Aesthet Surg J. 2019 Nov 13;39(12):1455-1466. doi: 10.1093/asj/sjy309.
Female cosmetic genital surgery is rapidly growing. However, controversy reports raised around these procedures question their indications, motives, and safety. Warning against performing this surgery might unjustly restrict surgical alleviation of symptoms.
Through anonymous research, the authors explored patient characteristics and motivation, when women started to think about surgery, and effects of surgery on psychosocial and cosmetic aspects.
Of 125 patients who underwent female cosmetic genital surgery at Oslo Plastic Surgery Clinic between 2010 and 2016, 69 patients were reachable by email. A questionnaire with 40 questions was completed anonymously. Answers were processed by a third, independent party via QuestBack return mail system.
The response rate was 77%. Mean follow-up time was 31.4 months. Mean patient age was 30.8 years. Motivations for surgery were cosmetic (69.8%), physical/practical (62.3%), emotional (54.7%), and intimate (49.1%). When emotional reasons were involved, media (39.7%), pornography (31.5%), and negative comments (28.8%) influenced the decision to undergo surgery. Genital concerns had negative effects on self-esteem (63.2%) and sexual attractiveness (57.9%) among others; 90.5% thought about surgery for more than 1 year. The overall cosmetic result was satisfactory for 69.8%, and the operation as a whole was satisfactory for 75.5%.
Age, level of education, and gross income of patients who underwent this surgery seem high compared with those of breast implant patients. Genital dissatisfaction arose early in life and affected various psychosexual aspects. Most patients are satisfied with the outcome of surgery and would recommend this surgery to others. Additional anonymous multicenter studies are recommended.
女性生殖器美容整形手术发展迅速。然而，围绕这些手术的争议报告质疑了其适应证、动机和安全性。反对进行此类手术的警告可能不公正地限制了手术对症状的缓解。
通过匿名研究，作者探讨了女性患者的特征和动机，以及她们何时开始考虑手术，以及手术对心理社会和美容方面的影响。
在 2010 年至 2016 年期间，在奥斯陆整形诊所接受女性生殖器美容整形手术的 125 名患者中，有 69 名患者可以通过电子邮件联系。通过 QuestBack 回复邮件系统，完成了一份包含 40 个问题的匿名问卷。第三方独立处理答案。
回复率为 77%。平均随访时间为 31.4 个月。患者平均年龄为 30.8 岁。手术的动机包括美容（69.8%）、身体/实际（62.3%）、情感（54.7%）和亲密（49.1%）。当涉及到情感原因时，媒体（39.7%）、色情内容（31.5%）和负面评论（28.8%）影响了接受手术的决定。生殖器问题对自尊（63.2%）和性吸引力（57.9%）等方面产生负面影响；90.5%的患者考虑手术超过 1 年。69.8%的患者对整体美容效果满意，75.5%的患者对手术整体满意。
与接受乳房植入手术的患者相比，接受此类手术的患者年龄、教育程度和总收入似乎较高。生殖器不满早在生活中就出现了，并影响了各种心理性方面。大多数患者对手术结果满意，并会向他人推荐这种手术。建议进行更多的匿名多中心研究。
