Evidence map›Paper›PMID 29892488›Full record

ArticleArab journal of urology2018

Clitoroplasty: A variant of the technique by Acimi.

Smail Acimi, Mohammed Ali Acimi, Lamia Debbous, Mimouna Bessahraoui, Ibtisseme Bouanani

Abstract read
In one paragraph

Article in Arab journal of urology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. RE: Complete corporeal preservation clitoroplasty: new insights into feminizing genitoplasty.International braz j urol : official journal of the Brazilian Society of Urology
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Smail AcimiDepartment of Visceral Surgery, Children's Hospital Canastel, Faculty of Medicine, University of Oran, Oran, Algeria.
Mohammed Ali AcimiDepartment of Visceral Surgery, Children's Hospital Canastel, Faculty of Medicine, University of Oran, Oran, Algeria.
Lamia DebbousDepartment of Visceral Surgery, Children's Hospital Canastel, Faculty of Medicine, University of Oran, Oran, Algeria.
Mimouna BessahraouiGastroenterology and Endocrinology, Children's Hospital Canastel, Faculty of Medicine, University of Oran, Oran, Algeria.
Ibtisseme BouananiDepartment of Pediatric Surgery, CHU of Sidi Bel Abbes, University of Sidi Bel Abbes, Sidi Bel Abbes, Algeria.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo evaluate the mid-term results of clitoroplasty through the reduction of the length and diameter of the corpus cavernosum, as well as the volume of the glans. PATIENTS AND

methodsFrom October 2003 to July 2015, we performed 29 clitoroplasties using the described procedure. The median (range) age of the patients was 18 (3-47) months. After surgery we evaluated the volume of the clitoris, the appearance of glans, and its sensitivity to light touch, pressure, and pain.

resultsThe length of the apparent part of the glans remained large (>10 mm) in four patients (14%), was an average size (between 5 and 10 mm) in 11 (39%), and small (<5 mm) in 13 (46%). The length of the corpus cavernosum was <20 mm and its diameter <5 mm in all cases. The sensitivity of the reduced clitoris to touch, pressure and pain seemed normal in all patients. In addition, we never found the circumflex arteries and nerves of the penis (on histological examination of excised pieces of corpus cavernosum) in all children operated on during the first 3 years of life. The circumflex arteries of the penis begin to develop, only after the fourth year. This anatomical finding is an argument for performing clitoroplasty at an early age to avoid any risk of intraoperative and postoperative bleeding.

conclusionsThe sensitivity of the clitoral glans appeared to be normal in all cases, with a good cosmetic appearance of the external genitalia in most patients.

Indexed as

46,XX DSDAmbiguous genitaliaClitoroplastyDisorders of sex developmentDSD, disorders of sex developmentFeminising genitoplastyOvotesticular DSD

Identifiers

PMID29892488
PMCPMC5992257

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