Subjective outcomes of female genital cosmetic procedures: a prospective study with a median follow-up of 18 months

Yıl 2024, Cilt: 7 Sayı: 5, 500 - 504, 27.09.2024

Pınar Birol İlter , Ozan Doğan

https://doi.org/10.32322/jhsm.1519167

Öz

Aims: To investigate the affects of labiaplasty and/or vaginoplasty on sexual function and satisfaction, as well as the potential to improve body image and genital self-image.
Methods: A total of 131 heterosexual sexually active women receiving either a vaginoplasty and/or labioplasty were included in the study population. Patients were subsequently divided into three groups: labioplasty (LP) (n=44), vaginoplasty (VP) (n=44), and labioplasty-vaginoplasty (LVP) (n=43) for statistical evaluation. All participants were administered preoperatively and postoperatively validated questionnaires including Body Image Scale (BIS); Female Sexual Function Index (FSFI), Sexual Quality of Life Questionnaire-Female (SQOL-F), Female Sexual Distress Scale (FSDS), Female Genital Self-Image Scale (FGSIS), and Quality of Sexual Experience Scale (QSES).
Results: The median follow-up was 18 months after the female genital cosmetic procedure (FGCP). FGSIS, BIS, SQOL-F, QSES, and FSDS postoperative questionnaires total scores improved significantly in the LP, VP, and LVP groups. FSFI postoperative total scores improved among all groups, but no statistically significant difference was detected in the LP group, unlike the VP and LVP groups. No intraoperative complications occurred. Postoperative complications were detected in 2 (4.5%) women in the LP group and 1 (2.3%) woman in the LVP group. These complications were wound dehiscence (<1 cm) in the labiaplasty line and no reoperation was required.
Conclusion: This prospective study determined the curative effect of FGCP on body image, sexual quality, sexual distress, genital image, and sexual function.

Anahtar Kelimeler

Female genital cosmetic procedure, female genital cosmetic surgery, labioplasty, sexual function, vaginoplasty

Etik Beyan

Ethical committee approval was obtained from the local ethical committee (approval number: No:2022/514/240/7)

Destekleyen Kurum

Conflict of interest: The authors declare that they have no confict of interest Funding The authors declare that no funds, Grants, or other support were received during the preparation of this manuscript.

Kadınlarda genital kozmetik işlemlerinin subkektif sonuçları: ortalama 18 aylık takip süresi ile prospektif bir çalışma

Öz

Amaçlar: Labioplasti ve/veya vajinoplastinin cinsel işlev ve tatmin üzerindeki etkilerini ve ayrıca vücut ve genital benlik imajını iyileştirme potansiyelini araştırmak.
Yöntemler: Vajinoplasti ve/veya labioplasti ameliyatı geçiren toplam 131 heteroseksüel cinsel açıdan aktif kadın çalışma popülasyonuna dahil edildi. Hastalar daha sonra istatistiksel değerlendirme amacıyla Labioplasti (LP) (n=44), Vajinoplasti (VP) (n=44) ve Labioplasti-Vajinoplasti (LVP) (n=43) olmak üzere üç gruba ayrıldı. Tüm katılımcılara ameliyat öncesi ve ameliyat sonrası geçerliliği onaylanmış anketler uygulandı. Bu anketler; Beden İmaj Ölçeği (BIS); Kadın Cinsel İşlev İndeksi (FSFI), Kadın Cinsel Yaşam Kalitesi Anketi-Kadın (SQOL-F), Kadın Cinsel Sıkıntı Ölçeği (FSDS), Kadın Genital Benlik İmgesi Ölçeği (FGSIS) ve Cinsel Deneyim Kalitesi Ölçeği (QSES) ‘dir.
Bulgular: Kadın genital kozmetik prosedüründen (FGCP) sonra ortalama takip süresi 18 aydı. FGSIS, BIS, SQOL-F, QSES ve FSDS postoperatif anket toplam puanları LP, VP ve LVP gruplarında anlamlı düzeyde iyileşme gösterdi. FSFI ameliyat sonrası toplam skorları tüm gruplar arasında iyileşme gösterdi ancak VP ve LVP gruplarından farklı olarak LP grubunda istatistiksel olarak anlamlı bir fark tespit edilmedi. İntraoperatif komplikasyon gelişmedi. LP grubunda 2 (%4,5) kadında, LVP grubunda ise 1 (%2,3) kadında ameliyat sonrası komplikasyon tespit edildi. Bu komplikasyonlar arasında labioplasti hattında yara açılması (<1 cm) vardı ve yeniden ameliyat gerekmedi.
Sonuç: Bu prospektif çalışma, FGCP'nin vücut imajı, cinsel kalite, cinsel sıkıntı, genital imaj ve cinsel fonksiyon üzerindeki iyileştirici etkisini belirledi.

Anahtar Kelimeler

Kadın Genital Estetik İşlemleri, Kadın Genital Estetik Cerrahisi, Labioplasti, vajinoplasti, cinsel fonksiyon

Etik Beyan

Ethical committee approval was obtained from the local ethical committee (approval number: No:2022/514/240/7)

Destekleyen Kurum

The authors declare that they have no confict of interest. The authors declare that no funds, Grants, or other support were received during the preparation of this manuscript.

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