Abstract
Introduction and Hypothesis
We aimed to evaluate the outcomes, complication rates, and complication types of different labiaplasty techniques.
Methods
In this cross-sectional retrospective study, a total of 2,594 patients who underwent surgery owing to hypertrophy or asymmetry of the labium minus were retrospectively analyzed. Data were collected by individual interviews with 43 experts from different centers. The patients were between 18 and 50 years of age. During the interview information about the presence and nature of complications, and about concomitant or revision surgeries, were gathered. The surgeons who performed these surgeries were also questioned about their training and surgical experience.
Results
The most frequently observed complication was complete dehiscence, accounting for 29% of all complications. Complete dehiscence was most commonly seen after wedge resection (16 cases). The second most common complication was labium majus hematoma, accounting for 12.5% of all cases. Among the labiaplasty techniques, wedge resection had the highest complication rate at 3% (26 cases out of 753 patients). This was followed by composite labiaplasty at 1.2% (5 cases out of 395 patients), Z-plasty at 0.8% (1 case out of 123 patients), and trimming labiaplasty at 0.5% (7 cases out of 1,323 patients).
Conclusion
Considering the heterogeneity and low quality of the existing studies on this subject, this study provides valuable information for surgeons practicing in this field. However, further research is clearly warranted as female genital aesthetic procedures are being performed with a steadily increasing trend.
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Acknowledgements
The authors acknowledge their gratitude to all of the participants in this study.
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Contributions
Concept: E.Ç.; design: E.Ç; data collection or processing: E.K., O.D; analysis or interpretation: M.Ç.K., G.A, E.Ç; literature search: M.Ç, E.K.; writing: E.K., E.A.
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The approval of Alaaddin Keykubat University Clinical Research Ethics Committee (decision dated 16 November 2022 and numbered 12/06).
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Participation in the study was voluntary, and all participants read and approved the informed consent form.
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Internally peer reviewed.
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The authors declared that this study received no financial support.
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Köle, E., Doğan, O., Arslan, G. et al. Labiaplasty Outcomes and Complications in Turkish Women: A Multicentric Study. Int Urogynecol J (2024). https://doi.org/10.1007/s00192-024-05777-5
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DOI: https://doi.org/10.1007/s00192-024-05777-5