Aesthetic and functional reduction of the labia minora using the Maas and Hage technique

Introduction: Enlarged labia minora can cause functional, aesthetic and psychosocial problems. There are many reported techniques for their surgical correction in both the gynaecological and surgical literature suggesting that no one method is superior to the others. The problem is compounded because an individual surgeon's experience is likely to be small given the infrequent request for surgery. For these reasons it is important that existing techniques are validated by independent surgeons rather than describing yet another variation. Methods: Patients who underwent surgical reduction of their labia minora from 2001-2008 were retrospectively reviewed. All cases were performed by the same surgeon using the Maas and Hage technique of a running interdigitating W-shaped excision. Results: 12 patients aged from 15 to 52 years underwent reduction labioplasty for idiopathic hypertrophy. Postoperatively there were no wound dehiscences or infections. One patient developed a painful haematoma 2 h after surgery necessitating surgical evacuation while another went into postoperative urinary retention relieved by overnight catheterisation. Both made uneventful recoveries. All patients were satisfied with their 'natural looking' cosmetic results and have returned to their normal activities without recurrence of their presenting symptoms. The mean follow up was 14 weeks but none have subsequently required or requested revisional surgery. Conclusions: The running W-shaped resection was found to be an easy and effective method of reducing the labia minora by a single operator in a small series of cases. This independent review demonstrates the reproducibility of this technique and the favourable aesthetic and functional outcomes for the patient. (C) 2009 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.