Aesthetic plastic surgery · 2026
Clinical Observations of the Modified Wedge Resection in Composite Labia Minora and Clitoral Hood Reduction Surgery.
СтатьяНазвание и аннотация: Перевод в очереди
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Shi Yutong, Sun Yue, Chen Ling, Gao Yanli, Li Qian
Аннотация
BACKGROUND: This study aimed to evaluate the clinical efficacy and safety of a modified wedge resection technique for composite reduction of labia minora hypertrophy and redundant clitoral hood.
METHODS: A retrospective analysis was conducted on patients who underwent the modified wedge resection procedure for concurrent labia minora and clitoral hood reduction at the Department of Plastic & Cosmetic Surgery, Women's Hospital of Nanjing Medical University (Nanjing Women and Children's Healthcare Hospital) between July 2019 and December 2024. Descriptive statistics were used to analyze patient demographics, self-reported symptoms, postoperative complications, symptom improvement, aesthetic satisfaction, and overall satisfaction.
RESULTS: The study included 738 patients with a mean age of 27.6 ± 6.1 years (range: 18-49). Preoperative motivations and symptoms primarily included vulvar friction discomfort (98.8%), aesthetic concerns (87.1%), dyspareunia (7.9%), and increased residual secretions (7.5%). The mean follow-up duration was 1.9 months (range: 1-6). Postoperative complications consisted of delayed wound healing (24 cases, 3.3%) and perceived asymmetry (10 cases, 1.4%). Preoperative symptoms improved in 99.3% of patients, and 99.2% were satisfied with the aesthetic outcome. Overall, 710 patients (96.2%) reported satisfaction with the surgical results.
CONCLUSION: The modified wedge resection technique enables simultaneous correction of labia minora hypertrophy and redundant clitoral hood in a single procedure, yielding consistent and satisfactory aesthetic outcomes. This approach is straightforward, reproducible, and demonstrates favorable clinical safety.
LEVEL OF EVIDENCE IV: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
METHODS: A retrospective analysis was conducted on patients who underwent the modified wedge resection procedure for concurrent labia minora and clitoral hood reduction at the Department of Plastic & Cosmetic Surgery, Women's Hospital of Nanjing Medical University (Nanjing Women and Children's Healthcare Hospital) between July 2019 and December 2024. Descriptive statistics were used to analyze patient demographics, self-reported symptoms, postoperative complications, symptom improvement, aesthetic satisfaction, and overall satisfaction.
RESULTS: The study included 738 patients with a mean age of 27.6 ± 6.1 years (range: 18-49). Preoperative motivations and symptoms primarily included vulvar friction discomfort (98.8%), aesthetic concerns (87.1%), dyspareunia (7.9%), and increased residual secretions (7.5%). The mean follow-up duration was 1.9 months (range: 1-6). Postoperative complications consisted of delayed wound healing (24 cases, 3.3%) and perceived asymmetry (10 cases, 1.4%). Preoperative symptoms improved in 99.3% of patients, and 99.2% were satisfied with the aesthetic outcome. Overall, 710 patients (96.2%) reported satisfaction with the surgical results.
CONCLUSION: The modified wedge resection technique enables simultaneous correction of labia minora hypertrophy and redundant clitoral hood in a single procedure, yielding consistent and satisfactory aesthetic outcomes. This approach is straightforward, reproducible, and demonstrates favorable clinical safety.
LEVEL OF EVIDENCE IV: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .