Sharp Gemma, Maynard Pascale, Hudaib Abdul-Rahman, Hamori Christine A, Oates Jayson, Kulkarni Jayashri, Sarwer David B
Monash Alfred Psychiatry Research Centre at Monash University, Melbourne, Victoria, Australia.
Research and Director of the Center for Obesity Research and Education in the College of Public Health, Temple University, Philadelphia, PA.
Aesthet Surg J. 2020 Sep 14;40(10):1143-1151. doi: 10.1093/asj/sjaa038.
The popularity of genital cosmetic procedures in women is increasing. These procedures are often assumed and promoted as having a positive effect on women's psychological well-being, particularly their self-esteem. Empirical support for these claims is lacking.
The aim of this study was to conduct a systematic review and meta-analysis of the impact of genital cosmetic procedures on self-esteem in women.
The authors performed a systematic literature review of MEDLINE, PreMEDLINE, Ebase, EMBASE, OVID, CINAHL, Cochrane, PsycINFO, and PubMed to identify articles that measured self-esteem in women after a genital cosmetic procedure. A meta-analysis was conducted to assess the pooled effect of these procedures on self-esteem.
The authors identified 5 eligible studies for the meta-analysis, comprising 2 prospective and 3 retrospective studies. Labia minora reduction was the most commonly studied procedure. All 5 studies used different measures of self-esteem, with only 1 study employing a validated psychometric measure at both preoperative and postoperative time points. The meta-analysis results showed a pooled logit rate estimate of 1.230, indicating a positive effect of surgery on self-esteem. However, there was substantial heterogeneity across studies.
Female genital cosmetic procedures, particularly labiaplasty, appear to have a positive effect on women's self-esteem. However, inconsistencies in study measures and methods limit our conclusions. Future research should involve the development of standardized outcome measures to more accurately assess the impact of these procedures on self-esteem, and on psychological well-being more generally.
女性生殖器官美容手术越来越普遍。这些手术通常被认为并宣传为对女性的心理健康，特别是自尊有积极影响。但缺乏对这些说法的实证支持。
本研究的目的是对生殖器官美容手术对女性自尊的影响进行系统评价和荟萃分析。
作者对MEDLINE、PreMEDLINE、Ebase、EMBASE、OVID、CINAHL、Cochrane、PsycINFO和PubMed进行了系统的文献综述，以确定测量女性生殖器官美容手术后自尊的文章。进行荟萃分析以评估这些手术对自尊的综合影响。
作者确定了5项符合荟萃分析条件的研究，包括2项前瞻性研究和3项回顾性研究。小阴唇缩小术是研究最普遍的手术。所有5项研究使用了不同的自尊测量方法，只有1项研究在术前和术后时间点都采用了经过验证的心理测量方法。荟萃分析结果显示合并对数率估计值为1.230，表明手术对自尊有积极影响。然而，各研究之间存在很大的异质性。
女性生殖器官美容手术，尤其是阴唇整形术，似乎对女性自尊有积极影响。然而，研究测量方法和手段的不一致限制了我们的结论。未来的研究应包括开发标准化的结果测量方法，以更准确地评估这些手术对自尊以及更广泛的心理健康的影响。
