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Labial Disorders
Published in S Paige Hertweck, Maggie L Dwiggins, Clinical Protocols in Pediatric and Adolescent Gynecology, 2022
Chelsea A. Kebodeaux, Jennifer E. Dietrich
Surgical complications include wound dehiscence, hematoma, infection, bleeding, desire for additional revision, continued growth of labia after procedure, scarring/keloid formation, loss of sensation, and sexual dysfunction or pain.
Common vulvar and vaginal complaints
Published in Joseph S. Sanfilippo, Eduardo Lara-Torre, Veronica Gomez-Lobo, Sanfilippo's Textbook of Pediatric and Adolescent GynecologySecond Edition, 2019
Physical examination of prepubertal girls should include documentation of Tanner staging, and a head and neck exam to asses for pharyngitis. Examination of the external genitalia can be done in frog-legged or knee-chest position. Nonspecific vaginitis often reveals mild erythema at the introitus and the presence of a small amount of discharge. Poor hygiene can be noted by the presence of excessive smegma or soiling from stool. Gentle downward traction of the labia majora can help visualize the lower vagina and may help reveal the presence of a foreign body. Small CalgiSwabs can be used to obtain a vaginal culture. Vaginal irrigation with use of a small pediatric Foley or feeding tube and a syringe with saline can be used to flush out small bits of toilet paper, the foreign body most often found. If the patient cannot tolerate an examination in the office, or if foreign body is suspected, examination under sedation, and vaginoscopy using a small hysteroscope or cystoscope are indicated.12Figure 8.5 demonstrates the presence of foreign body, in this case, stuffing from a toy bear, in a 6-year-old girl presenting with a 6-month history of malodorous vaginal discharge.
Vaginal Dysmorphia
Published in Philipa A Brough, Margaret Denman, Introduction to Psychosexual Medicine, 2019
The labia minora play an important role in sexual response and function. At their edges there is dense nerve innervation and the presence of oestrogen receptors. At their base there is erectile tissue which becomes engorged during arousal. There is no good research on sexual function following labiaplasty. There are, however, numerous patient accounts of sexual dysfunction following FGCS. Clearly this needs to be set against the potential bias that patients whose sexual function has improved will not seek medical attention. Reliable research into surgical and sexual outcomes is lacking. Liao concludes that surgery appears to have been offered on demand, justified by verbal reports of physical and psychological difficulties that were not formally evaluated pre- or post-surgery.
Exploring the motivations for pursuing operative labiaplasty in Chinese patients
Published in Journal of Obstetrics and Gynaecology, 2023
Shuai Qiang, Feng Yong Li, Yu Zhou, Qiang Li, Bao Qiang Song
To the best of our knowledge, this is the first study to investigate the motivations for pursuing operative labiaplasty in China. Labia hypertrophy can be caused by various factors such as congenital conditions, repetitive pulling, or infection (see Figure S1). Our preliminary results show that the primary reason for Chinese patients to pursue labiaplasty surgery is functional discomfort, followed by functional and aesthetic concerns. In comparison to the West, Rouzier et al. (2000) found that most patients pursued surgery for aesthetic complaints, followed by discomfort during clothing and exercise, and dyspareunia. Additionally, Crouch et al. (2011) conducted a prospective study of 33 patients with physical or psychological concerns and found that most complaints were related to appearance or discomfort.
Gayzing Women’s Bodies: Criticisms of Labia Depend on the Gender and Sexual Orientation of Perceivers
Published in The Journal of Sex Research, 2023
Flora Oswald, Cory L. Pedersen, Jes L. Matsick
Increasingly, women in Western countries are seeking genital cosmetic surgery to align their bodies with sociocultural ideals (Chibnall et al., 2019; Clerico et al., 2017). Labiaplasty – removing portions of the labia minora with the aim of rendering them minimally visible beneath the labia majora (Jones & Nurka, 2015; Sharp et al., 2016) – is among the most commonly sought forms of female genital cosmetic surgery in the United States and, in 2020, was globally the 16th most common plastic surgery procedure overall (International Society for Aesthetic Plastic Surgery, 2020). Most women pursue labiaplasty for aesthetic reasons (Crouch et al., 2011; Goodman et al., 2010; Veale et al., 2014), which has raised concern regarding the stigmatization of naturally diverse labial appearances and the corresponding perpetuation of narrow labial ideals (Braun, 2019; see also Skoda et al., 2021).
Q-switched 532 nm Nd:YAG laser therapy for physiological lip hyperpigmentation: novel classification, efficacy, and safety
Published in Journal of Dermatological Treatment, 2022
Saad Altalhab, Mohammed Aljamal, Thamer Mubki, Naief AlNomair, Shoug Algoblan, Ammar Alalola, Mohammed I. AlJasser, Ahmed Alissa
Labial hyperpigmentation can be focal, or diffuse. Examples of focal lip hyperpigmentation include labial melanotic macule, melanocytic nevi, and amalgam tattoo (1,8). Several conditions are known to be associated with multiple hyperpigmented lesions or diffuse lip hyperpigmentation. Those include physiological hyperpigmentation (2), smoking (9), Peutz–Jeghers syndrome (PJS) (2), Laugier–Hunziker syndrome (LHS) (10), atopic dermatitis (11), post-inflammatory hyperpigmentation (12), Addison disease (13), and some medications (14). Of those, PLH and smoker’s melanosis appears to be the most common (15). Despite that, it is important to rule out any systemic causes, especially if there are any associated systemic symptoms. Lack of screening of these diseases may represent an important confounder and may affect our results. Also, it is important to rule out melanoma, particularly in skin type I to III.