Turini Tatiana, Sant Ana Geisa, Imoto Aline Mizusaki, Martins Maria Eduarda Alves
Instituto de Cirurgia Plastica Tatiana Turini, SGAS II St. de Grandes Áreas Sul 616 Conjunto A Lote 116/117 Sala 1 - Asa Sul, Brasília, DF, 70200001, Brazil.
Hospital Regional da Asa Norte, Brasilia, DF, Brazil.
Aesthetic Plast Surg. 2024 Dec 9. doi: 10.1007/s00266-024-04570-5.
Female external genital plastic surgery (vulvoplasty) is among the most performed aesthetic surgeries in Brazil. Vulva self-image can be defined as women's perception of their vulva and is usually related to sexual function. The objective of this study was to evaluate the impact and interrelationship of female external genital plastic surgery on self-image and sexual function.
This quantitative longitudinal descriptive study includes a retrospective analysis of 48 medical records from June 2017 to July 2021. The sexual function questionnaire (SFQ-28) and female genital self-image scale (FGSIS) answered by the patients in the preoperative and six postoperative month were analyzed.
The mean age of the operated patients was 36.25 years (range 18-59). The median FGSIS score was 13 in the preoperative and 27.5 in the six postoperative month, with a significant positive difference in all items. There was a significant positive difference in the following SFQ-28 domains: desire, arousal (cognitive), orgasm, enjoyment, and partner (p < 0.005) CONCLUSION: In our cohort, female external genital plastic surgery (vulvoplasty) elicited a positive relationship between genital self-image and sexual function, in addition to improving orgasm.
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女性外生殖器整形手术（外阴整形术）是巴西开展最多的美容手术之一。外阴自我形象可定义为女性对外阴的认知，通常与性功能有关。本研究的目的是评估女性外生殖器整形手术对自我形象和性功能的影响及相互关系。
这项定量纵向描述性研究包括对2017年6月至2021年7月的48份病历进行回顾性分析。分析了患者术前及术后六个月回答的性功能问卷（SFQ - 28）和女性生殖器自我形象量表（FGSIS）。
接受手术患者的平均年龄为36.25岁（范围18 - 59岁）。术前FGSIS评分中位数为13，术后六个月为27.5，所有项目均有显著正差异。在以下SFQ - 28领域有显著正差异：性欲、唤起（认知方面）、性高潮、愉悦感和伴侣关系（p < 0.005）。结论：在我们的队列中，女性外生殖器整形手术（外阴整形术）除了改善性高潮外，还在外阴自我形象和性功能之间引发了积极关系。
证据等级IV：本刊要求作者为每篇文章指定证据等级。有关这些循证医学评级的完整描述，请参阅目录或作者在线指南www.springer.com/00266 。
