title: Subtotal de-epithelialization and partial concealment of the glans clitoris: a modification to improve the cosmetic results of feminizing genitoplasty.
abstract: An unsatisfactory appearance of the external genitalia after otherwise successful genitoplasty may result from failure to reduce the size of a hypertrophied glans clitoris and change its appearance from a large bulbous structure to a small conical cap. A more pleasing cosmetic result can be achieved by modifying a technique for glansplasty originally described by Lattimer: subtotal glans de-epithelialization and partial glans concealment. Six patients with virilized external genitalia (3 with congenital adrenal hyperplasia, 2 with gonadal dysgenesis and 1 true hermaphrodite) underwent feminizing genitoplasty using this modified technique at ages 3 to 13 months. All patients have achieved pleasing cosmetic results that are vastly superior to our experience with other methods for clitoral reduction.
authors.affiliation: Department of Pediatric Urology, Children's Hospital of Pittsburgh, University of Pittsburgh, Pennsylvania.
authors.forename: M F
authors.initials: MF
authors.lastname: Bellinger
mesh_terms: D002987:Clitoris / Q000601:surgery*; D012734:Disorders of Sex Development / Q000601:surgery; D005260:Female; D005835:Genitalia / Q000002:abnormalities* / Q000601:surgery*; D006059:Gonadal Dysgenesis / Q000601:surgery; D006801:Humans; D007223:Infant; D008722:Methods; D014770:Virilism / Q000601:surgery