorang GR, Rodjani A. Genital reconstruction in an adult female patient with idiopathic clitoromegaly: a case report. Int J Surg Case Rep. 2020;76:545-548. Available from: https://doi.org/10.1016/j.ijscr.2020.10.078
    10. Dawood W, Abdallah D, Soliman A, Khater D, Elsayed S, Omar M, et al. Is nerve sparing clitoroplasty really a nerve sparing? Afr J Urol. 2020;26:39. Available from: https://afju.springeropen.com/articles/10.1186/s12301-020-00046-5
    11. Mbarouk M, Lijohi F, Mteta AK, Kibona S, Itambu E. Idiopathic clitoromegaly: reduction clitoroplasty at Al-Rahma Hospital Zanzibar Tanzania: a case report and review of the literature. World J Adv Res Rev. 2021;11(02):276-279. Available from: http://dx.doi.org/10.30574/wjarr.2021.11.2.0361

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