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Labiaplasty: motivation, techniques, and ethics
Nature Reviews Urology ( IF 12.1 ) Pub Date : 2018-02-06 , DOI: 10.1038/nrurol.2018.1
Müjde Özer , Indiana Mortimore , Elise P. Jansma , Margriet G. Mullender

Labiaplasty (also known as labia minora reduction) is attracting increasing attention in the media and in online forums. Controversy exists among health-care professionals on how to manage a request for this surgery. Furthermore, the indications for and outcomes of labiaplasty have not yet been systematically assessed, and long-term outcomes have not yet been reported. Labia minora hypertrophy is defined as enlargement of the labia minora; however, the natural variation of labia minora size has scarcely been studied, with only one study suggesting objective criteria. Perception of the 'normal' appearance of labia minora is influenced by culture, exposure to idealized photographs in media, health-care professionals' opinions, and family, friends, and sexual partners (although this influence has not been substantiated by research). The desire for labiaplasty is predominantly based on dissatisfaction with genital appearance and not on functional complaints. Most health-care professionals believe that women seeking labiaplasty should be referred to a psychiatrist or psychologist for consultation before surgery, although whether counselling and education are effective at alleviating dissatisfaction or a low genital self-esteem is not clear. As the nature of patient motivation for this type of surgery is often psychological, counselling and education could be useful in reducing the demand for labiaplasty. However, current studies on surgical technique and outcomes include few patients, therefore, evidence on the results of different labiaplasty techniques and patient satisfaction is inconclusive. Further research is required to assess the value of this treatment and the appropriate indications for it. Improved understanding as to why women seek this treatment is needed and whether conservative treatments (such as counselling) are effective. Furthermore, systematic assessment of the surgical and patient-reported outcomes of labiaplasty is needed to assess whether it is safe and effective. Moreover, understanding the effect of cultural trends, for example, the way in which many women in Western society see any exception to the ideal body as a problem, will be insightful.



中文翻译:

阴唇整形术:动机,技术和伦理

阴唇整形术(也称为小阴唇缩小术)在媒体和在线论坛上吸引了越来越多的关注。卫生保健专业人员之间就如何处理这项手术的要求存在争议。此外,阴唇成形术的适应症和预后尚未得到系统评估,长期预后尚未见报道。小阴唇肥大定义为小阴唇增大。然而,很少研究小阴唇大小的自然变化,只有一项研究提出了客观标准。小阴唇的“正常”外观的感知受文化的影响,媒体上理想化照片的曝光,医疗保健专业人员的意见以及家人,朋友和性伴侣的影响(尽管这种影响尚未得到研究的证实)。阴唇成形术的愿望主要基于对生殖器外观的不满意,而不是基于功能上的不适。大多数医疗保健专业人员认为,尽管咨询和教育能否有效缓解不满或生殖器自尊心低下尚不清楚,但寻求阴唇成形术的妇女应在手术前咨询精神科医生或心理学家进行咨询。由于这种手术的患者动机通常是心理上的,因此咨询和教育可能有助于减少对阴唇成形术的需求。但是,当前有关手术技术和预后的研究很少有患者,因此,关于不同的阴唇成形术的结果和患者满意度的证据尚无定论。需要进一步的研究来评估这种治疗方法的价值及其适当的适应症。关于为什么需要妇女寻求这种治疗以及保守治疗(例如咨询)是否有效的更好的理解。此外,需要对阴唇成形术的手术和患者报告的结局进行系统评估,以评估其是否安全有效。此外,了解文化趋势的影响,例如西方社会中许多女性将理想身体的任何例外视为问题的方式,将是有见地的。需要对阴唇成形术的手术和患者报告的结局进行系统评估,以评估其是否安全有效。此外,了解文化趋势的影响,例如西方社会中许多女性将理想身体的任何例外视为问题的方式,将是有见地的。需要对阴唇成形术的手术和患者报告的结局进行系统评估,以评估其是否安全有效。此外,了解文化趋势的影响,例如西方社会中许多女性将理想身体的任何例外视为问题的方式,将是有见地的。

更新日期:2018-02-06
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