Background: Clitoroplasty, especially in an adult, is a rare procedure. The goals of clitoroplasty are to achieve a normal genital appearance and to preserve sensation with a satisfactory sexual response.
Cases: We present two cases of acquired clitoromegaly. Case 1 is a 46-year-old woman with clitoromegaly caused by an androgen-producing ovarian tumor. The second case is a 49-year-old woman with clitoromegaly resulting from a prolonged history of self-injected anabolic steroid use. Both women underwent a clitoral reduction procedure with preservation of the neurovascular supply to the glans clitoris.
Conclusion: Clitoroplasty is an uncommon procedure that is useful in correcting acquired clitoromegaly. The results are cosmetically acceptable, and sexual function can be preserved.