Sharp Gemma, Tiggemann Marika, Mattiske Julie
Adelaide, South Australia, Australia.
From the School of Psychology, Flinders University.
Plast Reconstr Surg. 2016 Dec;138(6):1202-1209. doi: 10.1097/PRS.0000000000002751.
Although the demand for labiaplasty has increased rapidly over the past decade, little is known about the psychological outcomes of this procedure. In particular, there is a lack of prospective controlled studies to assess the effects of labiaplasty on women's psychological well-being and intimate relationship quality. Nor has research investigated whether preoperative patient characteristics predict satisfaction with surgery.
The current study used a prospective controlled design. Participants were 29 adult Australian women who underwent labia minora reduction and 22 comparison women who did not. Both groups completed a baseline questionnaire (preoperatively for the labiaplasty group) and a follow-up questionnaire 6 months later. The questionnaires contained standardized measures of genital appearance satisfaction, relationship satisfaction, sexual confidence, psychological distress, self-esteem, and life satisfaction.
Of the 29 women who underwent labiaplasty, the vast majority reported that they were "moderately" or "extremely" satisfied with the aesthetic (82.8 percent), functional (86.2 percent), and overall (82.8 percent) outcomes. For the standardized measures, the only significant change from baseline to follow-up for the labiaplasty group relative to the comparison group was a reduction in genital appearance dissatisfaction with large effect size (p < 0.001, d = 3.26). Higher levels of psychological distress (p = 0.001) and having a romantic partner (p = 0.016) preoperatively were significantly related to lower satisfaction with surgical outcomes.
Labiaplasty appears to have a positive effect on women's genital appearance satisfaction, but not their general psychological well-being or intimate relationship quality. Medical professionals should be mindful of patients with greater psychological distress, as this may compromise satisfaction with surgical outcomes.
CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, II.
尽管在过去十年中，阴唇整形术的需求迅速增长，但对于该手术的心理结果知之甚少。特别是，缺乏前瞻性对照研究来评估阴唇整形术对女性心理健康和亲密关系质量的影响。也没有研究调查术前患者特征是否能预测手术满意度。
本研究采用前瞻性对照设计。参与者包括29名接受小阴唇缩小术的成年澳大利亚女性和22名未接受手术的对照女性。两组均完成一份基线问卷（阴唇整形术组在术前完成）和6个月后的随访问卷。问卷包含对生殖器外观满意度、关系满意度、性自信、心理困扰、自尊和生活满意度的标准化测量。
在接受阴唇整形术的29名女性中，绝大多数报告她们对美学效果（82.8%）、功能效果（86.2%）和总体效果（82.8%）“中度”或“极度”满意。对于标准化测量，与对照组相比，阴唇整形术组从基线到随访的唯一显著变化是生殖器外观不满意程度降低，效应量较大（p < 0.001，d = 3.26）。术前心理困扰程度较高（p = 0.001）和有恋爱伴侣（p = 0.016）与手术结果满意度较低显著相关。
阴唇整形术似乎对女性的生殖器外观满意度有积极影响，但对她们的总体心理健康或亲密关系质量没有影响。医学专业人员应关注心理困扰较大的患者，因为这可能会影响手术结果满意度。
临床问题/证据水平：治疗性，II级。
