Labiaplasty Outcomes and Complications in Turkish Women: A Multicentric Study

• Published in: International Urogynecology Journal 2024-05, Vol.35 (5), p.1045-1050
• Main Authors: Köle, Emre, Doğan, Ozan, Arslan, Gaye, Köle, Merve Çakır, Aslan, Erdoğan, Çalışkan, Eray
• Format: Article
• Language: English
• Subjects: Adolescent; Adult; Cross-Sectional Studies; Female; Gynecologic Surgical Procedures - adverse effects; Gynecologic Surgical Procedures - statistics & numerical data; Gynecology; Humans; Hypertrophy - surgery; Medicine; Medicine & Public Health; Middle Aged; Original Article; Plastic Surgery Procedures - adverse effects; Plastic Surgery Procedures - methods; Plastic Surgery Procedures - statistics & numerical data; Postoperative Complications - epidemiology; Postoperative Complications - etiology; Retrospective Studies; Surgeons; Surgical Wound Dehiscence - epidemiology; Surgical Wound Dehiscence - etiology; Treatment Outcome; Turkey - epidemiology; Urology; Vulva - surgery; Young Adult
• ISSN: 0937-3462; 1433-3023; 1433-3023
• DOI: 10.1007/s00192-024-05777-5

Introduction and Hypothesis We aimed to evaluate the outcomes, complication rates, and complication types of different labiaplasty techniques. Methods In this cross-sectional retrospective study, a total of 2,594 patients who underwent surgery owing to hypertrophy or asymmetry of the labium minus were retrospectively analyzed. Data were collected by individual interviews with 43 experts from different centers. The patients were between 18 and 50 years of age. During the interview information about the presence and nature of complications, and about concomitant or revision surgeries, were gathered. The surgeons who performed these surgeries were also questioned about their training and surgical experience. Results The most frequently observed complication was complete dehiscence, accounting for 29% of all complications. Complete dehiscence was most commonly seen after wedge resection (16 cases). The second most common complication was labium majus hematoma, accounting for 12.5% of all cases. Among the labiaplasty techniques, wedge resection had the highest complication rate at 3% (26 cases out of 753 patients). This was followed by composite labiaplasty at 1.2% (5 cases out of 395 patients), Z-plasty at 0.8% (1 case out of 123 patients), and trimming labiaplasty at 0.5% (7 cases out of 1,323 patients). Conclusion Considering the heterogeneity and low quality of the existing studies on this subject, this study provides valuable information for surgeons practicing in this field. However, further research is clearly warranted as female genital aesthetic procedures are being performed with a steadily increasing trend.