Study of clitoral hood anatomy in the pediatric population

Brodie, Katie; Grantham, Erin C.; Huguelet, Patricia; Caldwell, Burton V.; Westfall, N.J.; Wilcox, Duncan T.

doi:10.1016/j.jpurol.2015.12.006

Cited by 26 publications

(7 citation statements)

References 10 publications

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“…Reports among adolescents are rare. Brodie et al [ 2 ] published data from 58 patients of different pediatric ages in order to create standard references for the anterior vulval structures, and examined the relationship between the clitoral hood and labia minora. They reported a mean clitoral diameter of 4.5 mm and mean length of 20.9 mm in girls aged 13–16 [ 2 ].…”

Section: Discussionmentioning

confidence: 99%

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Clitoromegaly due to an epidermal inclusion cyst: A case report

Fux-Otta

Fuster

Ramos

et al. 2022

Case Reports in Women's Health

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Section: Discussionmentioning

confidence: 99%

“…Clitoromegaly is often a sign of virilization caused by androgen excess [ 1 ]. Although rare, non-hormonal causes such as benign neoplasms require differential diagnosis [ 2 ]. We report the case of an adolescent with isolated clitoromegaly without clinical or biochemical evidence of hyperandrogenism.…”

Section: Introductionmentioning

confidence: 99%

Clitoromegaly due to an epidermal inclusion cyst: A case report

Fux-Otta

Fuster

Ramos

et al. 2022

Case Reports in Women's Health

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“…Variability exists with regard to the morphology of the clitoral hood. The four recognized morphologies include horseshoe, trumpet, coffee bean, and tent ( 4 ).…”

Section: Anatomymentioning

confidence: 99%

Treatment of the Enlarged Clitoris

Kaefer

Rink

2017

Front. Pediatr.

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Management of the enlarged clitoris, because of its import for sexual function, has been and remains one of the most controversial topics in pediatric urology. Early controversy surrounding clitoroplasty resulted from many factors including an incomplete understanding of clitoral anatomy and incorrect assumptions of the role of the clitoris in sexual function. With a better understanding of anatomy and function, procedures have evolved to preserve clitoral tissue, especially with respect to the neurovascular bundles. These changes have been made in an effort to preserve clitoral sensation and preserve orgasmic potential. It is the goal of this manuscript to describe the different procedures that have been developed for the surgical management of clitoromegally, with emphasis on the risks and benefits of each. Equally important to any discussion of such a sensitive topic is an understanding of long-term patient outcomes. As we will see, despite its importance, there has been a dearth of data in this regard. Future work in the arena of patient satisfaction will undoubtedly play a major role in directing our surgical approach.

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“…Neonatal clitoromegaly is defined as a clitoris length greater than 9 mm with most term infants having a clitoris length of 4-6 mm [4][5][6][7]. Clitoromegaly should raise the concern for a disorder of sex development (DSD).…”

Section: Introductionmentioning

confidence: 99%

New Onset Clitoromegaly in a Preterm Infant: Premature Ovarian Hyperstimulation Syndrome

Geliebter¹,

Derrick²,

Drzewiecki³

et al. 2021

Mathews Journal of Pediatrics

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Neonatal clitoromegaly can result from overproduction of androgens by the fetus, the mother, or the placenta. Premature infants can also appear to have clitoromegaly due to variations in external genitalia. The patient reported is an extremely preterm infant who was assigned female sex at birth with a normal physical exam other than premature features. At 35 weeks corrected gestational age (CGA), the patient developed significant clitoromegaly with elevated gonadotropins, androstenedione, and dehydroepiandrosterone sulfate (DHEA-S). Further workup yielded the diagnosis of Premature Ovarian Hyperstimulation Syndrome (POHS). Hormone levels declined over time and her clitoromegaly resolved without intervention. This case of POHS is the first to document elevated DHEA-S as part of the diagnosis. Elevated DHEA-S has not been previously reported in POHS and it is likely that it contributed to the clitoromegaly. Recognizing POHS is important as the associated clitoromegaly typically resolves.

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Study of clitoral hood anatomy in the pediatric population

Cited by 26 publications

References 10 publications

Clitoromegaly due to an epidermal inclusion cyst: A case report

Clitoromegaly due to an epidermal inclusion cyst: A case report

Treatment of the Enlarged Clitoris

New Onset Clitoromegaly in a Preterm Infant: Premature Ovarian Hyperstimulation Syndrome

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