[Surgical reduction of labia minora: which approach?].

OBJECTIVES

Surgical approaches for reduction of labia minora are various. Through a literature review we try to determine which method is the more efficient to treat hypertrophy of labia minora.

MATERIALS AND METHODS

A review was made by using Medline from 1980 to 2012. The keywords used were "hypertrophy of labia minora" and "surgical reduction of labia minora".

RESULTS

No randomized trial was found. We found only two retrospective studies about triangular resection concerning large series of patients, with a long follow-up and precise assessment of women satisfaction.

DISCUSSION AND CONCLUSION

Surgical approaches for hypertrophy of labia minora are various. Triangular resection is the only method which was studied for a large series of patients. Functional and aesthetic results are good (90 to 95% of cases) and complications are rare (2 to 7%). Results of other methods are similar. Consequently, the method must be adjusted to surgeon's experience, anatomic features and wish of the patient.