Case of a Girl with Vulvar Swelling

Chapter

Abstract

Adolescent girls are increasingly presenting with concerns about their genital appearance and requesting surgical correction. Management of these concerns requires an understanding of the wide variety of normal appearance, time, and resources to educate the patient and her family and a cautious, conservative approach to management prior to considering any surgical intervention. There is no standard definition of labia minora hypertrophy, and caution should be taken before making diagnosis. Common symptoms of adolescents presenting with labial hypertrophy include irritation, pain, and interference with personal hygiene and sports. Concerns about the appearance of the labia minora can affect their self-esteem and result in significant psychological distress particularly when wearing specific clothing. Once other conditions have been excluded, the provider should provide reassurance and education. Conservative management should be the first approach. Surgical correction of labial hypertrophy in adolescence remains controversial and should be reserved for very symptomatic individuals.

Keywords

Labia minora hypertrophy Labiaplasty Labia minora Labial hypertrophy Enlarged labia 

References

  1. 1.
    American College of Obstetricians and Gynecologists. Breast and labial surgery in adolescents. Committee Opinion No. 662. Obstet Gynecol. 2016;127:e138–40.CrossRefGoogle Scholar
  2. 2.
    Bercaw-Pratt JL, Santos XM, Sanchez J, Ayensu-Coker L, Nebgen DR, Dietrich JE. The incidence, attitudes and practices of the removal of pubic hair as a body modification. J Pediatr Adolesc Gynecol. 2012;25:12–4.CrossRefPubMedGoogle Scholar
  3. 3.
    Reddy J, Laufer MR. Hypertrophic labia minora. J Pediatr Adolesc Gynecol. 2010;23:3–6.CrossRefPubMedGoogle Scholar
  4. 4.
    Schober J, Aardsma N, Mayoglou L, Pfaff D, Martin-Alguacil N. Clin Anat. 2015;28:392–8.CrossRefPubMedGoogle Scholar
  5. 5.
    Schober J, Martin Alguacil N, Cooper R, Pfaff D, Meyer-Bahlburg H. Self assessment of anatomy, sexual sensitivity, and function of the labia and vagina. Clin Anat. 2015;28:355–62.CrossRefPubMedGoogle Scholar
  6. 6.
    The American Society for Aesthetic Plastic Surgery. 2015 Cosmetic Surgery National Data Bank Statistics. http://www.surgery.org/sites/default/files/ASAPS-Stats2015.pdf
  7. 7.
    Runacres SA, Wood PL. Cosmetic labiaplasty in an adolescent population. J Pediatr Adolesc Gynecol. 2016;29(3):218–22.CrossRefPubMedGoogle Scholar
  8. 8.
    Rouzier R, Louis-Sylvestre C, Paniel BJ, Haddad B. Hypertrophy of labia minora: experience with 163 reductions. Am J Obstet Gynecol. 2000;182(1):35–40.CrossRefPubMedGoogle Scholar
  9. 9.
    Lynch A, Marulaiah M, Samarakkody U. Reduction labiaplasty in adolescents. J Pediatr Adolesc Gynecol. 2008;21(3):147–9.CrossRefPubMedGoogle Scholar
  10. 10.
    Oranges CM, Sisti A, Sisti G. Labia minora reduction techniques: a comprehensive literature review. Aesthet Surg J. 2015;35(4):419–31.CrossRefPubMedGoogle Scholar
  11. 11.
    Veale D, Naismith I, Eshkevari E, Ellison N, Costa A, Robinson D, Abeywickrama L, Kavouni A, Cardoza L. Psychosexual outcome after labiaplasty: a prospective case-comparison study. Int Urogynecol. 2014;25:831–9.CrossRefGoogle Scholar

Copyright information

© Springer International Publishing AG 2018

Authors and Affiliations

  1. 1.Department of Clinical SciencesUniversity of Central Florida College of MedicineOrlandoUSA
  2. 2.Department of Obstetrics and GynecologyOrlando Health Physicians GroupOrlandoUSA

Personalised recommendations