Staged Reconstruction of the Labia Minora and Reduction Clitoroplasty for Female Pseudohermaphroditism

Five young pseudohermaphrodite girls with clitoromegaly genital abnormalities are presented. Considering the deficiency and hypogenesis of the local tissue in these young patients, the treatment was performed as a staged operation. First, the cavernosa was mostly removed, and a clitoroplasty was performed to form a clitoris with part of the glans. At 2 weeks after the surgery, the labia minora reconstruction was performed to restore female vulvae using a foreskin flap. The results showed that the transferred foreskin flaps survived well without complications. The vulvae appearance was very good and very much resembled normal female external genitals, both aesthetically and functionally. The authors’ experiences have shown that the staged surgical technique could maximize tissue survival to achieve well-formed and aesthetically accurate vulvae.