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Current Trends in Vaginal Labioplasty: A Survey of Plastic Surgeons
Michael Mirzabeigi MSIII, John H. Moore Jr. MD FACS, Alexander Mericli MD, Peter Bucciarelli MSII, Ian Valerio MD, Tara Perloff, Guy M Stofman MD FACS
University of Pittsburgh, Department of Plastic Surgery
2010-02-28
Presenter: Michael Mirzabeigi MSIII
Affidavit:
Director Name:
Author Category: Resident/Fellow
Presentation Category: Clinical
Abstract Category: Aesthetics
The purpose of this study is to elucidate the current armamentarium for labia minora reduction, as well as demonstrate the safety and efficacy of this procedure. A 2009 web based survey was sent to members of the American Society of Plastic Surgeons via electronic mail. A total of 758 surgeons responded to the survey (19.9% response rate). 51.0% currently offered labioplasty, 49.0% did not. The total number of procedures for all respondents was 2255. 13 infections were cited over 24 months (infection rate of 0.58%). 9.83% reoperated for dehiscence and 17.3% for redundancy. Per surgeon over 24 months: mean was 7.37 procedures, median was 3 (Range 0-300). Technique prevalence: Simple Trimming (52.7%), W-Shaped Resection (9.50%), S-Shaped Resection (8.80%), Central V-Wedge (36.1%), and Central Wedge with Z-Plasty (13.9%). All techniques had perceived patient satisfaction rates >95% and reoperation rates of <10%. Of those offering labioplasty, 69.2% were formally taught. However, formal training had no statistical significance on the number of procedures done over 24 months, perceived patient satisfaction, or rate of reoperation. Those that mention labioplasty directly in advertising performed three times the mean number of procedures (p=0.001) and charged $600 more than those not advertising labioplasty (p=0.002). The mean time suggested to refrain from intercourse was 31.3 days (range 7-365 days). 37.8% of surgeons utilized post-operative prophylactic antibiotics. Through highlighting the expansive armamentarium and incongruities of practice for this procedure, we believe our study is a first, vital and necessary, step in establishing optimal practice guidelines.
