Therefore, its main role is to prevent the clitoris from straightening, while maintaining its stability during sexual activity Figure 1 b. While Miller stated that male scientists such as Stephen Jay Gould and Donald Symons "have viewed the female clitoral orgasm as an evolutionary side-effect of the male capacity for penile orgasm" and that they "suggested that clitoral orgasm cannot be an adaptation because it is too hard to achieve",  Gould acknowledged that "most female orgasms emanate from a clitoral, rather than vaginal or some othersite" and that his nonadaptive belief "has been widely misunderstood as a denial of either the adaptive value of female orgasm in general, or even as a claim that female orgasms lack significance in some broader sense". Therapeutic Advances in Urology. Handbook of psychosomatic obstetrics and gynaecology. British Journal of Obstetrics and Gynaecology.
Merz, Eberhard; Bahlmann, F.
The major complications were related to urethral reconstruction and testicular prosthesis. Hage and van Turnhout reported long-term results of metoidioplasty in 70 patients [ 25 ]. Schwartz, Pepper; Kempner, Martha InCharles Estienne was the first writer to identify the clitoris in a work based on dissection, but he concluded that it had a urinary function. Outer anatomy of clitoris.