Plastic adjustment in hypertrophy of labia minora

OBJECTIVE: Advantages of clinical resection for the correction of hypertrophy of labii minores are described. SETTING: 2nd Gynecological-Obstetrical Clinic, Medical Faculty, UK and Faculty Hospital and Policlinic, Bratislava, and Clinic of Plastic Surgery, Medical Faculty, UK and Faculty Hospital and Policlinic, Bratislava, Slovakia. METHODS: 26 plastic adjustments of labia minoris pudendi have been made in the course of two years. Hypertrophy of labia minoris decreased the quality of life from both physical and psychical points of view, resulting in the requirement of plastic adjustment. The authors refer to the details of surgical procedure for the correction of hypertrophy of labia minoris pudendi. The wedge-shaped resection may be recommended as the most suitable mode of correction with subsequent suture of individual leaves of mucosal duplicity of labia minoris. CONCLUSION: The wedge-shaped resection and plastic correction saves natural color, sensitivity, shape and size of labia minoris. There was a high satisfaction with the intervention. In the control examination after two months, up to 98% of the patients were satisfied with the results of the operation. The resection of the margins of the hypertrophy of labia minoris is most frequently complicated by postoperative edema, scars, deformities and changed sensitivity. The simple uncomplicated operation procedure incorporates this surgical procedure into one-day surgery in gynecology and plastic surgery.