Clitoral Adhesiolysis: Technique and Patient Selection

E. S. Johnson, A. S. Trikhacheva, K. L. Dengler, R. S. Rubin, C. M. Vaccaro

clitoral adhesions, clitoral phimosis, clitoral adhesiolysis, clitoral pain

Clitoral adhesions occur when the clitoral prepuce fuses to the glans clitoris and obscures visualization of the corona. This finding can correlate with clitoral hyper- or hyposensitivity, discomfort or clitorodynia, and/or difficulty with arousal and orgasm. In this video, we present a visual demonstration of clitoral adhesiolysis using three patient examples, each with increasing complexity. We provide an overview of patient selection and pre-procedure set-up, and patient analgesia. We include descriptions of several techniques for troubleshooting severe causes, including use of mosquito forceps, fine-tipped forceps and lacrimal duct dilators. A method for making a small incision in the prepuce is presented, if other techniques are inadequate. Finally, we discuss our approach to post-procedure care aimed at preventing recurrent adhesions. Lysis of clitoral adhesions is a low-risk procedure that has the potential to improve sexual function in symptomatic patients. Increased provider awareness and comfort with performing non-surgical clitoral adhesiolysis can improve patient access to this intervention.

None.

The authors have nothing to disclose

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