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Study: Techniques for labia minora reduction achieve similar, positive outcomes

Of the eight labiaplasty techniques currently in use, all appeared to yield similarly high patient satisfaction and low complication rates, with no one technique demonstrating superiority, according to recently published study findings.

In a comprehensive literature review, researchers queried the PubMed and Medline databases using the keywords “labiaplasty,” “labial hypertrophy” and “techniques,” as well as “labia minora reduction.” Eligible studies included case studies; case reports; case series; clinical trials; open-label, prospective studies; and prospective studies. Studies deemed ineligible included surgical procedures and review articles.

After applying exclusion criteria, the researchers identified 38 studies published between 1971 and 2014, representing a total of 1,981 treated patients. The eight techniques of labia minora reduction included: 812 composite reduction labiaplasties, 702 wedge resections, 173 deepithelializations, 161 edge resections, 55 laser labiaplasties, 50 custom flask labiaplasties, 25 W-shaped resections and three fenestration labiaplasties with inferior flap transposition.

In the majority of the studies, the researchers assessed outcomes using patient satisfaction surveys, and the rates of satisfaction always surpassed 90%. A total of 134 patients reported complications, the most common of which were wound dehiscence, hematoma, postoperative bleeding and urinary retention. Hematoma was most frequently reported in cases where central wedge resection with a 90° Z-plasty was used, according to the researchers. The highest rate of wound dehiscence (two of 21 patients; 9.5%) was seen with inferior-wedge resection with superior pedicle flap reconstruction. None of the complications were serious, and all were resolved without difficulty, the researchers reported.

Eighty-two patients (4.1%) required revision surgery due to wound-healing complications or postoperative bleeding. In 34 patients, a secondary resection was performed because the initial surgery did not yield the desired labial length.

According to the researchers, clinicians should consider various factors when choosing a labiaplasty procedure, including surgeon experience, degree of labial hypertrophy and specific patient characteristics. - by Jennifer Byrne

Disclosure: The researchers report no relevant disclosures.