Hypertrophy of Labia Minora
Although many incision techniques have been described for surgical correction of Labia Minora hypertrophy – the large vaginal small lips – they all serve the same result. Surgery is performed under sedation and under local anesthesia. Antibiotic treatment is initiated during surgery and antibiotic and NSAI treatment is continued for one week after the operation.
One of the most commonly used incisions is the S incision, which prevents contractures in this highly elastic tissue. The goal is not to create fully symmetrical labia minoras as mentioned above.
The classification was made in 1993 by Talita Franco:
Type I: Smaller than 2 cm
Type II: 2-4 cm
Type III: between 4-6 cm
Type IV: larger than 6 cm
Conversely, leaving the larger labia again a little larger prevents future problems during sexual intercourse. The incisions are sutured with sutures which are not required later.
In some labia minora hypertrophies, clitoral prepuce may also be large. If the labia minora is reduced but the clitoris problem is not resolved, the clitoris may appear as a micropenis after the procedure. In such cases, fusiform excisions should be made from both lateral sides of the clitoris during labia minora reduction. It is important to know the anatomy of this region in order to bring the clitoris to the centre after surgery.
The first 15 days after the operation can be difficult for patients. Painkillers relieve patients’ pain. However, the most important thing in this period is that the patients do not wash in the bathtub (shower is recommended) and they do not have sexual intercourse for 1-1.5 months.