Surgical Techniques: Z‐Plasty Reductional Labiaplasty
Goldstein, Andrew T.; Romanzi, Lauri J.
FIGURE 1 The labia minora are bilateral mucosal‐cutaneous refolds located between the labia majora and vulvar vestibule. While there is a wide range of normal anatomic variants, in general, the labia minora are semicircular with a 3‐cm long base and a free edge extending from the clitoris to the posterior commissure. The medial mucosal surface is derived from the primitive urogenital sinus and is shiny and pink. The free edge and the lateral cutaneous surface are derived from the urethral folds and are more deeply pigmented. Enlargement of the labia minora can occur by several factors, including: congenital enlargement, mechanical irritation, multiple pregnancies, stretching with weights, and vulvar lymphedema. Women may desire labiaplasty for aesthetic dissatisfaction, discomfort in clothing, discomfort when walking or participating in exercise, and entry dyspareunia caused by invagination of the protuberant tissue. FIGURE 2 There have been several different techniques reported for reductional labiaplasty. The earliest studies suggested simple excision of the protuberant tissue with oversewing of the labia edge. The major disadvantage to simple excision is that it removes the natural contour and darkly pigmented labial edge, and it is replaced by an irregular suture line of more lightly colored tissue. Later authors
http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.pngThe Journal of Sexual MedicineWileyhttp://www.deepdyve.com/lp/wiley/surgical-techniques-z-plasty-reductional-labiaplasty-js3TFYXwqm