Department of Obstetrics and Gynecology, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
J Sex Med. 2011 Aug;8(8):2377-85. doi: 10.1111/j.1743-6109.2011.02321.x. Epub 2011 May 19.
Physicians are increasingly presented with women requesting a labia minora reduction procedure.
To assess the influencing factor of personal predisposition in general practitioners, gynecologists, and plastic surgeons to labia minora appearance in relation to their willingness to refer for, or perform, a surgical labia minora reduction.
Cross-sectional self-administered questionnaire survey. Between May 2009 and August 2009, 210 physicians were surveyed. Primary care: general practitioners working in the north of the Netherlands. Secondary care: gynecologists and plastic surgeons working in five hospitals in the north of the Netherlands.
A five-point Likert scale appraisal of four pictures showing a vulva, each displaying different sizes of labia minora, indicating a physician's personal predisposition, manifesting as willingness to refer for, or perform, a labia minora reduction.
A total of 164/210 (78.1%) physicians completed the questionnaire, consisting of 80 general practitioners, 41 gynecologists, and 43 plastic surgeons (96 males, 68 females). Ninety percent of all physicians believe, to a certain extent, that a vulva with very small labia minora represents society's ideal (2-5 on the Likert scale). More plastic surgeons regarded the picture with the largest labia minora as distasteful and unnatural, compared with general practitioners and gynecologists (P < 0.01), and regarded such a woman as a candidate for a labia minora reduction procedure (P < 0.001). Irrespective of the woman's labia minora size and the absence of physical complaints, plastic surgeons were significantly more open to performing a labia minora reduction procedure than gynecologists (P < 0.001). Male physicians were more inclined to opt for a surgical reduction procedure than their female colleagues (P < 0.01).
The personal predisposition of physicians (taking account of their specific gender and specialty) concerning labia minora size and appearance influences their clinical decision making regarding a labia minora reduction procedure. Heightened awareness of one's personal predisposition vis-à-vis referral and willingness to operate is needed.
越来越多的女性向医生提出要求进行小阴唇缩小手术。
评估一般医生、妇科医生和整形医生对小阴唇外观的个人倾向因素，以及他们对小阴唇缩小手术的转诊意愿和手术意愿。
横断面自我管理问卷调查。2009 年 5 月至 8 月，对 210 名医生进行了调查。初级保健：在荷兰北部工作的全科医生。二级保健：在荷兰北部五家医院工作的妇科医生和整形医生。
用 5 分李克特量表评估四张显示不同小阴唇大小的外阴图片，反映医生的个人倾向，表现为对小阴唇缩小手术的转诊意愿和手术意愿。
共有 164/210（78.1%）名医生完成了问卷，其中包括 80 名全科医生、41 名妇科医生和 43 名整形医生（96 名男性，68 名女性）。90%的医生认为，一定程度上，小阴唇非常小的外阴代表了社会的理想（李克特量表的 2-5 分）。与全科医生和妇科医生相比，更多的整形医生认为最大小阴唇的图片令人不快和不自然（P <0.01），并认为这样的女性是小阴唇缩小手术的候选者（P <0.001）。无论女性小阴唇的大小和是否有身体不适，整形医生都明显比妇科医生更愿意进行小阴唇缩小手术（P <0.001）。男医生比女医生更倾向于选择手术缩小程序（P <0.01）。
医生（考虑到其特定性别和专业）对小阴唇大小和外观的个人倾向影响他们对小阴唇缩小手术的临床决策。需要提高对转诊和手术意愿的个人倾向的认识。
