Introduction and Objectives
Hypertrophied labia minora can be functional or psychosexual problem. Local irritation, hygiene problems, difficulties during sexual intercourse as well as aesthetical appearance are generally accepted as indications for surgical correction. We present our results in the reconstruction of hypertrophied labia minora.
Material and Methods
Between May 2004 and January 2009, 19 women, aged 18 to 36 years (median 21) underwent surgical correction of hypertrophied labia minora. The majority of the patients (17/19) were dissatisfied with the appearance of their labia. Two patients presented pseudo incontinence due to urinary retention in vulvar and vaginal space. Excessive parts of both labia minora are removed including part of the clitoral hood to reach better esthetical appearance. The desired length of the labia minora is preoperatively discussed with the patient and the difference between the levels of the labia minora and labia majora is kept to be no less than 1 cm. The wound is sutured using running 6–0 resorbable suture. Compression dressing is applied for the first week to prevent swelling and haematoma.
Follow-up ranged from 6–61 months (median 28 months). Good esthetic results with symmetrical reduced labia are achieved in all patients. In two patients with pseudo incontinence, there was no more urine leakage from vulvar region. There was neither haematoma nor infection postoperatively.
Reduction of hypertrophied labia minora is simple and safe procedure and restores the natural rounded contour of the edge of the labia minora. It should be considered for cases in which functional and esthetical reasons could be resolved by this technique.
© 2009 European Association of Urology. Published by Elsevier Inc. All rights reserved.