Clitoral frenuloreduction: A new surgical intervention

Heliyon. 2019 Jan 18;5(1):e01098. doi: 10.1016/j.heliyon.2018.e01098. eCollection 2019 Jan.

Abstract

Background: A clitoral frenuloreduction surgical intervention has not been described in the medical literature and through clinical-scientific research, a new surgical clitoral frenuloreduction intervention was developed. This procedure is based on the new anatomical discovery of the clitoral infrafrenulum fascial bundle, which is the deep stratum of the clitoral frenulum.

Methods: A descriptive case series clinical research was designed with objectives to: develop a new clitoral frenuloreduction surgical intervention; evaluate surgical outcomes; assess the impact of this operation on genital self-perceived body image; female sexual activities; and to record complications. The primary outcome measured the ability to implement a new clitoral frenuloreduction surgical intervention. The secondary outcome measured: surgical outcome; the impact of this operation on external genital self-perceived body image; female sexual activities; quality of life; and recording potential complications. The validated instruments were used in the study.

Results: A clitoral frenuloreduction surgical intervention was executed in the procedure room on an outpatient basis under local anesthesia with light conscious sedation (oral Valium and Phenergan rectal suppositories). No complications were recorded. Three-consecutive women were subjected to a new clitoral frenuloreduction surgical procedure. The average time of surgery was 27 minutes. Improvement of sexual activities, quality of life, self-perceived body image, social life, and no feelings of regret of undergoing surgery was recorded.

Conclusions: In the current study, clitoral frenuloreduction was easy to implement without complications and with very pleasing aesthetic surgical outcomes. Self-perceived body image, quality of life, and sexual activities improved.

Keywords: Reproductive medicine; Surgery.