Journal article
International Society for the Study of Vulvovaginal Disease Recommendations Regarding Female Cosmetic Genital Surgery
Journal of lower genital tract disease, Vol.22(4), pp.415-434
10/2018
DOI: 10.1097/LGT.0000000000000412
PMID: 29994815
Abstract
Female genital cosmetic surgeries (FGCSs) and procedures are increasingly being advertised as common, simple, and complication-free, capable of not only improving aesthetic appearance but also increasing self-esteem and sexual pleasure.Guidelines for physicians and clear, scientifically correct information for patients must be made available, to minimize the number of ineffective or deleterious procedures.The International Society for the Study of Vulvovaginal Disease positions/recommendations regarding FGCS are as follows:1. There is a wide variation regarding genital normalcy; providers must be able to explain this to women.2. There are no data supporting FGCS including, G-spot augmentation, hymenoplasty, vulvar and perianal bleaching/whitening, vaginal tightening procedures, and other procedures aimed at increasing sexual function.3. Women should not be offered FGCS before the age of 18 years.4. Women undergoing FGCS should be evaluated by a provider with expertise in vulvovaginal diseases, including attention to their psychological, social, and sexual context. Evaluation by an experienced mental health provider should be considered when the motivation for seeking surgery and/or expectations are not clear or realistic.5. Female genital cosmetic surgery is not exempt from complications.6. Informed consent must always be obtained.7. Surgeons performing FGCS should refrain from solicitous advertising or promoting procedures without scientific basis, including on Web sites.8. Surgeons should not perform surgery that they do not agree with and explain their rationale/position when pressured by patients.9. The genital surgeon must be adequately trained in performing FGCS including knowledge of the anatomy, physiology and pathophysiology of the vulva, vagina and adjacent organs.
Details
- Title: Subtitle
- International Society for the Study of Vulvovaginal Disease Recommendations Regarding Female Cosmetic Genital Surgery
- Creators
- Pedro Vieira-Baptista - Lower Genital Tract Unit, Centro Hospitalar de São João, Porto, PortugalGutemberg Almeida - Universidade Federal do Rio de JaneiroFabrizio Bogliatto - Lower Female Anourogenital Tract Network - ASLTO4, Chivasso Civic Hospital, Torino, ItalyTanja Gizela Bohl - Vulva Clinic, Jean Hailes Medical Centre, Clayton, Victoria, AustraliaMatthé Burger - University of AmsterdamBina Cohen-Sacher - Rabin Medical CenterKaren Gibbon - Barts Health NHS TrustAndrew Goldstein - The Center for Vulvovaginal Disorders, Washington, DCDebra Heller - Department of Pathology, Rutgers-New Jersey Medical School, Newark, NJWendy Likes - University of Tennessee Health Science CenterCelene Longo da Silva - Faculdade de Medicina da Universidade Federal de Pelotas, Pelotas, BrazilClaudia Marchitelli - Department of Gynecology, Hospital Italiano de Buenos Aires, Buenos Aires, ArgentinaMicheline Moyal-Barracco - Department of Dermatology, Hôpital Tarnier-Cochin, Paris, FranceKathleen Posey - Private Practice, Madisonville, LAMaria Celeste Sluga - Department of Gynecology, Hospital Italiano de Buenos Aires, Buenos Aires, ArgentinaColleen Kennedy Stockdale - Department of Obstetrics & Gynecology, University of Iowa, Iowa City, IAGisele Vissoci MarquiniKamil Zalewski - Medical University of Warsaw
- Resource Type
- Journal article
- Publication Details
- Journal of lower genital tract disease, Vol.22(4), pp.415-434
- Publisher
- United States
- DOI
- 10.1097/LGT.0000000000000412
- PMID
- 29994815
- ISSN
- 1089-2591
- eISSN
- 1526-0976
- Language
- English
- Date published
- 10/2018
- Academic Unit
- Obstetrics and Gynecology
- Record Identifier
- 9983930395702771
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