Composite labia minora and clitoral hood reduction using modified curved linear method: a retrospective study
10.3760/cma.j.cn114453-20201208-00617
- VernacularTitle:改良弧形法小阴唇及阴蒂包皮复合整形术临床应用研究
- Author:
Tian MENG
1
;
Ruijia DONG
;
Jie CHEN
;
Xiao LONG
Author Information
1. 中国医学科学院北京协和医学院北京协和医院西单院区整形美容外科 100032
- Keywords:
Surgery, plastic;
Clitoris;
Foreskin;
Hypertrophy;
Labia minora;
Labiaplasty
- From:
Chinese Journal of Plastic Surgery
2021;37(6):632-637
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the clinical effect and safety of modified composite labia minora and clitoral hood reduction using modified curved linear method.Methods:A retrospective analysis was carried out focusing on the case data of patients with congenital hypertrophy of labia minora combined with redundant clitoral hood who were treated by the author’s operation group after admission to the Department of Plastic Cosmetic Surgery in Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, from September 2018 to August 2020. All patients received composite labia minora and clitoral hood reduction using modified curved linear method, which permits improving the appearance of labia minora and clitoral hood during one operation. Further analysis was made on the preoperative symptoms and the surgical demands of the patients. Postoperative follow-up was performed in the aspects of complications, symptom improvement, perceived appearance improvement, sexual satisfaction improvement, and overall satisfaction after operation. Descriptive statistics were used for statistical analysis.Results:Sixty subjects undergoing labia minora and clitoral hood reduction were enrolled. The ages of the patients ranged from 19 to 44 years with an average of (30.0±8.6) years. In terms of preoperative symptoms and surgical demands, there were 35 cases (58.3%) of irritation during friction, 22 cases (36.7%) of increased secretion, 5 cases (8.3%) of chronic genitourinary infection, 20 cases (33.3%) of discomfort during sexual intercourse and 55 cases (91.7%) of appearance influence. Fifty-three patients re-visited the hospital for follow-up after the operation, with a follow-up rate of 88.3%. Over a mean follow-up of 4.5 months (ranged from 2 to 15 months), wound dehiscence occurred in 1 case (1.9%), postoperative asymmetry or redundancy occurred in 3 cases (5.7%). In addition, according to postoperative investigation, 48 patients (90.6%) had relieved preoperative symptoms in varying degrees, 50 cases (94.3%) had perceived improved appearance, and 26 cases (49.1%) had increased sexual satisfaction. Besides, the total satisfaction survey revealed that 48 cases were very satisfied and satisfied with the outcomes, accounting for 90.6%.Conclusions:The modified composite labia minora and clitoral hood reduction using modified curved linear method can adjust the appearance of labia minora and clitoral hood in a single operation, with satisfactory aesthetic effect. Besides, the proposed method is simple and safe in operation, exhibiting a wide range of application.
