Surgical reconstruction of the vulva, designed to address anatomical or functional concerns while explicitly maintaining the clitoral structures, aims to improve quality of life by restoring normal appearance and function. For instance, this approach can be crucial in cases of female genital mutilation/cutting (FGM/C), certain congenital anomalies, or after trauma or disease processes affecting the vulvar area. Successful outcomes might include improved comfort, reduced pain during intercourse, and enhanced aesthetic appearance, all while preserving sexual sensation.
Prioritizing the preservation of clitoral nerves and blood supply during vulvar surgery is essential for maintaining sexual function and overall well-being. Historically, some surgical techniques might have inadvertently compromised these structures, leading to decreased sensitivity or even complete loss of sensation. The emphasis on these preservation techniques reflects a growing understanding of the importance of sexual health as a component of overall health and quality of life. This shift has led to significant advancements in surgical approaches and improved outcomes for patients undergoing vulvar reconstruction.