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Current Women`s Health Reviews

Editor-in-Chief

ISSN (Print): 1573-4048
ISSN (Online): 1875-6581

Research Article

Exploration of Women’s Experiences of Sexual Function after Female Genital Cosmetic Surgery: A Phenomenological Descriptive Study

Author(s): Fatemeh Touhidi Nezhad, Rostam Jalali*, Fozieh Karimi and Lida Menati

Volume 19, Issue 1, 2023

Published on: 27 May, 2022

Article ID: e040322201707 Pages: 6

DOI: 10.2174/1573404818666220304103646

Price: $65

Abstract

Background: Female genital cosmetic surgery (FGCS) consists of a set of design approaches to recover or strengthen the vulva. These cosmetic procedures are conducted to relieve functionality problems such as vaginal looseness and sexual dissatisfaction. The external genital tract is shaped cosmetically. Its results could be better judged through understanding the direct experience of women who underwent surgery. Therefore, this study aimed to explain the experiences of women regarding FGCS through phenomenological methods.

Methods: In a phenomenological study with purposive sampling, semistructured in-depth interviews were conducted on women who experienced FGCS. Then, the interviews were entered into the Word software and were analyzed by the Colaizzi 7-step method. To ensure the correctness of the data, the Guba’s criteria were used. Data were analyzed using MAXQDA software version 10.

Results: The results showed that 15 women aged between 23 and 49 years old and with a mean age of 34 years old, mostly married and housewives as well as with diploma educational levels, participated in the study. Three themes and eight subthemes were excluded from the analysis of participants’ interviews. Participants presented their experiences on their sexual function after FGCS as sexual satisfaction, high-quality life, and willingness for surgery.

Conclusion: The studies showed those women’s experiences with FGCS were positive, resulting in sexual satisfaction and higher quality of life. Therefore, the assessment of women to perform cosmetic surgery should be prioritized, and the women should be supported to make a decision regarding such surgery.

Keywords: Qualitative research, patient satisfaction, female genitals, sexual activity, surgery, female genital cosmetic surgery (FGCS).

Graphical Abstract
[1]
Wilkie, G.; Bartz, D. Vaginal rejuvenation: A review of female genital cosmetic surgery. Obstet. Gynecol. Surv., 2018, 73(5), 287-292.
[http://dx.doi.org/10.1097/OGX.0000000000000559] [PMID: 29850918]
[2]
Bramwell, R.; Morland, C.; Garden, A.S. Expectations and experience of labial reduction: A qualitative study. BJOG, 2007, 114(12), 1493-1499.
[http://dx.doi.org/10.1111/j.1471-0528.2007.01509.x] [PMID: 17877771]
[3]
Desai, S.A.; Kroumpouzos, G.; Sadick, N. Vaginal rejuvenation: From scalpel to wands. Int. J. Womens Dermatol., 2019, 5(2), 79-84.
[http://dx.doi.org/10.1016/j.ijwd.2019.02.003] [PMID: 30997377]
[4]
Bello, O.O.; Lawal, O.O. Knowledge and attitude of women on genital cosmetic surgery at University College Hospital, Ibadan, Nigeria. Niger. Postgrad. Med. J., 2018, 25(4), 257-263.
[http://dx.doi.org/10.4103/npmj.npmj_139_18] [PMID: 30588948]
[5]
Liao, L.M.; Michala, L.; Creighton, S.M. Labial surgery for well women: A review of the literature. BJOG, 2010, 117(1), 20-25.
[http://dx.doi.org/10.1111/j.1471-0528.2009.02426.x] [PMID: 19906048]
[6]
Ostrzenski, A. Cosmetic gynecology in the view of evidence-based medicine and ACOG recommendations: A review. Arch. Gynecol. Obstet., 2011, 284(3), 617-630.
[http://dx.doi.org/10.1007/s00404-011-1896-8] [PMID: 21479923]
[7]
Wildgoose, P.; Scott, A.; Pusic, A.L.; Cano, S.; Klassen, A.F. Psychological screening measures for cosmetic plastic surgery patients: A systematic review. Aesthet. Surg. J., 2013, 33(1), 152-159.
[http://dx.doi.org/10.1177/1090820X12469532] [PMID: 23277623]
[8]
Goodman, M.P.; Placik, O.J.; Benson, R.H., III; Miklos, J.R.; Simopoulos, A.F.; Stern, B.H.; Stanton, R.A.; Kolb, S.E.; Gonzalez, F. A large multicenter outcome study of female genital plastic surgery. J. Sex. Med., 2010, 7(4 Pt 1), 1565-1577.
[9]
Oranges, C.M.; Sisti, A.; Sisti, G. Labia minora reduction techniques: A comprehensive literature review. Aesthet. Surg. J., 2015, 35(4), 419-431.
[http://dx.doi.org/10.1093/asj/sjv023] [PMID: 25908699]
[10]
Balthazar, A.; Zee, R.S.; Lanning, D.; Herndon, C.D.A. Laparoscopic sigmoid vaginoplasty. J. Pediatr. Urol., 2018, 14(4), 345.
[http://dx.doi.org/10.1016/j.jpurol.2018.04.006] [PMID: 30150131]
[11]
Barageine, J.K.; Beyeza-Kashesya, J.; Byamugisha, J.K.; Tumwesigye, N.M.; Almroth, L.; Faxelid, E. “I am alone and isolated”: A qualitative study of experiences of women living with genital fistula in Uganda. BMC Womens Health, 2015, 15, 73.
[http://dx.doi.org/10.1186/s12905-015-0232-z] [PMID: 26359255]
[12]
Çetin, C.; Soysal, C.; Ürünsak, I.F.; Api, M.; Çetin, T. Long-term outcomes of laparoscopic bean vaginoplasty (modified vecchietti procedure) for Mayer-Rokitansky-Kuster-Hauser syndrome. J. Laparoendosc. Adv. Surg. Tech. A, 2016, 26(8), 591-595.
[http://dx.doi.org/10.1089/lap.2016.0031] [PMID: 27120395]
[13]
Canning, D.A. Re: Vaginoplasty in the female exstrophy population: Outcomes and complications. J. Urol., 2012, 187(6), 2207-2208.
[http://dx.doi.org/10.1016/j.juro.2012.02.2512] [PMID: 22579207]
[14]
Bu, L.; Wang, H.Y.; Zhang, J.; Wang, L.Y.; Wu, J.X.; Li, B. Study on gasless-laparoscopic vaginoplasty using sigmoid colon segment. Zhonghua Fu Chan Ke Za Zhi, 2013, 48(7), 511-514.
[PMID: 24284222]
[15]
Ben Hmid, R.; Touhami, O.; Zouaoui, B.; Ben Amara, F.; Zghal, D.; Zouari, F.; Mahjoub, S.; Chelli, H. Evaluation of different techniques for vaginoplasty in the treatment of Mayer-Rokitansky-Kuster-Hauser syndrome. Tunis. Med., 2012, 90(12), 852-855.
[PMID: 23247783]
[16]
Carrard, C.; Chevret-Measson, M.; Lunel, A.; Raudrant, D. Sexuality after sigmoid vaginoplasty in patients with Mayer-Rokitansky-Küster-Hauser syndrome. Fertil. Steril., 2012, 97(3), 691-696.
[http://dx.doi.org/10.1016/j.fertnstert.2011.12.015] [PMID: 22245530]
[17]
Ding, J.X.; Chen, L.M.; Zhang, X.Y.; Zhang, Y.; Hua, K.Q. Sexual and functional outcomes of vaginoplasty using acellular porcine small intestinal submucosa graft or laparoscopic peritoneal vaginoplasty: A comparative study. Hum. Reprod., 2015, 30(3), 581-589.
[http://dx.doi.org/10.1093/humrep/deu341] [PMID: 25596187]
[18]
Dy, G.W.; Jun, M.S.; Blasdel, G.; Bluebond-Langner, R.; Zhao, L.C. Outcomes of gender affirming peritoneal flap vaginoplasty using the da vinci single port versus xi robotic systems. Eur. Urol., 2021, 79(5), 676-683.
[PMID: 32624272]
[19]
Upendra, S. Using Colaizzi’s method of data analysis to explore the experience of undergraduate students on online learning. Ann. Rom. Soc. Cell Biol., 2021, 25(3), 7114-7117.
[20]
Schwandt, T.A.; Lincoln, Y.S.; Guba, E.G. Judging interpretations: But is it rigorous? Trustworthiness and authenticity in naturalistic evaluation. New Dir. Eval., 2007, 114, 11-25.
[http://dx.doi.org/10.1002/ev.223]
[21]
Carcedo, R.J.; Fernández-Rouco, N.; Fernández-Fuertes, A.A.; Martínez-Álvarez, J.L. Association between sexual satisfaction and depression and anxiety in adolescents and young adults. Int. J. Environ. Res. Public Health, 2020, 17(3), 841.
[http://dx.doi.org/10.3390/ijerph17030841] [PMID: 32013118]
[22]
Parsa Yekta, Z.; Raisi, F.; Ebadi, A.; Shahvari, Z. Sexual satisfaction concept analysis in Iranian married women: A hybrid model study. Glob. J. Health Sci., 2015, 7(6), 345-353.
[http://dx.doi.org/10.5539/gjhs.v7n6p345] [PMID: 26153166]
[23]
McClelland, S.I. Who is the “self” in self reports of sexual satisfaction? Research and policy implications. Sex. Res. Soc. Policy, 2011, 8(4), 304.
[http://dx.doi.org/10.1007/s13178-011-0067-9]
[24]
Sprecher, S.; Cate, R.M.; Harvey, J.; Wenzel, A. Sexual satisfaction and sexual expression as predictors of relationship satisfaction and stability. In: The Handbook of Sexuality in Close Relationships; Harvey, J.H.; Wenzel, A.; Sprecher, S., Eds.; Lawrence Erlbaum Associates Publishers: NJ, USA, 2004; pp. 235-256.
[25]
Lehmann, V.; Tuinman, M.A.; Braeken, J.; Vingerhoets, A.J.; Sanderman, R.; Hagedoorn, M. Satisfaction with relationship status: Development of a new scale and the role in predicting well-being. J. Happiness Stud., 2015, 16(1), 169-184.
[http://dx.doi.org/10.1007/s10902-014-9503-x]
[26]
Boislard, M-A.; van de Bongardt, D.; Blais, M. Sexuality (and lack thereof) in adolescence and early adulthood: A review of the literature. Behav. Sci. (Basel), 2016, 6(1), 8.
[http://dx.doi.org/10.3390/bs6010008] [PMID: 26999225]
[27]
Mowat, H.; McDonald, K.; Dobson, A.S.; Fisher, J.; Kirkman, M. The contribution of online content to the promotion and normalisation of female genital cosmetic surgery: A systematic review of the literature. BMC Womens Health, 2015, 15(1), 110.
[http://dx.doi.org/10.1186/s12905-015-0271-5] [PMID: 26608568]
[28]
Pardo, J.; Solà, V.; Ricci, P.; Guilloff, E. Laser labioplasty of labia minora. Int. J. Gynaecol. Obstet., 2006, 93(1), 38-43.
[http://dx.doi.org/10.1016/j.ijgo.2006.01.002] [PMID: 16530764]
[29]
Silva Gomes, T.B.; Brasil, C.A.; Barreto, A.P.P.; Ferreira, R.S.; Berghmans, B.; Lordelo, P. Female genital image: Is there a relationship with body image? Turk. J. Obstet. Gynecol., 2019, 16(2), 84-90.
[http://dx.doi.org/10.4274/tjod.galenos.2019.49799] [PMID: 31360580]
[30]
Pujols, Y.; Seal, B.N.; Meston, C.M. The association between sexual satisfaction and body image in women. J. Sex. Med., 2010, 7(2 Pt 2), 905-916.
[http://dx.doi.org/10.1111/j.1743-6109.2009.01604.x] [PMID: 19968771]
[31]
Hackett, G.; Krychman, M.; Baldwin, D.; Bennett, N.; El-Zawahry, A.; Graziottin, A.; Lukasiewicz, M.; McVary, K.; Sato, Y.; Incrocci, L. Coronary heart disease, diabetes, and sexuality in men. J. Sex. Med., 2016, 13(6), 887-904.
[http://dx.doi.org/10.1016/j.jsxm.2016.01.023] [PMID: 27215685]
[32]
Rahmanian, E.; Salari, N.; Mohammadi, M.; Jalali, R. Evaluation of sexual dysfunction and female sexual dysfunction indicators in women with type 2 diabetes: A systematic review and meta-analysis. Diabetol. Metab. Syndr., 2019, 11(1), 73.
[http://dx.doi.org/10.1186/s13098-019-0469-z] [PMID: 31467595]
[33]
Minhat, H.S.; Mat Din, H.; Hamid, T.A.; Hassan Nudin, S.S. Sexual intimacy in later life: From the perspectives of older couples in Malaysia. Geriatr. Gerontol. Int., 2019, 19(6), 492-496.
[http://dx.doi.org/10.1111/ggi.13648] [PMID: 30920129]
[34]
Flynn, K.E.; Lin, L.; Bruner, D.W.; Cyranowski, J.M.; Hahn, E.A.; Jeffery, D.D.; Reese, J.B.; Reeve, B.B.; Shelby, R.A.; Weinfurt, K.P. Sexual satisfaction and the importance of sexual health to quality of life throughout the life course of US adults. J. Sex. Med., 2016, 13(11), 1642-1650.
[http://dx.doi.org/10.1016/j.jsxm.2016.08.011] [PMID: 27671968]
[35]
Basson, R.; Schultz, W.W. Sexual sequelae of general medical disorders. Lancet, 2007, 369(9559), 409-424.
[http://dx.doi.org/10.1016/S0140-6736(07)60197-4] [PMID: 17276781]
[36]
Sharp, G.; Tiggemann, M.; Mattiske, J. A retrospective study of the psychological outcomes of labiaplasty. Aesthet. Surg. J., 2017, 37(3), 324-331.
[PMID: 28207030]
[37]
Ponholzer, A.; Roehlich, M.; Racz, U.; Temml, C.; Madersbacher, S. Female sexual dysfunction in a healthy Austrian cohort: Prevalence and risk factors. Eur. Urol., 2005, 47(3), 366-374.
[http://dx.doi.org/10.1016/j.eururo.2004.10.005] [PMID: 15716203]

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