Yasin CEYLAN, Özlem YÜKSEL AYBEK, Berkay YÜKSEL, Eray ÇALIŞKAN
Pelviperineology - 2026;45(2):58-64
Objective: To evaluate the motivations of women undergoing wedge labiaplasty and to evaluate the effect of the procedure on female sexual function and female genital self-image by comparing preoperative and postoperative outcomes. Materials and Methods: A total of 54 sexually active women who underwent wedge labiaplasty performed by the same surgeons were prospectively enrolled in this study. Demographic characteristics, labial morphology, and surgical details were recorded. Patient motivations for surgery were documented preoperatively. Female genital self-image and female sexual function were assessed using the female genital self-image scale (FGSIS) and the female sexual function index (FSFI), administered before surgery and at three months postoperatively. Preoperative and postoperative scores were compared using paired-samples t-tests. Results: The mean age of the participants was 39+/-5.2 years. Aesthetic concerns were reported by all patients, although a subset also described functional complaints as contributing factors. Concomitant procedures included labia majoraplasty in 64.8% and clitoral hood reduction in 87% of the patients. Partial wound dehiscence occurred in 9.3% of the cases and required revision surgery. The mean total FGSIS score increased significantly from 10.6+/-1.7 preoperatively to 25.9+/-1.1 postoperatively (p < 0.001). The mean total FSFI score improved from 16.6+/-2.5 to 27.4+/-2.4 after surgery (p < 0.001), with statistically significant improvements observed in all FSFI domains; arousal, lubrication, desire, satisfaction, orgasm, and pain. Conclusion: Wedge labiaplasty, frequently performed in combination with adjunctive procedures, appears to be a safe and effective approach associated with significant improvements in genital self-image and sexual function. However, given the high rate of concomitant procedures, the specific contribution of the wedge technique alone should be interpreted with caution. Comprehensive preoperative counseling and individualized surgical planning remain essential to optimize outcomes.
