Gynecoplastic Surgery: A Unified Terminology for Female Genital Aesthetic, Reconstructive, and Functional Procedures

Area of Science:

• Gynecology
• Surgical Innovation
• Medical Terminology

Background:

• The field of female genital surgery encompasses aesthetic, reconstructive, and functional domains.
• Rapid advancements in laser and regenerative technologies have expanded surgical capabilities.
• Fragmented terminology currently hinders academic cohesion and standardization in this surgical field.

Purpose of the Study:

• To propose "gynecoplastic surgery" as a unified term integrating aesthetic, reconstructive, and functional female genital surgery.
• To consolidate knowledge on terminology, anatomical classification, and objective evaluation tools in female genital surgery.
• To establish a framework for academic clarity, multidisciplinary collaboration, and evidence-based clinical practice.

Main Methods:

• A narrative review of literature was conducted using PubMed, Scopus, and Web of Science.
• The review focused on consolidating knowledge regarding terminology, anatomical classification, and objective evaluation tools.
• Validated indices (e.g., Vaginal Health Index, Vulvar Health Index) and imaging (e.g., high-frequency ultrasound) were examined.

Main Results:

• A convergence of restorative, aesthetic, and functional procedural goals in female genital surgery is confirmed by the literature.
• Emerging objective metrics and validated indices support the evaluation of vulvovaginal health.
• High-frequency ultrasound is an advancing imaging modality for vulvovaginal assessment.

Conclusions:

• "Gynecoplastic surgery" offers an encompassing framework connecting reconstructive gynecology with modern therapeutic advances.
• Standardizing terminology under this proposed term will enhance academic clarity and facilitate collaboration.
• Adoption of this framework supports alignment with evidence-based assessment in research, training, and patient communication.