Labial reduction is term used to describe any surgical procedure that is intended to reduce size and volume of the labia minora. Labia minora are small folds of thin and delicate skin on each side of actual vaginal introitus. They are about o.4 to 6.4cm in length in average. Anything over 5 to 6 cm define labial hypertrophy and advocate correction if desired.
Common Symptoms include:
visibly larger labia.
Irritation, discomfort, pain.
Chronic vaginal infections.
Abnormal odor.
Difficulty in sexual penetration.
Many techniques have been devised to address the problem that includes:
De-epithelization which removes some tissue but doesn’t change the shape.
Direct excision of some length. Wedge resection. Composite reduction.
Z-plasty, W-Plasty and laser labiaplasty are recent modifications. Either general or Local anesthesia may be used but former is preferred, Procedure takes about couple of hours and most patients are discharged by next day. Postoperative care is important to optimize outcomes.
Outcome depends on the location and size of the fistula and status of surrounding tissues. Although most of the fistula closes after the surgery, some may recur and requires further surgery.
It usually takes less time than the original hypospadias repair and completes in less than an hour.
The surgery is performed under general anaesthesia and as a day care procedure. Patient can go home the same day after recovery from anaesthesia.
The most common complication is recurrence of the defect. Others complications include infection, difficulty in urination and stricture formation
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