Ebelik Öğrencilerinin Genital Kozmetik Cerrahi Hakkındaki Görüşlerinin İncelenmesi
Yıl 2025,
Sayı: 12, 16 - 23, 07.08.2025
Ayşenur Akan
,
Aytül Hadımlı
Öz
Giriş: Çalışma, ebelik öğrencilerinin genital estetik cerrahi hakkındaki görüşlerini ve genital estetik cerrahi geçirmiş kadınlara bakım verme yeterliliklerini araştırmak amacıyla planlanmıştır.
Yöntem: Araştırma Türkiye’nin yedi farklı coğrafi bölgesinden rastgele örneklem yöntemi ile seçilen yedi ebelik bölümünün öğrencileri ile gerçekleştirilmiştir. Tanımlayıcı tipteki araştırmaya çalışmaya katılmayı kabul eden 731 öğrenci katılmıştır. Veriler, araştırmacılar tarafından hazırlanan Araştırma Anket Formu kullanılarak, Google form aracılığıyla toplanmıştır. Verilerin değerlendirilmesinde sayı, yüzde ve ki kare testi uygulanmıştır.
Bulgular: Çalışmaya katılan öğrencilerin yaş ortalaması 21.60'tır. Öğrencilerin %73.9'u genel estetik cerrahi, %68.8'i ise genital kozmetik konularının derslerinde yer almadığını belirtmiştir. Genital kozmetik cerrahi prosedürlerinden en çok bilineni hymenoplastidir. “Genital kozmetik cerrahi neden yapılmalıdır?” sorusuna en yüksek oranda verilen yanıt “estetik görünüm kaygısı” olmuştur (%88.4). Genital kozmetik konularının derslerde anlatılma durumu ile okudukları sınıf ve genital kozmetik cerrahi geçirmiş kadına bakım verme yetkinliği arasında anlamlı farklılık olduğu saptanmıştır.
Sonuç: Ebelik öğrencilerine bu konuda uluslararası kılavuzlar ve güncel literatür doğrultusunda eğitim verilmesi, mesleki yeterliliklerinin geliştirilmesi ve mezun olduktan sonra bakım verecekleri kadınların sağlığı açısından önemlidir.
Etik Beyan
Bu çalışma Helsinki Deklarasyonu ilkelerine uygun olarak yürütülmüştür. Çalışma yapılmadan önce Ege Üniversitesi Bilimsel Araştırma ve Yayın Etiği Kurulundan etik onay alınmıştır (Tarih: 30/09/2022, Numara: 1636).
Bu çalışmanın hazırlanma sürecinde bilimsel ve etik ilkelere uyulduğu ve yararlanılan tüm çalışmaların kaynakçada belirtildiği beyan olunur.
Bu çalışmanın hazırlanma sürecinde yapay zeka tabanlı herhangi bir araç veya uygulama kullanılmamıştır. Çalışmanın tüm içeriği, yazar(lar) tarafından bilimsel araştırma yöntemleri ve akademik etik ilkelere uygun şekilde üretilmiştir.
Destekleyen Kurum
Bu çalışma için herhangi bir bütçe desteği yoktur.
Teşekkür
Araştırmaya katılan ebelik öğrencilerine teşekkür ederiz.
Kaynakça
-
American College of Obstetricians and Gynecologists. (2019). ACOG Committee Opinion. Elective female genital cosmetic surgery. Retrieved September 12, 2022 from https://journals.lww.com/greenjournal/Fulltext/2020/01000/Elective_Female_Genital_Cosmetic_Surgery_ACOG.46.aspx
-
Aktaş, R. F., and Dağlı, E. (2022). A qualitative study on women's opinions and attitudes on cosmetic gynecology. Journal of Ankara Health Sciences, 11(2), 188–197. https://doi.org/10.46971/ausbid.1167911
-
Arab, K., Barasain, O., Altaweel, A., Alkhayyal, J., Alshiha, L., Barasain, R., Alessa, R., & Alshaalan, H. (2019). Influence of social media on the decision to undergo a cosmetic procedure. Plastic and reconstructive surgery. Global open, 7(8), e2333. https://doi.org/10.1097/GOX.0000000000002333
-
Boddy, J. (2020). Re-thinking the zero tolerance approach to FGM/C: The debate around female genital cosmetic surgery. Current Sexual Health Reports, 12, 302–313. https://doi.org/10.1007/s11930-020-00293-1
-
Braun, V., and Wilkinson, S. (2001). Socio-cultural representations of the vagina. Journal of Reproductive and Infant Psychology, 19(1), 17–32. https://doi.org/10.1080/02646830020032374
-
da Prato, E. B., Cartier, H., Margara, A., Molina, B., Tateo, A., Grimolizzi, F., and Spagnolo, A. G. (2024). The ethical foundations of patient-centered care in aesthetic medicine. Philosophy, Ethics, and Humanities in Medicine, 19(1), 1–7. https://doi.org/10.1186/s13010-024-00151-1
-
Daşıkan, Z., Kıratlı, D., and Erdoğan, M. (2019). Women’s genital appearance satisfaction: Genital cosmetic surgery. The Journal of Gynecology - Obstetrics and Neonatology, 16(4), 238–243.
-
Demirbaş, H. (2019). Why do people desire aesthetic interventions? Motivation behind on. The Journal of Academic Social Science, 7(99), 81–91. http://dx.doi.org/10.29228/ASOS.39458
-
de Vries, D. A., Peter, J., Nikken, P., and de Graaf, H. (2014). The effect of social network site use on appearance investment and desire for cosmetic surgery among adolescent boys and girls. Sex Roles, 71, 283–295. https://psycnet.apa.org/doi/10.1007/s11199-014-0412-6
-
Dobbeleir, J., Van Landuyt, K., and Monstrey, S. J. (2011). Aesthetic surgery of the female genitalia. Seminars in Plastic Surgery, 25(2), 130–141. https://doi.org/10.1055/s-0031-1281482
-
Ege University Information Package. (2024). Faculty of Health Sciences, Midwifery. Retrieved September 12, 2024 from https://ebp.ege.edu.tr/DereceProgramlari/Detay/1/61030/8141/932001?lang=en-US
-
Erdogan, G. (2021). Female genital cosmetic surgery (FGCS): Evaluation of YouTube videos. Journal of Gynecology Obstetrics and Human Reproduction, 50(4), 102102. https://doi.org/10.1016/j.jogoh.2021.102102
-
Goodman, M. P., Placik, O. J., Benson, R. H., Miklos, J. R., Moore, R. D., Jason, R. A., ... and Gonzales, F. (2010). A large multicenter outcome study of female genital plastic surgery. Journal of Sexual Medicine, 7(4 Pt 1), 1565–1577. https://doi.org/10.1111/j.1743-6109.2009.01573.x
-
Güngör, M., Sır, E., Çelik, D., Seyhan, A., and Yoleri, L. (2011). Reconstruction of labium minus hypertrophy taking into account anatomical differences. Turkish Plastic Surgery, 19(2), 70–73.
-
Hadımlı, A., Sert, E., and Karaca Saydam, B. (2021). Consultancy and care with ex-PLISSIT model in genital aesthetic surgery. Gevher Nesibe Journal of Medical & Health Sciences, 6(11), 29–38. https://doi.org/10.46648/gnj.182
-
International Society Aesthetic Plastic Surgery. (2016). ISAPS Global Survey 2016. Retrieved September 12, 2022 from https://isaps.org/media/smydxtda/globalstatistics2016-1.pdf
-
International Society Aesthetic Plastic Surgery. (2020). ISAPS Global Survey 2020. Retrieved September 12, 2022 from https://www.isaps.org/media/evbbfapi/isaps-global-survey_2020.pdf
-
International Society Aesthetic Plastic Surgery. (2022). ISAPS Global Survey 2022. Retrieved September 12, 2024 from https://www.isaps.org/media/a0qfm4h3/isaps-global-survey_2022.pdf
-
Işık, D., Erçel, C., Kutlay, R., and Anlatıcı, R. (2011). Re-virginization: Hymenoplasty. Turkish Journal of Plastic Surgery, 19(1), 13–17.
-
Kotti, B., Triana, L., Condé-Green, A., Janne Hasbun, S., Cansancao, A. L., & Agag, R. L. (2019). Assessment of female genital surgery education in plastic surgery training: report of an expert opinion survey. Aesthetic plastic surgery, 43(4), 1102–1110. https://doi.org/10.1007/s00266-019-01394-6
-
Louch, N. S., Minto, C., Liao, L., and Creighton, S. (2005). Female genital appearance: “Normality” unfolds. BJOG: An International Journal of Obstetrics & Gynaecology, 112(5), 643–646. https://doi.org/10.1111/j.1471-0528.2004.00517.x
-
Miklos, J. R., and Moore, R. D. (2008). Labiaplasty of the labia minora: patients' indications for pursuing surgery. The journal of sexual medicine, 5(6), 1492–1495. https://doi.org/10.1111/j.1743-6109.2008.00813.x
-
Nappi, R., Liekens, G., and Brandenburg, U. (2006). Attitudes, perceptions and knowledge about the vagina: The International Vagina Dialogue Survey. Contraception, 73(5), 493–500. https://doi.org/10.1016/j.contraception.2005.12.007
-
National Core Education Program For Midwifery. (2025). National Core Education Program for Pre-Graduation Midwifery. Retrieved September 5, 2025 from https://www.yok.edu.tr/Documents/Kurumsal/egitim_ogretim_dairesi/Ulusal-cekirdek-egitimi-programlari/ebelik.pdf
-
Shaw, D., Allen, L., Chan, C., Kives, S., Popadiuk, C., Robertson, D., and Shapiro, J. (2022). Guideline No. 423: Female genital cosmetic surgery and procedures. Journal of Obstetrics and Gynaecology Canada, 44(2), 204–214. https://doi.org/10.1016/j.jogc.2021.11.001
-
Vojvodic, M., Lista, F., Vastis, P. G., and Ahmad, J. (2018). Luminal reduction hymenoplasty: A Canadian experience with hymen restoration. Aesthetic Surgery Journal, 38(7), 802–806. https://doi.org/10.1093/asj/sjy023
-
YÖK Atlas. (2022). Universities with Midwifery Programs. Retrieved December 3, 2022 from https://yokatlas.yok.gov.tr/lisans-bolum.php?b=10247
Investigation of Midwifery Students' Opinions About Genital Cosmetic Surgery
Yıl 2025,
Sayı: 12, 16 - 23, 07.08.2025
Ayşenur Akan
,
Aytül Hadımlı
Öz
Introduction: The study was planned to investigate the opinions of midwifery students about genital cosmetic surgery and their perceived competence in providing care to women who have undergone genital cosmetic surgery.
Methods: In this descriptive study, 731 volunteer students from the midwifery departments of universities located in seven geographical regions of Turkey and selected using a random sampling method were included. Data were collected using the Research Survey Form prepared by the researchers via Google Forms. Numbers and percentages were used and the chi-square test was performed in the analysis of the data.
Results: The average age of the students participating in the study was 21.60. Of them, 73.9% and 68.8% stated that topics on general aesthetic surgery and genital cosmetic surgery, respectively were not included in their courses. Of the genital cosmetic surgery procedures, the one known most is hymenoplasty. The response to the question “Why should genital cosmetic surgery be performed?” with the highest rate was “concern about aesthetic appearance” (88.4%). There was a significant relationship between genital cosmetics topics taught in courses, and the variables such as a year of at school and self reported competence to provide care to women who had genital cosmetics surgery.
Conclusion: Giving education to midwifery students on the issue in line with international guidelines and current literature is important for the development of their professional competence and the health of women for whom they will provide care after graduation.
Etik Beyan
This study was conducted in accordance with the principles of the Declaration of Helsinki. Ethical approval was obtained from Ege University Scientific Research and Publication Ethics Committee before the study was conducted. (Date: 30/09/2022, Number: 1636).
It is declared that scientific and ethical principles were complied with during the preparation of this study and all the studies used in this study were cited in the bibliography.
No artificial intelligence-based tools or applications were utilized in the preparation of this manuscript. All content was generated solely by the author(s) in adherence to scientific research methodologies and academic ethical standards.
Destekleyen Kurum
No external funding was used to support this research.
Teşekkür
We thank the midwifery students who participated in the study.
Kaynakça
-
American College of Obstetricians and Gynecologists. (2019). ACOG Committee Opinion. Elective female genital cosmetic surgery. Retrieved September 12, 2022 from https://journals.lww.com/greenjournal/Fulltext/2020/01000/Elective_Female_Genital_Cosmetic_Surgery_ACOG.46.aspx
-
Aktaş, R. F., and Dağlı, E. (2022). A qualitative study on women's opinions and attitudes on cosmetic gynecology. Journal of Ankara Health Sciences, 11(2), 188–197. https://doi.org/10.46971/ausbid.1167911
-
Arab, K., Barasain, O., Altaweel, A., Alkhayyal, J., Alshiha, L., Barasain, R., Alessa, R., & Alshaalan, H. (2019). Influence of social media on the decision to undergo a cosmetic procedure. Plastic and reconstructive surgery. Global open, 7(8), e2333. https://doi.org/10.1097/GOX.0000000000002333
-
Boddy, J. (2020). Re-thinking the zero tolerance approach to FGM/C: The debate around female genital cosmetic surgery. Current Sexual Health Reports, 12, 302–313. https://doi.org/10.1007/s11930-020-00293-1
-
Braun, V., and Wilkinson, S. (2001). Socio-cultural representations of the vagina. Journal of Reproductive and Infant Psychology, 19(1), 17–32. https://doi.org/10.1080/02646830020032374
-
da Prato, E. B., Cartier, H., Margara, A., Molina, B., Tateo, A., Grimolizzi, F., and Spagnolo, A. G. (2024). The ethical foundations of patient-centered care in aesthetic medicine. Philosophy, Ethics, and Humanities in Medicine, 19(1), 1–7. https://doi.org/10.1186/s13010-024-00151-1
-
Daşıkan, Z., Kıratlı, D., and Erdoğan, M. (2019). Women’s genital appearance satisfaction: Genital cosmetic surgery. The Journal of Gynecology - Obstetrics and Neonatology, 16(4), 238–243.
-
Demirbaş, H. (2019). Why do people desire aesthetic interventions? Motivation behind on. The Journal of Academic Social Science, 7(99), 81–91. http://dx.doi.org/10.29228/ASOS.39458
-
de Vries, D. A., Peter, J., Nikken, P., and de Graaf, H. (2014). The effect of social network site use on appearance investment and desire for cosmetic surgery among adolescent boys and girls. Sex Roles, 71, 283–295. https://psycnet.apa.org/doi/10.1007/s11199-014-0412-6
-
Dobbeleir, J., Van Landuyt, K., and Monstrey, S. J. (2011). Aesthetic surgery of the female genitalia. Seminars in Plastic Surgery, 25(2), 130–141. https://doi.org/10.1055/s-0031-1281482
-
Ege University Information Package. (2024). Faculty of Health Sciences, Midwifery. Retrieved September 12, 2024 from https://ebp.ege.edu.tr/DereceProgramlari/Detay/1/61030/8141/932001?lang=en-US
-
Erdogan, G. (2021). Female genital cosmetic surgery (FGCS): Evaluation of YouTube videos. Journal of Gynecology Obstetrics and Human Reproduction, 50(4), 102102. https://doi.org/10.1016/j.jogoh.2021.102102
-
Goodman, M. P., Placik, O. J., Benson, R. H., Miklos, J. R., Moore, R. D., Jason, R. A., ... and Gonzales, F. (2010). A large multicenter outcome study of female genital plastic surgery. Journal of Sexual Medicine, 7(4 Pt 1), 1565–1577. https://doi.org/10.1111/j.1743-6109.2009.01573.x
-
Güngör, M., Sır, E., Çelik, D., Seyhan, A., and Yoleri, L. (2011). Reconstruction of labium minus hypertrophy taking into account anatomical differences. Turkish Plastic Surgery, 19(2), 70–73.
-
Hadımlı, A., Sert, E., and Karaca Saydam, B. (2021). Consultancy and care with ex-PLISSIT model in genital aesthetic surgery. Gevher Nesibe Journal of Medical & Health Sciences, 6(11), 29–38. https://doi.org/10.46648/gnj.182
-
International Society Aesthetic Plastic Surgery. (2016). ISAPS Global Survey 2016. Retrieved September 12, 2022 from https://isaps.org/media/smydxtda/globalstatistics2016-1.pdf
-
International Society Aesthetic Plastic Surgery. (2020). ISAPS Global Survey 2020. Retrieved September 12, 2022 from https://www.isaps.org/media/evbbfapi/isaps-global-survey_2020.pdf
-
International Society Aesthetic Plastic Surgery. (2022). ISAPS Global Survey 2022. Retrieved September 12, 2024 from https://www.isaps.org/media/a0qfm4h3/isaps-global-survey_2022.pdf
-
Işık, D., Erçel, C., Kutlay, R., and Anlatıcı, R. (2011). Re-virginization: Hymenoplasty. Turkish Journal of Plastic Surgery, 19(1), 13–17.
-
Kotti, B., Triana, L., Condé-Green, A., Janne Hasbun, S., Cansancao, A. L., & Agag, R. L. (2019). Assessment of female genital surgery education in plastic surgery training: report of an expert opinion survey. Aesthetic plastic surgery, 43(4), 1102–1110. https://doi.org/10.1007/s00266-019-01394-6
-
Louch, N. S., Minto, C., Liao, L., and Creighton, S. (2005). Female genital appearance: “Normality” unfolds. BJOG: An International Journal of Obstetrics & Gynaecology, 112(5), 643–646. https://doi.org/10.1111/j.1471-0528.2004.00517.x
-
Miklos, J. R., and Moore, R. D. (2008). Labiaplasty of the labia minora: patients' indications for pursuing surgery. The journal of sexual medicine, 5(6), 1492–1495. https://doi.org/10.1111/j.1743-6109.2008.00813.x
-
Nappi, R., Liekens, G., and Brandenburg, U. (2006). Attitudes, perceptions and knowledge about the vagina: The International Vagina Dialogue Survey. Contraception, 73(5), 493–500. https://doi.org/10.1016/j.contraception.2005.12.007
-
National Core Education Program For Midwifery. (2025). National Core Education Program for Pre-Graduation Midwifery. Retrieved September 5, 2025 from https://www.yok.edu.tr/Documents/Kurumsal/egitim_ogretim_dairesi/Ulusal-cekirdek-egitimi-programlari/ebelik.pdf
-
Shaw, D., Allen, L., Chan, C., Kives, S., Popadiuk, C., Robertson, D., and Shapiro, J. (2022). Guideline No. 423: Female genital cosmetic surgery and procedures. Journal of Obstetrics and Gynaecology Canada, 44(2), 204–214. https://doi.org/10.1016/j.jogc.2021.11.001
-
Vojvodic, M., Lista, F., Vastis, P. G., and Ahmad, J. (2018). Luminal reduction hymenoplasty: A Canadian experience with hymen restoration. Aesthetic Surgery Journal, 38(7), 802–806. https://doi.org/10.1093/asj/sjy023
-
YÖK Atlas. (2022). Universities with Midwifery Programs. Retrieved December 3, 2022 from https://yokatlas.yok.gov.tr/lisans-bolum.php?b=10247