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Functional and Aesthetic Surgery of Female Genitalia

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Female Genitourinary and Pelvic Floor Reconstruction

Abstract

Acceptable appearance of female genitalia have significant impact in functional, as well as in aesthetical sense, since there are many anomalies, either congenital or acquired, which require proper correction. Certainly, attention should be paid to the growing demands and needs for aesthetics in the field of genital surgery, and these women should be helped to prevent the development of genital dysmorphophobia. Various specialties are involved in the work in this specific field, from plastic surgeons, through gynecologists and urologists. The genital surgeon must have sufficient training in sexual medicine to withhold these procedures from women with sexual dysfunction, mental impairment, or body dysmorphic disorder. There is a variety of surgical procedures for better functioning of genitalia such as reduction of enlarged clitoris or creation of new vagina. Many new and redefined techniques are emerging, but very few long-term results and follow up studies are published. Also, reconstruction of missing organs due to trauma or mutilation injuries represents new challenges. Finally, new trends in cosmetic surgery offer better aesthetic appearance and recruit more and more new non-surgical procedures. Patients should always be made aware that the results of surgery or procedures to alter sexual appearance or function are always prone to subjectivism, and must be presented with realistic expectations.

In our chapter we will evaluate all the modalities of treatment for this pathology, and we will also pay special attention to a new trend in cosmetic surgery, aesthetic correction of female genitalia. It will be an overview of the possible surgical procedures for women with congenital and functional disorders as well as general principles of aesthetic surgery of the female genitalia. Some details are already fully described in other chapters and will be poorly contributed in our chapter as a reminder of this very important issue.

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References

  1. Cosmetic Surgery National Data Bank Statistics. Aesthet Surg J. 2015;35(Suppl 2):1–24.

    Article  Google Scholar 

  2. Lista F, Mistry BD, Singh Y, Ahmad J. The safety of aesthetic labioplasty: a plastic surgery experience. Aesthet Surg J. 2015;35(6):689–95.

    Article  PubMed  Google Scholar 

  3. Ampt AJ, Roach V, Roberts CL. Vulvoplasty in New South Wales, 2001–2013: a population-based record linkage study. Med J Aust. 2016;205:365–9.

    Article  PubMed  Google Scholar 

  4. Georgiou CA, Benatar M, Dumas P, et al. A cadaveric study of the arterial blood supply of the labia minora. Plast Reconstr Surg. 2015;136(1):167–78.

    Article  CAS  PubMed  Google Scholar 

  5. Corton MM, Cunningham FG. Anatomy. In: Hoffman BL, Schorge JO, Schaffer JI, et al., editors. Williams gynecology. 2nd ed. New York: McGraw-Hill Education LLC; 2012. p. 918–46.

    Google Scholar 

  6. Puppo V. Anatomy and physiology of the clitoris, vestibular bulbs, and labia minora with a review of the female orgasm and the prevention of female sexual dysfunction. Clin Anat. 2013;26(1):134–52.

    Article  PubMed  Google Scholar 

  7. O’Connell HE, Sanjeevan KV, Hutson JM. Anatomy of the clitoris. J Urol. 2005;174:1189–95.

    Article  PubMed  Google Scholar 

  8. Foldès P, Cuzin B, Andro A. Reconstructive surgery after female genital mutilation: a prospective cohort study. Lancet. 2012;380:134–41.

    Article  PubMed  Google Scholar 

  9. Goodman MP. Female genital cosmetic and plastic surgery: a review. J Sex Med. 2011;8(6):1813–25.

    Article  PubMed  Google Scholar 

  10. White PC, Speiser PW. Congenital adrenal hyperplasia due to 21-hydroxylase deficiency. Endocr Rev. 2000;21:245–91.

    CAS  PubMed  Google Scholar 

  11. Lean WL, Deshpande A, Hutson J, et al. Cosmetic and anatomic outcomes after feminizing surgery for ambiguous genitalia. J Pediatr Surg. 2005;40:1856–60.

    Article  PubMed  Google Scholar 

  12. Stoianovic B, Bizic M, Bencic M, Vukadinovic V, Korac G, Djordjevic M. Reduction clitoroplasty by clitoral disassembly as an approach for the treatment of congenital adrenal hyperplasia. Eur Urol Suppl. 2019;18(2):e2360.

    Article  Google Scholar 

  13. Graziano K, Teitelbaum DH, Hirschl RB, et al. Vaginal reconstruction for ambiguous genitalia and congenital absence of the vagina: a 27-year experience. J Pediatr Surg. 2002;37:955–60.

    Article  PubMed  Google Scholar 

  14. Pena A. Total urogenital mobilization – an easier way to repair cloacas. J Pediatr Surg. 1997;32:263–7.

    Article  CAS  PubMed  Google Scholar 

  15. Rink RC, Metcalfe PD, Cain MP, Meldrum KK, Kaefer MA, Casale AJ. Use of the mobilized sinus with total urogenital mobilization. J Urol. 2006;176:2205–11.

    Article  CAS  PubMed  Google Scholar 

  16. Palmer BW, Trojan B, Griffin K, et al. Total and partial urogenital mobilization: focus on urinary continence. J Urol. 2012;187:1422–6.

    Article  PubMed  Google Scholar 

  17. Brännström M, Brännström M. Uterus transplantation in a Nordic perspective: a proposition for clinical introduction with centralization. Acta Obstet Gynecol Scand. 2021;100(8):1361–3.

    Article  PubMed  Google Scholar 

  18. Creatsas G, Deligeoroglou E, Makrakis E, Kontoravdis A, Papadimitriou L. Creation of a neovagina following Williams vaginoplasty and the Creatsas modification in 111 patients with Mayer–Rokitansky–Kuster–Hauser syndrome. Fertil Steril. 2001;76:1036–40.

    Article  CAS  PubMed  Google Scholar 

  19. Borruto F, Camoglio FS, Zampieri N, Fedele L. The laparoscopic Vecchietti technique for vaginal agenesis. Int J Gynaecol Obstet. 2007;98:15–9.

    Article  CAS  PubMed  Google Scholar 

  20. Hojsgaard A, Villadsen I. McIndoe procedure for congenital vaginal agenesis: complications and results. Br J Plast Surg. 1995;48:97–102.

    Article  CAS  PubMed  Google Scholar 

  21. Carcopino X, Shojai R, Boubli L. Female genital mutilation: generalities, complications and management during obstetrical period. J Gynecol Obstet Biol Reprod. 2004;33:378–83.

    Article  CAS  Google Scholar 

  22. Nour NM, Michels KB, Bryant AE. Defibulation to treat female genital cutting: effect on symptoms and sexual function. Obstet Gynecol. 2006;108:55–60.

    Article  PubMed  Google Scholar 

  23. Iavazzo C, Sardi TA, Gkegkes ID. Female genital mutilation and infections: a systematic review of the clinical evidence. Arch Gynecol Obstet. 2013;87:1137–49.

    Article  Google Scholar 

  24. Obermeyer CM. The consequences of female circumcision for health and sexuality: an update on the evidence. Cult Health Sex. 2005;7:443–61.

    Article  PubMed  Google Scholar 

  25. Perez-Lopez FR, Vieira-Baptista P. Lichen sclerosus in women: a review. Climacteric. 2017;20(4):339–47.

    Article  CAS  PubMed  Google Scholar 

  26. Hodgkinson DJ, Hait G. Aesthetic vaginal labioplasty. Plast Reconstr Surg. 1984;74:414–6.

    Article  CAS  PubMed  Google Scholar 

  27. Motakef S, Rodriguez-Feliz J, Chung MT, Ingargiola MJ, Wong VW, Patel A. Vaginal labiaplasty: current practices and a simplified classification system for labial protrusion. Plast Reconstr Surg. 2015;135(3):774–88.

    Article  CAS  PubMed  Google Scholar 

  28. Oranges CM, Sisti A, Sisti G. Labia minora reduction techniques: a comprehensive literature review. Aesthet Surg J. 2015;35(4):419–43.

    Article  PubMed  Google Scholar 

  29. Choi HY, Kim KT. A new method for aesthetic reduction of labia minora (the deepithelialized reduction of labioplasty). Plast Reconstr Surg. 2000;105:419–22.

    Article  CAS  PubMed  Google Scholar 

  30. Cao YJ, Li FY, Li SK, et al. A modified method of labia minora reduction: the de-epithelialised reduction of the central and posterior labia minora. J Plast Reconstr Aesthet Surg. 2012;65:1096–102.

    Article  CAS  PubMed  Google Scholar 

  31. Maas SM, Hage JJ. Functional and aesthetic labia minora reduction. Plast Reconstr Surg. 2000;105:1453–6.

    CAS  PubMed  Google Scholar 

  32. Alter GJ. A new technique for aesthetic labia minora reduction. Ann Plast Surg. 1998;40:287–90.

    Article  CAS  PubMed  Google Scholar 

  33. Munhoz AM, Filassi JR, Ricci MD, et al. Aesthetic labia minora reduction with inferior wedge resection and superior pedicle flap reconstruction. Plast Reconstr Surg. 2006;118:1237–47.

    Article  CAS  PubMed  Google Scholar 

  34. Kelishadi SS, Elston JB, Rao AJ, Tutela JP, Mizuguchi NN. Posterior wedge resection: a more aesthetic labiaplasty. Aesthet Surg J. 2013;33:847–53.

    Article  PubMed  Google Scholar 

  35. Gress S. Composite reduction labiaplasty. Aesthet Plast Surg. 2013;37:674–83.

    Article  Google Scholar 

  36. Capraro VJ. Congenital anomalies. Clin Obstet Gynecol. 1971;14:988–1012.

    Article  CAS  PubMed  Google Scholar 

  37. Pardo J, Sola V, Ricci P, Guilloff E. Laser labioplasty of labia minora. Int J Gynaecol Obstet. 2006;93:38–43.

    Article  CAS  PubMed  Google Scholar 

  38. Coleman SR. Structural fat grafts; the ideal filler? Clin Plast Surg. 2001;28:111–9.

    Article  CAS  PubMed  Google Scholar 

  39. Wilkie G, Bartz D. Vaginal rejuvenation: a review of female genital cosmetic surgery. Obstet Gynecol Surv. 2018;73(5):287–92.

    Article  PubMed  Google Scholar 

  40. Juhasz MLW, Korta DZ, Mesinkovska NA. Vaginal rejuvenation: a retrospective review of lasers and radiofrequency devices. Dermatol Surg. 2021;47(4):489–94.

    Article  CAS  PubMed  Google Scholar 

  41. Eppley BL, Dadvand B. Injectable soft-tissue fillers: clinical overview. Plast Reconstr Surg. 2006;118(4):98e–106e.

    Article  PubMed  Google Scholar 

  42. Hashim PW, Nia JK, Zade J, Farberg AS, Goldenberg G. Noninvasive vaginal rejuvenation. Cutis. 2018;102(4):243–6.

    PubMed  Google Scholar 

  43. Aguilar P, Hersant B, SidAhmed-Mezi M, Bosc R, Vidal L, Meningaud JP. Novel technique of vulvo-vaginal rejuvenation by lipofilling and injection of combined platelet-rich-plasma and hyaluronic acid: a case-report. Springerplus. 2016;5(1):1184.

    Article  PubMed  PubMed Central  Google Scholar 

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Author information

Authors and Affiliations

  1. Belgrade Center for Urogenital Reconstructive Surgery, Belgrade, Serbia

    S. Pusica, B. Stojanovic & Mirosav L. Djordjevic

  2. School of Medicine, University of Belgrade, Belgrade, Serbia

    B. Stojanovic

Authors
  1. S. Pusica
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  2. B. Stojanovic
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  3. Mirosav L. Djordjevic
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Corresponding author

Correspondence to Mirosav L. Djordjevic .

Editor information

Editors and Affiliations

  1. University of Lisbon, Lisbon, Portugal

    Francisco E. Martins

  2. University of Oslo, Oslo, Norway

    Henriette Veiby Holm

  3. Memorial Sloan Kettering Cancer Center, New York, NY, USA

    Jaspreet S. Sandhu

  4. Eastern Virginia Medical School, Norfolk, VA, USA

    Kurt A McCammon

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Pusica, S., Stojanovic, B., Djordjevic, M.L. (2023). Functional and Aesthetic Surgery of Female Genitalia. In: Martins, F.E., Holm, H.V., Sandhu, J.S., McCammon, K.A. (eds) Female Genitourinary and Pelvic Floor Reconstruction. Springer, Cham. https://doi.org/10.1007/978-3-031-19598-3_67

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  • DOI: https://doi.org/10.1007/978-3-031-19598-3_67

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-19597-6

  • Online ISBN: 978-3-031-19598-3

  • eBook Packages: MedicineReference Module Medicine

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