Plastic Surgery Hospital, Peking Union Medical College, Chinese Academy of Medical Science, 33 Badachu road, Shijingshan District, Beijing, 100144, China.
Aesthetic Plast Surg. 2021 Aug;45(4):1869-1876. doi: 10.1007/s00266-021-02137-2. Epub 2021 Mar 8.
Labiaplasty (labia minora reduction) has been increasingly requested in recent years. The surgical procedures previously reported in the literature may have some complications that affect patient satisfaction.
Patients who underwent a new bilateral labiaplasty procedure that combined wedge de-epithelialization on the medial side with edge resection on the lateral side were retrospectively reviewed. Satisfaction rates were assessed, and questionnaires, namely the Female Sexual Function Index (FSFI) and Genital Appearance Satisfaction (GAS) scale, were distributed and analyzed. The data from the study group were compared with data from cases who underwent traditional labiaplasty with wedge resection (control group).
From October 2015 to February 2020, fifty-one women underwent modified labiaplasty, while 26 women underwent traditional labiaplasty. A total of 94.1% (48/51) of patients in the modified group were satisfied with the genital appearance. Compared with the 96.2% (25/26) satisfaction rate in the control group, the difference was not statistically significant. A total of 43/55 valid questionnaires were returned, including 29 in the modified labiaplasty group and 14 in the control group. There was a significant improvement in the postoperative GAS scale compared to the preoperative scale in both groups (P<0.05). The new modified method had a significant FSFI improvement after the operation compared with preoperative scores (P<0.05), while the FSFI improvement was not significant in the control group (P>0.05). There was no significant difference in the FSFI score improvement, postoperative GAS score or postoperative FSFI between the two groups (P>0.05).
This new modified labiaplasty is a satisfying and safe method with low risks, and it may result in better sexual sensitivity for the patients LEVEL OF EVIDENCE IV: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine Ratings, please refer to Table of Contents or online Instructions to Authors www.springer.com/00266 .
近年来，阴唇缩小术（小阴唇缩小术）的需求日益增加。文献中以前报道的手术方法可能存在一些影响患者满意度的并发症。
回顾性分析了 51 例接受新的双侧阴唇缩小术的患者，该术式结合了内侧楔形去上皮化和外侧边缘切除。评估了满意度，并分发和分析了女性性功能指数（FSFI）和生殖器外观满意度（GAS）量表的问卷。将研究组的数据与接受传统楔形切除术的阴唇缩小术（对照组）的病例数据进行比较。
2015 年 10 月至 2020 年 2 月，51 名女性接受了改良阴唇缩小术，26 名女性接受了传统阴唇缩小术。改良组中共有 94.1%（48/51）的患者对生殖器外观满意。与对照组 96.2%（25/26）的满意度相比，差异无统计学意义。共收回有效问卷 55 份，其中改良组 29 份，对照组 14 份。两组术后 GAS 评分均较术前显著改善（P<0.05）。与术前相比，新改良方法术后 FSFI 显著改善（P<0.05），而对照组 FSFI 改善不显著（P>0.05）。两组间 FSFI 评分改善、术后 GAS 评分或术后 FSFI 无显著差异（P>0.05）。
这种新的改良阴唇缩小术是一种安全、满意度高、风险低的方法，可能会提高患者的性敏感度。
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