Simultaneous Labia Minora and Clitoral Hood Reduction by Introducing a New Laser-assisted Technique: A Pilot Study

Hypertrophy of labia minora can result in uncomfortable sexual or physical activity as well as aesthetic concerns. Currently, labiaplasty is the only treatment of choice which is performed by various techniques. We introduce a new laser-assisted technique for concurrent aesthetic labia minora and clitoral hood reduction. This experimental study was conducted between July and August 2021 on patients with hypertrophic labia minora. Patients were randomly selected using random number table. We included patients with esthetic concern, uncomfortable sexual intercourse or symptoms of local discomfort. Labia minora was completely resected using laser cuts (laser model), sparing only a thin layer at the base of labia minora. Then, clitoral hood was resected using laser cuts, leaving a tiny triangle-shaped remnant in the central area. This triangle-shaped area is then sutured to the surrounding tissues using a 3-0 monofilament suture. All the patients completed the Rosenberg self-esteem scale (RSEs), female sexual function index (FSFI) and genital appearance satisfaction scale questionnaires before and two weeks after the operation. We analyzed 15 female patients with a mean age of 32.86±9.97 years. The mean RSEs score was 13±5.22 before and 23.93±3.91 after the intervention (p=0.001). All the patients had a significantly improved genital appearance after the operation (p<0.05). No complications were reported in patients. the introduced laser-assisted technique for labiaplasty has no significant complications and is also associated with significant improvements in self-esteem and genital appearance satisfaction scores.