Labiaplasty: Indications and Predictors of Postoperative Sequelae in 451 Consecutive Cases
Abstract Background The increasing demand for labiaplasty is well recognized; however, the procedure remains contentious. Objectives We aim to provide a large-scale, up-to-date analysis of labiaplasty outcomes and factors influencing postoperative sequelae (POS). Methods We analyzed a single-center,...
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| Veröffentlicht in: | Aesthetic surgery journal 2018-05, Vol.38 (6), p.644-653 |
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| creator | Bucknor, Alexandra Chen, Austin D Egeler, Sabine Bletsis, Patrick Johnson, Anna Rose Myette, Kate Lin, Samuel J Hamori, Christine A |
| description | Abstract
Background
The increasing demand for labiaplasty is well recognized; however, the procedure remains contentious.
Objectives
We aim to provide a large-scale, up-to-date analysis of labiaplasty outcomes and factors influencing postoperative sequelae (POS).
Methods
We analyzed a single-center, prospectively maintained database of females undergoing labiaplasty between 2002 and 2017. Demographic, procedural, and outcomes' data were retrieved. Binary logistic regressions were used to evaluate the odds of developing POS (revisional surgery and complications); presented as odds ratios (OR) with 95% confidence intervals (CI).
Results
Data for 451 consecutive patients were retrieved, ten of whom were 0.05 for all). On univariable analysis, increased odds of POS occurred with sexual dysfunction as an indication for surgery (OR 3.778, CI 1.682-8.483). On subgroup analysis of those ≥18 years, both smoking (2.576, CI 1.044-6.357) and sexual dysfunction as an indication (OR 4.022, CI 1.772-9.131) increased the odds of POS. On multivariable analysis of the subgroup, sexual dysfunction as an indication persisted in significance (OR 3.850, CI 1.683-8.807).
Conclusions
Results compare favorably with previously reported complication and revisional surgery rates. Smoking and sexual dysfunction may increase the risk of complications.
Level of Evidence: 2 |
| doi_str_mv | 10.1093/asj/sjx241 |
| format | Article |
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Background
The increasing demand for labiaplasty is well recognized; however, the procedure remains contentious.
Objectives
We aim to provide a large-scale, up-to-date analysis of labiaplasty outcomes and factors influencing postoperative sequelae (POS).
Methods
We analyzed a single-center, prospectively maintained database of females undergoing labiaplasty between 2002 and 2017. Demographic, procedural, and outcomes' data were retrieved. Binary logistic regressions were used to evaluate the odds of developing POS (revisional surgery and complications); presented as odds ratios (OR) with 95% confidence intervals (CI).
Results
Data for 451 consecutive patients were retrieved, ten of whom were <18 years of age. Overall, 86% were Caucasian, mean age was 32.6 years, and 11.8% were smokers. Concomitant labia majora reduction was performed in 7.3%, and clitoral hood reduction in 5.8%. There were 32 cases of POS (7.1%), while the complication rate was 3.8%. Comparing those with POS to those without, there were no differences in age (32.8 vs 29.9 years, P = 0.210), operative time (78.5 vs 80.6 minutes, P = 0.246), or comorbidities (P > 0.05 for all). On univariable analysis, increased odds of POS occurred with sexual dysfunction as an indication for surgery (OR 3.778, CI 1.682-8.483). On subgroup analysis of those ≥18 years, both smoking (2.576, CI 1.044-6.357) and sexual dysfunction as an indication (OR 4.022, CI 1.772-9.131) increased the odds of POS. On multivariable analysis of the subgroup, sexual dysfunction as an indication persisted in significance (OR 3.850, CI 1.683-8.807).
Conclusions
Results compare favorably with previously reported complication and revisional surgery rates. Smoking and sexual dysfunction may increase the risk of complications.
Level of Evidence: 2</description><identifier>ISSN: 1090-820X</identifier><identifier>EISSN: 1527-330X</identifier><identifier>DOI: 10.1093/asj/sjx241</identifier><identifier>PMID: 29342228</identifier><language>eng</language><publisher>US: Oxford University Press</publisher><subject>Adolescent ; Adult ; Aged ; Comorbidity ; Cosmetic Techniques - adverse effects ; Esthetics ; Female ; Humans ; Hypertrophy - surgery ; Middle Aged ; Patient Satisfaction ; Postoperative Complications - epidemiology ; Postoperative Complications - etiology ; Postoperative Period ; Prospective Studies ; Reoperation - statistics & numerical data ; Risk Factors ; Sexual Dysfunction, Physiological - epidemiology ; Smoking - epidemiology ; Treatment Outcome ; Vulva - pathology ; Vulva - surgery ; Young Adult</subject><ispartof>Aesthetic surgery journal, 2018-05, Vol.38 (6), p.644-653</ispartof><rights>2018 The American Society for Aesthetic Plastic Surgery, Inc. Reprints and permission: journals.permissions@oup.com 2018</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c353t-403ca8df10b7de95809072d276609b16a65b4710966b68c1cb78c16d56cf3de43</citedby><cites>FETCH-LOGICAL-c353t-403ca8df10b7de95809072d276609b16a65b4710966b68c1cb78c16d56cf3de43</cites><orcidid>0000-0003-3942-038X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,1584,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29342228$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Bucknor, Alexandra</creatorcontrib><creatorcontrib>Chen, Austin D</creatorcontrib><creatorcontrib>Egeler, Sabine</creatorcontrib><creatorcontrib>Bletsis, Patrick</creatorcontrib><creatorcontrib>Johnson, Anna Rose</creatorcontrib><creatorcontrib>Myette, Kate</creatorcontrib><creatorcontrib>Lin, Samuel J</creatorcontrib><creatorcontrib>Hamori, Christine A</creatorcontrib><title>Labiaplasty: Indications and Predictors of Postoperative Sequelae in 451 Consecutive Cases</title><title>Aesthetic surgery journal</title><addtitle>Aesthet Surg J</addtitle><description>Abstract
Background
The increasing demand for labiaplasty is well recognized; however, the procedure remains contentious.
Objectives
We aim to provide a large-scale, up-to-date analysis of labiaplasty outcomes and factors influencing postoperative sequelae (POS).
Methods
We analyzed a single-center, prospectively maintained database of females undergoing labiaplasty between 2002 and 2017. Demographic, procedural, and outcomes' data were retrieved. Binary logistic regressions were used to evaluate the odds of developing POS (revisional surgery and complications); presented as odds ratios (OR) with 95% confidence intervals (CI).
Results
Data for 451 consecutive patients were retrieved, ten of whom were <18 years of age. Overall, 86% were Caucasian, mean age was 32.6 years, and 11.8% were smokers. Concomitant labia majora reduction was performed in 7.3%, and clitoral hood reduction in 5.8%. There were 32 cases of POS (7.1%), while the complication rate was 3.8%. Comparing those with POS to those without, there were no differences in age (32.8 vs 29.9 years, P = 0.210), operative time (78.5 vs 80.6 minutes, P = 0.246), or comorbidities (P > 0.05 for all). On univariable analysis, increased odds of POS occurred with sexual dysfunction as an indication for surgery (OR 3.778, CI 1.682-8.483). On subgroup analysis of those ≥18 years, both smoking (2.576, CI 1.044-6.357) and sexual dysfunction as an indication (OR 4.022, CI 1.772-9.131) increased the odds of POS. On multivariable analysis of the subgroup, sexual dysfunction as an indication persisted in significance (OR 3.850, CI 1.683-8.807).
Conclusions
Results compare favorably with previously reported complication and revisional surgery rates. Smoking and sexual dysfunction may increase the risk of complications.
Level of Evidence: 2</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Comorbidity</subject><subject>Cosmetic Techniques - adverse effects</subject><subject>Esthetics</subject><subject>Female</subject><subject>Humans</subject><subject>Hypertrophy - surgery</subject><subject>Middle Aged</subject><subject>Patient Satisfaction</subject><subject>Postoperative Complications - epidemiology</subject><subject>Postoperative Complications - etiology</subject><subject>Postoperative Period</subject><subject>Prospective Studies</subject><subject>Reoperation - statistics & numerical data</subject><subject>Risk Factors</subject><subject>Sexual Dysfunction, Physiological - epidemiology</subject><subject>Smoking - epidemiology</subject><subject>Treatment Outcome</subject><subject>Vulva - pathology</subject><subject>Vulva - surgery</subject><subject>Young Adult</subject><issn>1090-820X</issn><issn>1527-330X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kE1LxDAQhoMo7rp68QdILoIIdfPRJq03KX7BggsqLF5KmqTQpdvUTCvuvzfa1aOXmWHmmZeZF6FTSq4oyfhcwXoO608W0z00pQmTEedktR9qkpEoZWQ1QUcAa0ICLeJDNGEZjxlj6RS9LVRZq65R0G-v8WNraq362rWAVWvw0tvQ6J0H7Cq8dNC7zvoAfFj8bN8H2yiL6xbHCcV5WLJ6-JnlCiwco4NKNWBPdnmGXu9uX_KHaPF0_5jfLCLNE95HMeFapaaipJTGZkkajpbMMCkEyUoqlEjKWIZXhChFqqkuZYjCJEJX3NiYz9DFqNt5F06CvtjUoG3TqNa6AQqapUE1lRkJ6OWIau8AvK2Kztcb5bcFJcW3l0Xwshi9DPDZTncoN9b8ob_mBeB8BNzQ_Sf0BQVbfMY</recordid><startdate>20180515</startdate><enddate>20180515</enddate><creator>Bucknor, Alexandra</creator><creator>Chen, Austin D</creator><creator>Egeler, Sabine</creator><creator>Bletsis, Patrick</creator><creator>Johnson, Anna Rose</creator><creator>Myette, Kate</creator><creator>Lin, Samuel J</creator><creator>Hamori, Christine A</creator><general>Oxford University Press</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-3942-038X</orcidid></search><sort><creationdate>20180515</creationdate><title>Labiaplasty: Indications and Predictors of Postoperative Sequelae in 451 Consecutive Cases</title><author>Bucknor, Alexandra ; Chen, Austin D ; Egeler, Sabine ; Bletsis, Patrick ; Johnson, Anna Rose ; Myette, Kate ; Lin, Samuel J ; Hamori, Christine A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c353t-403ca8df10b7de95809072d276609b16a65b4710966b68c1cb78c16d56cf3de43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Comorbidity</topic><topic>Cosmetic Techniques - adverse effects</topic><topic>Esthetics</topic><topic>Female</topic><topic>Humans</topic><topic>Hypertrophy - surgery</topic><topic>Middle Aged</topic><topic>Patient Satisfaction</topic><topic>Postoperative Complications - epidemiology</topic><topic>Postoperative Complications - etiology</topic><topic>Postoperative Period</topic><topic>Prospective Studies</topic><topic>Reoperation - statistics & numerical data</topic><topic>Risk Factors</topic><topic>Sexual Dysfunction, Physiological - epidemiology</topic><topic>Smoking - epidemiology</topic><topic>Treatment Outcome</topic><topic>Vulva - pathology</topic><topic>Vulva - surgery</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bucknor, Alexandra</creatorcontrib><creatorcontrib>Chen, Austin D</creatorcontrib><creatorcontrib>Egeler, Sabine</creatorcontrib><creatorcontrib>Bletsis, Patrick</creatorcontrib><creatorcontrib>Johnson, Anna Rose</creatorcontrib><creatorcontrib>Myette, Kate</creatorcontrib><creatorcontrib>Lin, Samuel J</creatorcontrib><creatorcontrib>Hamori, Christine A</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Aesthetic surgery journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bucknor, Alexandra</au><au>Chen, Austin D</au><au>Egeler, Sabine</au><au>Bletsis, Patrick</au><au>Johnson, Anna Rose</au><au>Myette, Kate</au><au>Lin, Samuel J</au><au>Hamori, Christine A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Labiaplasty: Indications and Predictors of Postoperative Sequelae in 451 Consecutive Cases</atitle><jtitle>Aesthetic surgery journal</jtitle><addtitle>Aesthet Surg J</addtitle><date>2018-05-15</date><risdate>2018</risdate><volume>38</volume><issue>6</issue><spage>644</spage><epage>653</epage><pages>644-653</pages><issn>1090-820X</issn><eissn>1527-330X</eissn><abstract>Abstract
Background
The increasing demand for labiaplasty is well recognized; however, the procedure remains contentious.
Objectives
We aim to provide a large-scale, up-to-date analysis of labiaplasty outcomes and factors influencing postoperative sequelae (POS).
Methods
We analyzed a single-center, prospectively maintained database of females undergoing labiaplasty between 2002 and 2017. Demographic, procedural, and outcomes' data were retrieved. Binary logistic regressions were used to evaluate the odds of developing POS (revisional surgery and complications); presented as odds ratios (OR) with 95% confidence intervals (CI).
Results
Data for 451 consecutive patients were retrieved, ten of whom were <18 years of age. Overall, 86% were Caucasian, mean age was 32.6 years, and 11.8% were smokers. Concomitant labia majora reduction was performed in 7.3%, and clitoral hood reduction in 5.8%. There were 32 cases of POS (7.1%), while the complication rate was 3.8%. Comparing those with POS to those without, there were no differences in age (32.8 vs 29.9 years, P = 0.210), operative time (78.5 vs 80.6 minutes, P = 0.246), or comorbidities (P > 0.05 for all). On univariable analysis, increased odds of POS occurred with sexual dysfunction as an indication for surgery (OR 3.778, CI 1.682-8.483). On subgroup analysis of those ≥18 years, both smoking (2.576, CI 1.044-6.357) and sexual dysfunction as an indication (OR 4.022, CI 1.772-9.131) increased the odds of POS. On multivariable analysis of the subgroup, sexual dysfunction as an indication persisted in significance (OR 3.850, CI 1.683-8.807).
Conclusions
Results compare favorably with previously reported complication and revisional surgery rates. Smoking and sexual dysfunction may increase the risk of complications.
Level of Evidence: 2</abstract><cop>US</cop><pub>Oxford University Press</pub><pmid>29342228</pmid><doi>10.1093/asj/sjx241</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0003-3942-038X</orcidid><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; Oxford University Press Journals All Titles (1996-Current); Alma/SFX Local Collection |
| subjects | Adolescent Adult Aged Comorbidity Cosmetic Techniques - adverse effects Esthetics Female Humans Hypertrophy - surgery Middle Aged Patient Satisfaction Postoperative Complications - epidemiology Postoperative Complications - etiology Postoperative Period Prospective Studies Reoperation - statistics & numerical data Risk Factors Sexual Dysfunction, Physiological - epidemiology Smoking - epidemiology Treatment Outcome Vulva - pathology Vulva - surgery Young Adult |
| title | Labiaplasty: Indications and Predictors of Postoperative Sequelae in 451 Consecutive Cases |
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