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why would we do a clitoral sinusectomy ?technique - Infiltrate lateral lips of the vulva- Retract with stay sutures- Infiltrate clitoris if vulval block inadequate- Use rat-toothed forceps and scissors and ablate dorsal half of clitoris- Place in transport medium for bacteriological investigation- Haemorrhage is minimal but can be contained by applying pressure from swab soaked in adrenaline

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