Female genital cosmetic surgery
Dorothy Shaw1, Guylaine Lefebvre2, Celine Bouchard3
1Vancouver BC.
Journal of Obstetrics and Gynaecology Canada : JOGC = Journal D'Obstetrique Et Gynecologie Du Canada : JOGC
|January 11, 2014
Summary
Canadian gynaecologists need evidence-based guidance for female genital cosmetic surgery due to rising demand. Current evidence shows little support for improved sexual satisfaction or self-image from these procedures.
Area of Science:
- Gynecology
- Surgical Procedures
- Cosmetic Surgery
Background:
- Increasing requests for and availability of female genital cosmetic surgeries.
- Procedures fall outside traditional medically-indicated reconstructions.
Purpose of the Study:
- Provide evidence-based direction for Canadian gynaecologists on female genital cosmetic surgery.
- Address the growing trend of vaginal and vulvar cosmetic procedures.
Main Methods:
- Literature search of PubMed, MEDLINE, CINAHL, and Cochrane Library (2011-2012).
- Inclusion of systematic reviews, RCTs, CCTs, and observational studies.
- Inclusion of grey literature from health technology agencies and professional societies.
Main Results:
- Limited evidence supports female genital cosmetic surgery for enhanced sexual satisfaction or self-image.
- Non-medical marketing terms (e.g., vaginal rejuvenation) lack scientific basis.
- Counselling on normal variations and potential consequences is crucial.
Conclusions:
- Gynaecologists should educate patients on anatomy and individual variations.
- Thorough history and assessment for psychological dysfunction are necessary.
- Avoid promoting cosmetic surgeries for sexual enhancement and refrain from advertising.
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