Caring For Women Wellness Center, Davis, CA 95616, USA.
J Sex Med. 2011 Jun;8(6):1813-25. doi: 10.1111/j.1743-6109.2011.02254.x. Epub 2011 Apr 14.
This review studies rationale and outcome of vulvovaginal aesthetic surgery.
Discuss procedures designed to alter genital appearance and function; investigate sexual, philosophical, and ethical issues; examine outcomes.
(i) Medline search of the existing literature utilizing terms labiaplasty, clitoral hood reduction, hymenoplasty (HP), vaginoplasty (VP), perineoplasty (PP), female genital surgery, sexual satisfaction/body image, and anterior/posterior colporrhaphy; (ii) references from bibliographies of papers found through the literature search and in the author's reading of available literature.
(i) Demographics and psychosexual dynamics of women requesting female genital plastic/cosmetic surgery; (ii) overall and sexual satisfaction of subjects undergoing these procedures.
The majority of studies regarding patient satisfaction and sexual function after vaginal aesthetic and functional plastic procedures report beneficial results, with overall patient satisfaction in the 90-95% range, sexual satisfaction over 80-85%. These data are supported by outcome data from nonelective vaginal support procedures. Complications appear minor and acceptable to patients. There are little data available regarding outcomes and satisfaction of HP, or function during the rigors of subsequent vaginal childbirth, although the literature contains no case reports of labiaplasty disruption during parturition.
Women requesting labiaplasty and reduction of their clitoral hoods do so for both cosmetic and functional (chafing, interference with coitus, interference with athletic activities, etc.) reasons, while patients requesting VP and/or PP do so in order to increase friction and sexual satisfaction, occasionally for aesthetic reasons. Patients appear generally happy with outcomes. The majority of patients undergoing genital plastic surgery report overall satisfaction and subjective enhancement of sexual function and body image, but the literature is retrospective. Female genital plastic surgery procedures appear to fulfill the majority of patient's desires for cosmetic and functional improvement, as well as enhancement of the sexual experience. Little information is available regarding HP outcomes.
本综述研究了外阴阴道美学手术的基本原理和结果。
讨论旨在改变生殖器外观和功能的程序；调查性、哲学和伦理问题；检查结果。
（i）使用术语阴唇成形术、阴蒂包皮缩小术、处女膜修补术（HP）、阴道成形术（VP）、会阴成形术（PP）、女性生殖器手术、性满足/身体形象以及前/后会阴修补术对现有文献进行 Medline 搜索；（ii）从文献搜索中找到的论文参考文献以及作者对现有文献的阅读中找到参考文献。
（i）要求进行女性生殖器整形/美容手术的女性的人口统计学和性心理动态；（ii）接受这些手术的患者的总体和性满意度。
大多数关于阴道美容和功能整形手术后患者满意度和性功能的研究报告均显示有益的结果，总体患者满意度在 90-95%范围内，性满意度超过 80-85%。这些数据得到了非选择性阴道支撑手术的结果数据的支持。并发症似乎较小，患者可以接受。处女膜修补术或后续阴道分娩时的功能的结果和满意度数据很少，但文献中没有分娩期间阴唇成形术破裂的病例报告。
要求行阴唇缩小术和阴蒂包皮缩小术的女性这样做是出于美容和功能（摩擦、干扰性交、干扰体育活动等）原因，而要求行 VP 和/或 PP 的患者这样做是为了增加摩擦和性满足度，偶尔也是出于美观原因。患者对结果通常感到满意。大多数接受生殖器整形手术的患者报告总体满意度和主观增强性功能和身体形象，但文献是回顾性的。女性生殖器整形手术程序似乎满足了大多数患者对美容和功能改善以及增强性体验的需求。处女膜修补术的结果信息很少。
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