Abstract
Female genital cosmetic surgery is a set of multiple procedures focused on improving genital appearance, structure, and function. Sexual dysfunction affects a large proportion of the female population and appears to be associated with distorted genital anatomy although what women perceive as normal varies vastly depending on cultural and social beliefs. Cosmetic gynaecology office procedures are simple, quick, and effective solutions to improve sexual function as well as body image with minimal interventions and minimal side-effects. In this narrative review, we present these widely used minimally invasive aesthetic gynaecology interventions, focusing on their efficacy, and reported complications. Recommendations regarding heath professionals’ approach and ethical issues arising are also discussed.
Highlights
Female Genital Cosmetic Surgery (FGCS), often referred to as cosmetic gynaecology, is a set of procedures focusing on the improvement of genital appearance, structure, and function [1,2,3]
Cosmetic gynaecology procedures are performed by several healthcare specialists including gynaecologists, urologists, and plastic surgeons and while many of these interventions are advertised for cosmetic reasons, they may be further used for the treatment of vulvovaginal pathologies, such as significant effects of excess androgen exposure, congenital anomalies, urinary or feacal incontinence, and pelvic organ prolapse[3,6] (Figure 1)
Relevant studies published up to April 2021 were identified focusing on cosmetic gynaecology and minimally invasive interventions for the improvement of sexual dysfunction, using the following search terms alone or in combination: cosmetic gynecology; female genital cosmetic surgery; aesthetic gynaecology; vaginal rejuvenation; vulvovaginal rejuvenation; platelet-rich plasma; energy-based devices; G-spot amplification; lipofilling; Gore-Mycromesh; silicone threads; sexual dysfunction
Summary
Female Genital Cosmetic Surgery (FGCS), often referred to as cosmetic gynaecology, is a set of procedures focusing on the improvement of genital appearance, structure, and function [1,2,3]. Most of these procedures are performed for aesthetic purposes and in some cases for functional reasons having no specific medical indication [1,2]. Cosmetic gynaecology procedures are performed by several healthcare specialists including gynaecologists, urologists, and plastic surgeons and while many of these interventions are advertised for cosmetic reasons, they may be further used for the treatment of vulvovaginal pathologies, such as significant effects of excess androgen exposure, congenital anomalies, urinary or feacal incontinence, and pelvic organ prolapse[3,6] (Figure 1). Biological (such as neurogenic, anatomical, hormonal, vascular) and psychosocial factors (such as disturbed body image perception, depression, anxiety, and some other medical conditions that may decrease sexual confidence)
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