Labiaplasty with Clitoropexy

Vázquez, Iván Mañero; Buendía, Ginés García; Vega, Ana Rodríguez; Oña, Carlos G. Rubí

doi:10.1097/gox.0000000000002239

Cited by 4 publications

(5 citation statements)

References 3 publications

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“…19,20 Forty-six studies fulfilled the inclusion criteria. 1,3,19–62 Forty-three studies were included in the quantitative analysis (Fig. 1).…”

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…For instance, the surgeon must limit the dissection in order to preserve the dorsal nerve of the clitoris, must preserve a 1.5-cm distance from the external urethral orifice to avoid alteration in the urine stream, and must also carefully design the surgical margins, as a 3 percent risk of asymmetry was evident in this review. 25,35 Finally, it has been established that despite the regions of the outermost and the middle labia minora presenting with a slightly higher nerve density relative to the inner part of the labia, the labia minora have a regularly distributed nerve density across their overall surface, which protects from neurosensory deficit as long as exceedingly intense labiaplasties are not performed. 72…”

Section: Ementioning

confidence: 99%

“…25,31,48,69 In these cases, a composite labiaplasty must be performed in which the clitoris is posteroinferiorly rotated after removal of its underneath tissue, and a periosteal-to-clitoral fascia anchoring must be guaranteed. 25,35 This technique is more demanding and thorough surgical planning must be executed. For instance, the surgeon must limit the dissection in order to preserve the dorsal nerve of the clitoris, must preserve a 1.5-cm distance from the external urethral orifice to avoid alteration in the urine stream, and must also carefully design the surgical margins, as a 3 percent risk of asymmetry was evident in this review.…”

Section: Ementioning

confidence: 99%

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Maximizing Safety and Optimizing Outcomes of Labiaplasty: A Systematic Review and Meta-Analysis

Escandón

Bateman

Bustos

et al. 2022

Plastic &Amp; Reconstructive Surgery

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Background: The considerable increase in labiaplasty requires plastic surgeons to be acquainted with the surgical techniques, their respective complications, and satisfaction rates. The authors conducted a systematic review of the available evidence on labia minoraplasty, looking at surgical techniques, clinical outcomes, and patient satisfaction. Methods: A comprehensive search across PubMed, Web of Science, SCOPUS, and Cochrane CENTRAL was performed through October of 2020. A random-effects model meta-analysis was performed to assess satisfaction and complication rates. Results: Forty-six studies including 3804 patients fulfilled the inclusion criteria. The pooled satisfaction rate after labia minoraplasty was 99 percent (95 percent CI, 97 to 99 percent). Substantial heterogeneity was present across studies (I2 = 63.09 percent; p < 0.001). The highest pooled incidence of dehiscence was reported for laser-assisted labiaplasty (5 percent; 95 percent CI, 2 to 8 percent) and wedge resection (3 percent; 95 percent CI, 1 to 5 perecent). The highest pooled incidence of hematoma formation (8 percent; 95 percent CI, <1 to 23 percent) and postoperative bleeding (2 percent; 95 percent CI, <1 to 15 percent) was reported for W-shape resection. The highest pooled incidence of transient pain or discomfort was reported for de-epithelialization (2 percent; 95 percent CI, <1 to 23 percent) and W-shape resection (2 percent; 95 percent CI, <1 to 15 percent). Three cases of flap necrosis were reported; two occurred using wedge resection labia minoraplasty and one was not specified. The most common causes for revision surgery (n = 169) were dehiscence and aesthetic concerns. Conclusions: Labia minoraplasty is a safe procedure, but serious complications requiring surgical management have been reported. Surgical experience, knowledge of female genital anatomy, and thorough technique selection in accordance with the patient characteristics are mandatory.

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“…19,20 Forty-six studies fulfilled the inclusion criteria. 1,3,19–62 Forty-three studies were included in the quantitative analysis (Fig. 1).…”

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Ementioning

confidence: 99%

Section: Ementioning

confidence: 99%

See 2 more Smart Citations

Maximizing Safety and Optimizing Outcomes of Labiaplasty: A Systematic Review and Meta-Analysis

Escandón

Bateman

Bustos

et al. 2022

Plastic &Amp; Reconstructive Surgery

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“…We cut the clitoral hood skin using an inverted V shape, which is most suggested. 7 In our statistics, this also does not increase the complication rate. A relatively low complication rate and high overall patient satisfaction were achieved in our reported cases after the final follow-up.…”

Section: Discussionmentioning

confidence: 99%

A Retrospective Study for Labia Minora Reduction by Serrated-shaped Resection

Wang,

Xu,

Chen

et al. 2024

Plastic and Reconstructive Surgery - Global Open

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Background: The demand for genital plastic surgery has increased dramatically among female patients globally. Although various labia minora reduction procedures have been applied with different indications, advantages, and disadvantages, none has been universally accepted as the best method. So, we presented an innovative strategy for this increasingly demanded reconstructive procedure. Methods: In this retrospective study, we included 29 patients seen between November 2020 and May 2023 with hypertrophic labia minora. The patients with hypertrophic labia minora after serrated-shaped resection were included for analysis. Patient satisfaction and complications were evaluated through the follow-up after the operation. Results: Patients with a mean age of 27.1 years (range 19–47 y) performed labia minora reduction via serrated-shaped resection. One patient experienced incision dehiscence, requiring additional surgical revision. One patient experienced postoperative cosmetic asymmetry and also performed secondary repair surgery. One patient experienced urinary retention, which was relieved after urinary catheterization. High overall patient satisfaction has been achieved after a median follow-up of 6.7 months (range 1–24 months). No flap necrosis, sexual dysfunction, or hypertrophic scarring has been reported. Conclusions: Results suggested that serrated-shaped resection is a novel technique for repairing hypertrophic labia minora with high efficiency and satisfaction. The procedure could effectively improve the appearance of the labia minora and reduce complications.

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Labiaplasty and Aesthetic Vulvovaginal Surgery

Oppenheimer¹

2021

Tips and Tricks in Plastic Surgery

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Labiaplasty with Clitoropexy

Abstract: Supplemental Digital Content is available in the text.

Cited by 4 publications

References 3 publications

Maximizing Safety and Optimizing Outcomes of Labiaplasty: A Systematic Review and Meta-Analysis

Maximizing Safety and Optimizing Outcomes of Labiaplasty: A Systematic Review and Meta-Analysis

A Retrospective Study for Labia Minora Reduction by Serrated-shaped Resection

Labiaplasty and Aesthetic Vulvovaginal Surgery

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