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Psychosexual outcome after labiaplasty: a prospective case-comparison study
David Veale1, Iona Naismith, Ertiniss Eshkevari
1Institute of Psychiatry, King's College London & Centre for Anxiety Disorders and Trauma, The Maudsley Hospital, 99 Denmark Hill, London, SE5 8AZ, UK, David.Veale@kcl.ac.uk.
International Urogynecology Journal
|January 23, 2014
Summary
Labiaplasty significantly improves genital appearance satisfaction and sexual satisfaction in women. Long-term follow-up confirms these positive outcomes, though further research on side effects is needed.
Area of Science:
- Female Genital Surgery
- Psychosexual Health
- Body Image
Background:
- Labiaplasty is a common cosmetic procedure for the labia minora.
- Psychosexual outcomes and long-term effects of labiaplasty require further investigation.
- Genital body image and sexual dysfunction are key areas impacted by labiaplasty.
Purpose of the Study:
- To evaluate the long-term psychosexual outcomes of labiaplasty.
- To assess changes in genital body image and sexual dysfunction post-surgery.
- To compare outcomes in labiaplasty patients with a matched control group.
Main Methods:
- Prospective study comparing 49 labiaplasty patients with 39 matched controls.
- Assessment using the Genital Appearance Satisfaction (GAS) scale and measures of sexual functioning.
- Follow-up at 3 months and 11-42 months post-surgery.
Main Results:
- 96% of patients showed significant improvement in genital appearance satisfaction at 3 months, and 91.3% at long-term follow-up.
- Large effect size for genital appearance improvement; small effect size for sexual functioning.
- Significant reduction in body dysmorphic disorder diagnoses post-surgery; 26% reported minor side effects.
Conclusions:
- Labiaplasty effectively enhances genital appearance and sexual satisfaction.
- Long-term data suggest sustained positive psychosexual outcomes.
- Larger studies are necessary to fully understand potential side effects.

