Evaluation of Body Image and Sexual Satisfaction in Women Undergoing Female Genital Plastic/Cosmetic Surgery

Abstract

Abstract:Background: Little prospective data exists regarding the procedures constituting female genital plastic/cosmetic surgery (FGPS).Objectives: To evaluate whether the procedures of labiaplasty and vaginoperineoplasty improve genital self-image image, and evaluate effects on sexual satisfaction.Method: Prospective cohort case-controlled study of 120 subjects evaluated at baseline, 6, 12, and 24 months postoperative, paired with a demographically similar control group. Interventions include labiaplasty, clitoral hood reduction, and/or aesthetic vaginal tightening, defined as perineoplasty + "vaginoplasty" (aka "vaginal rejuvenation.") Outcome Measures include Body Image, Genital Self-Image, Sexual Satisfaction, and Body Esteem.Results: As a group, study patients tested at baseline showing body dissatisfaction, negative genital self-image and poorer indices of sexual satisfaction. Preoperative body image of study patients were in a range considered to be mild-moderately dysmorphic, but matched controls at one and two years; genital self-image scores at entry were considerably lower than controls, but by 2-year follow-up had surpassed control value at entry. Similarly, sexual satisfaction values, significantly lower at entry, equaled at one, and surpassed control values at 2 years. Postoperatively, at all points in time, these differences in body image and genital self-image disappeared, and sexual satisfaction markedly improved. Overall body esteem did not differ between study and control groups, with the exception of the genital esteem quotient, which improved after surgery.Conclusions: Women requesting and completing FGPS, when tested by validated instruments, at entry report sexual dissatisfaction and negative genital self-image. When tested at several points in time after surgery up to two years, these findings were no longer present. When performed by an experienced surgeon, FGPS appears to provide sexual and genital selfimage improvement.http://mc.manuscriptcentral.com/asjournal Aesthetic Surgery Journal Image, Genital Self-Image, Sexual Satisfaction, and Body Esteem.Results: As a group, study patients tested at baseline showing body dissatisfaction, negative genital self-image and poorer indices of sexual satisfaction. Preoperative body image of study patients were in a range considered to be mild-moderately dysmorphic, but matched controls at one and two years; genital self-image scores at entry were considerably lower than controls, but by 2-year follow-up had surpassed control value at entry. Similarly, sexual satisfaction values, significantly lower at entry, equaled at one, and surpassed control values at 2 years.Postoperatively, at all points in time, these differences in body image and genital self-image disappeared, and sexual satisfaction markedly improved. Overall body esteem did not differ between study and control groups, with the exception of the genital esteem quotient, which improved after surgery. Conclusions:Women requesting and completing FGPS, when tested by validated instruments, at...

“I Don’t See That as a Medical Problem”: Clinicians’ Attitudes and Responses to Requests for Cosmetic Genital Surgery by Adolescents

“…Our position, though unorthodox, is not entirely without support. We note that we are not alone in suggesting unreflective and entrenched positions may need rethinking (Veal et al 2014;Goldstein and Jutrzonka 2016;Goodman et al 2016).…”

“…This contributes to the entrenching of unreflective positions mentioned above. We are not alone in noting the lack of evidence underpinning policy documents and unreflective positions: "[a]uthors, even those with impeccable academic credentials, have displayed bias in their editorial and position statements" (Goodman et al 2016;Goodman 2017, 335).…”

“…Recent studies add to the evidence base for FGCS, indicating high rates of satisfaction, abatement of body-dissatisfaction and improvements in psychological well-being (Veale et al 2014;Goodman et al 2016;Sharp, Tiggeman, and Mattiske 2017). Questions have also been raised about the validity of concerns about complications, with lack of formal training cited as a major possible cause (Sharp, Tiggeman, and Mattiske 2017;Goodman 2017;Goodman et al 2016;Goldstein and Jutrzonka 2016;Goodman et al 2007)…”

Health-related quality of life after pelvic organ prolapse surgery in Ethiopia: A 6 month follow-up study

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Female genital cosmetic surgery: the good, the bad, and the ugly

“…Most labiaplasty studies reported that different techniques appear to offer excellent and equally similar esthetic results with high patient satisfaction and very low complication rates [1]. In addition, using validated symptom questionnaires in some studies, significant improvements in sexual satisfaction, pain during intercourse, and psychological state were found in patients after genital cosmetic surgery [2]. However, most such data lacks strong scientific evidence and are reported by esthetic surgeons without any urogynecological assessment.…”