Vieira-Baptista Pedro, Lima-Silva Joana, Fonseca-Moutinho José, Monteiro Virgínia, Águas Fernanda
Department of Obstetrics and Gynecology, Centro Hospitalar de São João, Porto, Portugal.
Faculdade de Ciências da Saúde, Universidade da Beira Interior, Covilhã, Portugal.
Rev Bras Ginecol Obstet. 2017 Aug;39(8):415-423. doi: 10.1055/s-0037-1603967. Epub 2017 Jun 23.
To assess the medical doctors and medical students' opinion regarding the evidence and ethical background of the performance of vulvovaginal aesthetic procedures (VVAPs). Cross-sectional online survey among 664 Portuguese medical doctors and students. Most participants considered that there is never or there rarely is a medical reason to perform: vulvar whitening (85.9% [502/584]); hymenoplasty (72.0% [437/607]); mons pubis liposuction (71.6% [426/595]); "G-spot" augmentation (71.0% [409/576]); labia majora augmentation (66.3% [390/588]); labia minora augmentation (58.3% [326/559]); or laser vaginal tightening (52.3% [313/599]). Gynecologists and specialists were more likely to consider that there are no medical reasons to perform VVAPs; the opposite was true for plastic surgeons and students/residents.Hymenoplasty raised ethical doubts in 51.1% (283/554) of the participants. Plastic surgeons and students/residents were less likely to raise ethical objections, while the opposite was true for gynecologists and specialists.Most considered that VVAPs could contribute to an improvement in self-esteem (92.3% [613/664]); sexual function (78.5% [521/664]); vaginal atrophy (69.9% [464/664]); quality of life (66.3% [440/664]); and sexual pain (61.4% [408/664]). While medical doctors and students acknowledge the lack of evidence and scientific support for the performance of VVAPs, most do not raise ethical objections about them, especially if they are students or plastic surgeons, or if they have had or have considered having plastic surgery.
评估医生和医学生对外阴阴道美容手术（VVAPs）的证据和伦理背景的看法。对664名葡萄牙医生和学生进行横断面在线调查。大多数参与者认为，进行以下手术几乎没有或很少有医学理由：外阴美白（85.9%[502/584]）；处女膜修复术（72.0%[437/607]）；耻骨联合吸脂术（71.6%[426/595]）；“G点”增大术（71.0%[409/576]）；大阴唇增大术（66.3%[390/588]）；小阴唇增大术（58.3%[326/559]）；或激光阴道紧缩术（52.3%[313/599]）。妇科医生和专科医生更有可能认为没有医学理由进行VVAPs；整形外科医生以及学生/住院医生则相反。51.1%（283/554）的参与者对处女膜修复术提出了伦理质疑。整形外科医生以及学生/住院医生提出伦理反对意见的可能性较小，而妇科医生和专科医生则相反。大多数人认为VVAPs有助于提高自尊（92.3%[613/664]）；性功能（78.5%[521/664]）；阴道萎缩（69.9%[464/664]）；生活质量（66.3%[440/664]）；以及性交疼痛（61.4%[408/664]）。虽然医生和学生承认进行VVAPs缺乏证据和科学支持，但大多数人并未对其提出伦理反对意见，尤其是如果他们是学生或整形外科医生，或者他们已经接受过或考虑过接受整形手术。
