A Retrospective Study of the Psychological Outcomes of Labiaplasty.

BACKGROUND

Labiaplasty has become an increasingly popular procedure. However, the psychological outcomes of this procedure, such as the effects on women’s sex lives and psychological well-being, have received little attention from researchers to date. In addition, the investigation of factors which predict satisfaction with surgical outcomes is also lacking.

OBJECTIVES

To examine the effect of labiaplasty on women’s sexual satisfaction and psychological well-being. To also identify patient characteristics which predict surgical satisfaction.

METHODS

This retrospective study involved 48 adult women who had undergone a labiaplasty procedure between 3 and 204 months prior. These women completed an online questionnaire which contained measures of satisfaction with labiaplasty, genital appearance satisfaction, sexual satisfaction, and psychological well-being.

RESULTS

Most women were very satisfied with their labial appearance and function after surgery. The women also reported statistically significant increases in their genital appearance satisfaction (P < .001), sexual satisfaction (P = .009), and psychological well-being (P < .001) at the time of completing the questionnaire compared to their recalled levels prior to surgery. Undergoing labiaplasty to address physical/functional concerns (P = .025) as well as sexual concerns (P = .037) was associated with greater satisfaction with surgical outcomes. In contrast, experiencing post-surgery complications (P = .015) was related to lower satisfaction.

CONCLUSIONS

Women appear to be very satisfied with the results of their labiaplasty and they also seem to experience improvements in their sexual satisfaction and psychological well-being. Physical/functional motivations for undergoing labiaplasty are associated with greater satisfaction with outcomes.

LEVEL OF EVIDENCE: 4