Nahidi Fatemeh, Goodman Michael P, Alavi-Arjas Fatemeh, Simbar Masoumeh, Majd Hamid Alavi, Rastegar Fereshteh
Department of Midwifery and Reproductive Health, Midwifery and Reproductive Health Research Center, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Department of Obstetrics and Gynecology, California Northstate University College of Medicine, Elk Grove, CA, USA.
Aesthetic Plast Surg. 2025 Jun 5. doi: 10.1007/s00266-025-04946-1.
Labiaplasty often motivated by aesthetic and/or sexual and/or functional concerns, but with contradictory outcomes. The documentation regarding the safety and efficacy of these elective procedures is limited, primarily consisting of clinical case reports and retrospective studies.
This systematic review aimed to investigate the effect of labiaplasty on sexual function.
An electronic search in PubMed, Web of Science, Scopus, PsycINFO, Embase, the Cochrane Library, and ClinicalTrials.gov from 2000 to 2024 was performed. Articles that focused on labia minora surgeries performed for cosmetic, and/or sexual, and/or psychological, and/or functional reasons (excluding medical indications like reversing female genital cutting, straddle injuries, or other genital injuries) were considered. Additionally, selected articles were required to evaluate post-operative sexual function using a quantitative tool. A meta-analysis using a random-effects model was used to derive weighted pooled estimates of sexual function after labiaplasty.
The authors identified a total of 11 articles (with 671 participants) that evaluated sexual function after labiaplasty. Based on the Effective Public Health Practice Project's Quality Assessment Tool for Quantitative Studies (EPHPP), out of the 11 articles reviewed, 7 were categorized as weak, 4 as moderate, and none as strong. Of the studies reviewed, 6 studies used Female Sexual Function Index (FSFI). A meta-analysis of these six studies (with eight groups) revealed that labiaplasty was associated with an 18.8% improvement in the FSFI score, P < 0.001.
Labiaplasty appears to have a positive impact on women's sexual function, at least in the short term. However, inconsistencies in procedures, study design, and scales have limited this conclusion. In pre-surgery counseling, patients must be informed about the limited knowledge on labiaplasty's impact on sexual function.
Evidence obtained from well-designed analytic studies. 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 the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
阴唇整形术的动机通常是美学、性和/或功能方面的考虑，但结果存在矛盾。关于这些选择性手术安全性和有效性的文献有限，主要包括临床病例报告和回顾性研究。
本系统评价旨在研究阴唇整形术对性功能的影响。
对2000年至2024年期间在PubMed、科学网、Scopus、PsycINFO、Embase、Cochrane图书馆和ClinicalTrials.gov进行电子检索。纳入关注因美容、性、心理和/或功能原因进行的小阴唇手术的文章（不包括诸如修复女性生殖器切割、骑跨伤或其他生殖器损伤等医学适应症）。此外，所选文章需使用定量工具评估术后性功能。采用随机效应模型进行荟萃分析，以得出阴唇整形术后性功能的加权合并估计值。
作者共识别出11篇评估阴唇整形术后性功能的文章（涉及671名参与者）。根据有效公共卫生实践项目的定量研究质量评估工具（EPHPP），在审查的11篇文章中，7篇被归类为弱，4篇为中等，无一篇为强。在审查的研究中，6项研究使用了女性性功能指数（FSFI）。对这六项研究（八组）的荟萃分析表明，阴唇整形术与FSFI评分提高18.8%相关，P<0.001。
阴唇整形术似乎对女性性功能有积极影响，至少在短期内如此。然而，手术、研究设计和量表的不一致限制了这一结论。在术前咨询中，必须告知患者关于阴唇整形术对性功能影响的知识有限。
证据水平III：从设计良好的分析性研究中获得的证据。本刊要求作者为每篇文章指定证据水平。有关这些循证医学评级的完整描述，请参阅目录或在线作者指南www.springer.com/00266 。
