INTRODUCTION: Moderate clitoris hypertrophy has been described in 25% of the women. When its shape and volume disturb at the sexual activity, combined or not by psychological problems, initially patients search for help from gynecologists and or by endocrinologists and not rarely are send to plastic surgeons. Our experience is based on 9 patients with ambiguous external genitalia, submitted to these surgeries during the last 15 years. Three cases were selected to demonstrate the obtained results with the technique. Two female patients with Prader type II clitoris aspect were selected; one of them presents the problem at adult age and, in the other, the etiology was possible congenital. The third patients presented hypertrophic clitoris combined with pseudo-hermaphroditism with ovarium, atrophic testicles as described in Prader Type V. METHODS: The all three patients were submitted to clitoris reduction by dissection of the mucous-cutaneous covering and its excess buried by suture. The third patient with pseudo-hermaphroditism had also neo-vagina reconstruction. RESULTS: The surgical procedures preserved esthetic and sensibility, with clitoris dimensions reduction. CONCLUSION: The surgical procedures presented moderate simplicity, but within the surgical criteria to preserve the functions and the external genitalia anatomy.
Vulva; Genitalia, female
