Clitoral reconstruction may preserve sexual function

Nearly 90% of patients reported preserved clitoral sensation and the ability to achieve orgasm following reconstruction.

1

In a single-center series, 18 patients with vulvar cancer underwent tumor excision followed by anatomically informed clitoral reconstruction.
2

After reconstruction, 16 of 18 patients reported preserved clitoral sensation, and 16 of 18 reported being able to achieve clitoral orgasm.
3

Median time to regain orgasmic function was 3.5 months, with recovery ranging from 1 to 12 months.
4

Reconstruction added an estimated 15 minutes to operative time; 2 patients had complications specifically related to the procedure.
5

The small, uncontrolled series relied mainly on self-reported sexual function, and the authors called for prospective studies with longer follow-up and multicenter collaboration.

1