Turini Tatiana, Weck Roxo Ana Cláudia, Serra-Guimarães Fernando, Abreu Maria Lidia, de Castro Cláudio Cardoso, Aboudib José Horácio, Nahas Fábio Xerfan
Rio de Janeiro and São Paulo, Brazil.
From the Division of Plastic and Reconstructive Surgery, Pedro Ernesto University Hospital, Rio de Janeiro State University; and the Division of Plastic Surgery, Federal University of São Paulo.
Plast Reconstr Surg. 2018 Jan;141(1):87-92. doi: 10.1097/PRS.0000000000003921.
Labiaplasty is one of the aesthetic procedures that has shown the greatest increase in the number of operations in recent years, although the absolute number of these procedures is still very low. Labia minora hypertrophy causes not only functional discomfort and sexual difficulties, but also embarrassment and aesthetic concern. The aim of this study was to assess the impact of labiaplasty on the patient's quality of life, self-esteem, and sexual function.
Twenty-four consecutive sexually active patients, who expressed the desire to undergo labiaplasty, were divided into two groups of 12 patients each: the intervention group that underwent labiaplasty immediately after responding the first questionnaires, and the control group that received no intervention during the study period. All patients were assessed for health-related quality of life, self-esteem, and sexual function using the Brazilian Portuguese versions of the Medical Outcomes Study 36-Item Short Form Health Survey, the Brazilian version of the Rosenberg Self-Esteem scale, and the Female Sexual Function Questionnaire, respectively. The questionnaires were administered at inclusion and at 3 and 6 months later in both groups. Comparisons within and between groups were performed. Statistical analysis was performed at a significance level of p < 0.05.
No significant differences in Rosenberg Self-Esteem scale or Medical Outcomes Study 36-Item Short Form Health Survey score were found in either group during the study period. However, a significant improvement was found in the Female Sexual Function Questionnaire total score in the pain and enjoyment domains.
Labiaplasty had a positive impact on sexual functioning of the study population.
阴唇整形术是近年来手术量增长幅度最大的美容手术之一，尽管此类手术的绝对数量仍然很低。小阴唇肥大不仅会导致功能不适和性方面的困难，还会引起尴尬和审美困扰。本研究的目的是评估阴唇整形术对患者生活质量、自尊和性功能的影响。
连续24名有性活动且表示希望接受阴唇整形术的患者被分为两组，每组12名患者：干预组在回答第一份问卷后立即接受阴唇整形术，对照组在研究期间不接受任何干预。所有患者分别使用巴西葡萄牙语版的医学结局研究36项简短健康调查、巴西版的罗森伯格自尊量表和女性性功能问卷，评估与健康相关的生活质量、自尊和性功能。问卷在两组纳入时以及3个月和6个月后进行发放。进行组内和组间比较。统计分析在p < 0.05的显著性水平下进行。
在研究期间，两组在罗森伯格自尊量表或医学结局研究36项简短健康调查得分方面均未发现显著差异。然而，女性性功能问卷在疼痛和愉悦领域的总分有显著改善。
阴唇整形术对研究人群的性功能有积极影响。
