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[Surgical reduction of labia minora: which approach?]
A-G Pourcelot1, H Fernandez, G Legendre
1Service de gynécologie-obstétrique, hôpital de Bicêtre, Assistance publique-Hôpitaux de Paris, 94270 Le Kremlin Bicêtre, France. agpourcelot@yahoo.fr
Objectives:
Surgical approaches for reduction of labia minora are various. Through a literature review we try to determine which method is the more efficient to treat hypertrophy of labia minora.
Materials And Methods:
A review was made by using Medline from 1980 to 2012. The keywords used were "hypertrophy of labia minora" and "surgical reduction of labia minora".
Results:
No randomized trial was found. We found only two retrospective studies about triangular resection concerning large series of patients, with a long follow-up and precise assessment of women satisfaction.
Discussion And Conclusion:
Surgical approaches for hypertrophy of labia minora are various. Triangular resection is the only method which was studied for a large series of patients. Functional and aesthetic results are good (90 to 95% of cases) and complications are rare (2 to 7%). Results of other methods are similar. Consequently, the method must be adjusted to surgeon's experience, anatomic features and wish of the patient.