Mise au point sur les techniques de nymphoplastie de réduction

Summary: Aim: The aim of this study is to appreciate the hypertrophy of labia minora, its psychological and functional effects and the different techniques of reduction available. Patients and methods: From August 2004 to June 2007, 14patients have been operated with a posterior wedge resection technique associated with a Z plasty. A questionnaire has been sent to each patient in order to make a retrospective study of the different reasons of consultation and their degree of satisfaction after surgery. Results: Among the 12 patients who answered the questionnaire, main part of them was satisfied or very satisfied of the morphologic and functional results. All of them were satisfied to have decided on this surgery. Discussion: We can notice an increase of the requests concerning the vulvar morphologic changing, either due to aesthetics preoccupations or functional disorders. Technically, the wedge resection brings the most satisfactory results. The addition of a Z plasty and the posterior location of the scar should prevent dyspareunia and perpartum tears. Conclusion: This preliminary clinical study focuses on the different techniques, enables a better knowledge of these women expectations and confirms our technique. [Copyright &y& Elsevier]