2003() resection of the that all patients were fully labia minora with satisfied with the aesthetic a 90-degree appearance. Munhoz et Inferior wedge 21 Questionnaire 21 (100%) Authors reported 20 patients al. 2005() resection and and one patient ‘very satisfied’ superior pedicle ‘satisfied’. flap reconstruction Pardo et al. Laser 55 All patients Not reported Not reported 2006() completed a satisfaction and acceptance questionnaire Rezai et al. De-epithelialised 100 Not reported Not reported Anecdotal reporting by authors 2007() reduction (n=50) that patients in both groups Running experienced improvement in resection chronic irritations, sexual (n=50) intercourse, hygiene. Alter et al. Extended central 407 Post-operative 166 (41%) 71.6% (106/148) of patients 2008() wedge resection mailed seeking surgery for discomfort questionnaire pre-operatively reported it had resolved. Ellsworth et 3 techniques used 12 Yes method Not reported One patient not satisfied as felt – al .2010() based on degree unclear labia minora had been overly of hypertrophy reduced. Authors report that all women who had previously had discomfort with clothing or sexual intercourse had their symptoms resolved. Goodman et Not reported 177a Yes 177 (100%) 97% satisfied – al. 2010() questionnaire Trichot et al. Labioplasty with 18 Yes mailed 18 All patients reported overall – 2010() pedicle flap questionnaire (100%) satisfaction with the outcome reconstruction mean rating 8.7 on a scale ranging from 0-10. All patients who previously reported discomfort reported improvement. Solanki et al. Not reported 12 Yes method 9 (75%) Anecdotal reporting by authors – 2010() unclear that all patients were very satisfied with the functional and aesthetic outcome of the surgery. Cao et al. De-epithelialised 167 Yes method Not reported Two patients not satisfied and – 2012() technique unclear underwent further reduction surgery. Anecdotal reporting by authors that all other patients satisfied. Gress Composite 812 Yes mailed Not reported Functional problems resolved – (2013)() reduction questionnaire in 92.3% of patients. technique Psychological distress completely relieved in 89.7% of patients. a 24 patients with clitoral hood reduction only are included in this group as results were reported together with 153 patients having labioplasty.
2003() resection of the labia minora with a 90-degree that all patients were fully satisfied with the aesthetic appearance. Munhoz et al. 2005() Inferior wedge resection and superior pedicle flap reconstruction 21 Questionnaire 21 (100%) Authors reported 20 patients ‘very satisfied’ and one patient ‘satisfied’. Pardo et al. 2006() Laser 55 All patients completed a satisfaction and acceptance questionnaire Not reported Not reported Rezai et al. 2007() De-epithelialised reduction (n=50) Running resection (n=50) 100 Not reported Not reported Anecdotal reporting by authors that patients in both groups experienced improvement in chronic irritations, sexual intercourse, hygiene. Alter et al. 2008() Extended central wedge resection 407 Post-operative mailed questionnaire 166 (41%) 71.6% (106/148) of patients seeking surgery for discomfort pre-operatively reported it had resolved. Ellsworth et al .2010() 3 techniques used based on degree of hypertrophy 12 Yes – method unclear Not reported One patient not satisfied as felt labia minora had been overly reduced. Authors report that all women who had previously had discomfort with clothing or sexual intercourse had their symptoms resolved. Goodman et al. 2010() Not reported 177a Yes – questionnaire 177 (100%) 97% satisfied Trichot et al. 2010() Labioplasty with pedicle flap reconstruction 18 Yes – mailed questionnaire 18 (100%) All patients reported overall satisfaction with the outcome mean rating 8.7 on a scale ranging from 0-10. All patients who previously reported discomfort reported improvement. Solanki et al. 2010() Not reported 12 Yes – method unclear 9 (75%) Anecdotal reporting by authors that all patients were very satisfied with the functional and aesthetic outcome of the surgery. Cao et al. 2012() De-epithelialised technique 167 Yes – method unclear Not reported Two patients not satisfied and underwent further reduction surgery. Anecdotal reporting by authors that all other patients satisfied. Gress (2013)() Composite reduction technique 812 Yes – mailed questionnaire Not reported Functional problems resolved in 92.3% of patients. Psychological distress completely relieved in 89.7% of patients. a 24 patients with clitoral hood reduction only are included in this group as results were reported together with 153 patients having labioplasty.
Vulvoplasty_Review_Report.docx