Composite labia minora and clitoral hood reduction using a simple three-step excision: a retrospective study
10.3760/cma.j.cn114453-20220429-00133
- VernacularTitle:三步切除法小阴唇-阴蒂包皮联合缩小整形术临床应用研究
- Author:
Yuanbo KANG
1
;
Zenan XIA
;
Xiao LONG
;
Xuda MA
;
Lin ZHU
Author Information
1. 中国医学科学院北京协和医学院北京协和医院整形美容外科，北京 100032
- Keywords:
Surgery, plastic;
Labia minora;
Clitoral hood;
Hypertrophy;
Labiaplasty
- From:
Chinese Journal of Plastic Surgery
2022;38(8):867-872
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the efficacy and safety of a simple three-step excision for combined reduction plastic surgery of labia minora clitoral hood complex.Methods:We selected the clinical data of patients with labia minora and clitoral prepuce hypertrophy treated in the Department of Plastic and Aesthetic Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, from May 2017 to November 2021. All the patients underwent composite labia minora and clitoral hood reduction using a simple three-step excision. In the first step, a longitudinal shuttle incision was designed to remove the redundant lateral prepuce of the clitoris; In the second step, the hypertrophic part of labia minora was removed by wedge resection; The third step was to trim the triangular flap formed by the excess skin at the junction of the labia minora and the clitoral hood, and then complete the incision suture. Patients were asked to return for examinations on days 1, 7, and 10 postoperatively. After that, the patients were followed up in the outpatient department or online, and the satisfaction questionnaires were conducted. The contents included appearance improvement, preoperative symptom improvement, postoperative discomfort symptoms, sexual life quality, partner’s evaluation of surgical effect, and patient’s evaluation of surgical impact.Results:A total of 295 patients were enrolled, with an average age of 29 years, ranged from 9 to 52 years old. Patients were divided into 4 categories according to the surgeries they received, including 21 patients (7.1%) with unilateral labia + unilateral prepuce hypertrophy, 12 patients (4.1%) with unilateral labia + bilateral prepuce hypertrophy, 50 patients (16.9%) with bilateral labia + unilateral prepuce and 212 patients (71.9%) with bilateral labia + bilateral prepuce hypertrophy. The incidence of complications was 3.4%(10/295), hematoma occurred in 8 cases, scar hyperplasia with obvious pain in 1 case, and blood supply disorder in 1 case. After the complementary treatments, all patients recovered well from surgeries. 219 questionnaires were obtained three months after surgeries, and 76 cases were lost to follow-up. The overall satisfaction rate of patients was 94.5%(207/219).Conclusions:The preoperative design of three-step resection is simple, which can safely and effectively carry out composite labia minora and clitoral hood reduction, with less complications, concealed incision, slight scar, and high satisfaction.
