Aim:The aim of the study was to present new surgical technique of simultaneous reduction of labia minora and clitoral hood.Material and methods: 3 groups of patients (5 in each) with enlarged labia minora and clitoral hood were treated with new surgical technique. First group: 5 patients aged between 16-18 y.o., all virgins, second group: 5 women aged between 20-25 y.o., sexual active, and third group: 5 patients between 50-65 y.o., all after menopause. All patients were treated with "One cut technique" as simultaneous reduction of labia minora and clitoral hood. In all cases radiofrequency tool was used for cutting. Patients were operated under general anaesthesia.
Results:The new surgical technique of simultaneous reduction of labia minora and clitoral hood was applied without significant complications. This surgery reduced labia minora in height and length, and clitoral hood in height and width. The procedure preserved natural colour and contour of this part of the vulva. Deformation of labia minora and clitoral hood with associated symptoms, like aesthetic dissatisfaction, physical and emotional disturbances were resolved postoperatively. In all cases self confidence and social openness improved. Following the procedure, body image perception also improved.
Conclusions:In this group of patients, One cut technique of simultaneous reduction of labia minora and clitoral hood, was performed without significant complications. This method achieves expected good aesthetic results and improves physical and emotional self-esteem.(Z-plasty, inferior resection and superior pedicle flap reconstruction), de-epithelialized and laser labiaplasty [1][2][3][4][6][7][8][9][10][11][12].All described methods apply only middle or posterior part of the labia minora. Most surgeons treat labia minora and clitoral hood as two different compartments. Author performed some of those methods and established hypothesis that we should see labia minora as an anatomical structure, which begins in the upper part of the vulva (periclitoral area) and ends as frenulum. On the other hand, you should not talk about restoring labia minora shape without touching clitoral hood.
Material and Methods"One cut technique" is a simultaneous reduction of labia minora and clitoral hood. 3 groups of patients (5 in each) with enlarged labia minora and clitoral hood were treated with new surgical technique. First group: 5 patients aged between 16-18 y.o., all virgins; Second group: 5 women aged between 20-25 y.o., all sexual active, and Third group: 5 patients between 50-65 y.o., all after menopause. The most common symptoms, patients were suffering from were, persistent irritation with discomfort during physical activities or associated with rubbing while wearing close-fitting underwear, riding a bicycl or horseback riding, difficulties in maintaining hygiene, dyspareunia