The female genitals are protected by two skin folds called labia majora and two mucous folds called labia minora. Usually, the labia minora are concealed by the labia majora. Some women have hypertrophy labia minora. This can cause discomfort during sexual intercourse or when wearing tight pants. The appearance is often considered unsightly by people with this anomaly. The aim of this intervention is to restore a harmonious appearance of the genitals with the labia minora flush with the labia majora.
The intervention
The procedure involves resecting the excess mucosa from the labia minora beyond the labia majora (Figure 1). Sutures are placed at the free edge with absorbable stitches. The anesthesia used is generally local combined with intravenous sedation. The procedure is most often performed as an outpatient procedure, with discharge the same day.
The initial consultation
The initial consultation is an opportunity to examine the enlargement, discuss any discomfort it may cause, and explain the expected results. It also allows for the screening of any medical conditions that may require precautionary measures, such as genital herpes.
Complications
Any surgery, even minor, carries risks. These complications are extremely rare and usually minor in this case. The risk of anesthesia reactions cannot be ruled out. The complication sometimes encountered is infection or hematoma.
The nymphoplasty causes scarring. The evolution of these scars is unpredictable and can be exceptionally unfavorable with the occurrence of hypertrophic or retractile scars. These scarring complications can cause discomfort and require further surgery.
Before surgery
It is imperative to stop smoking at least one month before surgery, as tobacco is a factor in delayed healing. Aspirin should not be taken for 10 days before surgery. It is necessary to wash with a gynecological antiseptic soap before surgery.
On the day of the procedure, you should allow enough time to arrive on time without excessive stress. It is important to arrange for someone to drive you home after your hospital stay.
Operative suites
The postoperative effects are generally not very painful. Edema can appear and usually takes 3 to 5 days to resolve. Sexual abstinence is imperative for 3 weeks. The result stabilizes around the 4th month. It is on this date that we can assess the final result.
Important information
This text provides basic information on the principles and procedure of labia minora reduction surgery. A good understanding of the procedure and the expected result is essential before considering this intervention. It must be emphasized that the goal of this surgery is to make an improvement and not to obtain perfection. If your wishes are realistic, the result will satisfy you.