Surgical reduction of labia minora: Which approach? [Quelle technique chirurgicale utiliser en cas d'hypertrophie des petites lèvres ?]

摘要

Objectives: Surgical approaches for reduction of labia minora are various. Through a literature review we try to determine which method is the more efficient to treat hypertrophy of labia minora. Materials and methods: A review was made by using Medline from 1980 to 2012. The keywords used were "hypertrophy of labia minora" and "surgical reduction of labia minora". Results: No randomized trial was found. We found only two retrospective studies about triangular resection concerning large series of patients, with a long follow-up and precise assessment of women satisfaction. Discussion and conclusion: Surgical approaches for hypertrophy of labia minora are various. Triangular resection is the only method which was studied for a large series of patients. Functional and aesthetic results are good (90 to 95% of cases) and complications are rare (2 to 7%). Results of other methods are similar. Consequently, the method must be adjusted to surgeon's experience, anatomic features and wish of the patient.