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Is nerve sparing clitoroplasty really a nerve sparing?

机译:神经滥本保密术真的是一种神经备受幸存吗?

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Background:Surgery for clitoral reduction has been practised for over half a century. The aim of clitoral surgery is to achieve normal clitoral morphology without compromising sexual function. To achieve these purposes, many techniques were developed since Young first reported reduction clitoroplasty in 1937. As the importance of the neurovascular bundle was realized, attempts were made to preserve this structure aiming at preservation of the sensory supply to the clitoris to achieve sexual satisfaction.MethodsThe study was conducted on six patients with congenital adrenal hyperplasia, who were operated upon with reduction clitoroplasty with neurovascular bundle preservation as a part of the genital reconstruction; surgery was done by single author (first author). Whole surgically removed corporal bodies were processed. Examination of the sections was done for the presence of nerve bundles related to the anatomical location of the neurovascular bundle using S100 immunohistochemical staining.ResultsIn four cases, the presence of nerve fibers in the removed part of the corpus stained by S100 was high on the dorsal surface, with the presence of large nerve fibers (score 3–4), and low on the ventral surface with the presence of small nerve fibers (score 1). In the other two cases, it was low on both surfaces (score 1).ConclusionSubfacial clitoroplasty technique carries an inevitable risk of nerve injury and should be replaced by the subtunical technique.Level of evidenceIV. Type of study: case series with no comparison group.
机译:背景:在半个世纪半个世纪中练习了阴蒂减少手术。阴蒂手术的目的是在不影响性功能的情况下实现正常的阴蒂形态。为了实现这些目的,自1937年开始综合减少阴性成形术以来发达了许多技术。作为神经血管束的重要性,使得尝试保留这种结构,旨在保护对阴蒂的感官供应来实现性满足。方法研究了六个先天性肾上腺增生患者进行的研究,他被视为患有神经血管束保存的减少阴性成形术,作为生殖器重建的一部分;手术由单一作者(第一作者)完成。整个手术删除的体组被加工。检查部分的剖腹产有与使用S100免疫组织化学染色的神经血管束的解剖定位有关的神经束的存在。四种情况下,在S100染色的核染色部分中的神经纤维的存在高表面,存在大神经纤维(得分3-4),并且在腹面上较低,存在小神经纤维(得分1)。在另外两种情况下,它在两个表面(得分1)上很低.Clorusub习惯的阴性成形术技术携带神经损伤的不可避免的风险,并且应该被杂志所取代。有线电视。研究类型:案例系列没有比较组。

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