(071) Self-esteem and Sexual Function in Female Urogenital Reconstructive Plastic Surgery

Abstract Introduction Cosmetic surgery has invaded the field of social and sexual satisfaction. Countries like Brazil, Colombia, USA, Venezuela, and Mexico have seen a significant increase in these surgeries over the last 15 years in urban female populations. The genitalia haven’t been spared, with labioplasty being the most frequently performed procedure. Objective The objectives are to show how, in general, cosmetic surgery increases social and sexual self-esteem and function in the female patient and their relationship with their partner. This study presents the positive effects in the majority of patients and highlights the secondary and tertiary benefits of the results Methods A retrospective study collected data from 618 women aged 18–76 years over an 8-year period (2016–2024). Pre- and post-evaluation of social and sexual satisfaction were applied after elective or emergency surgeries. Procedures evaluated included Minora and Majora Labioplasty, Perineoplasties, Clitoral Prepuciectomy, Bartholin abscess/cyst removal, and Vulvo-vaginal Obliterostomy. For emergency surgeries, a pre-test was not applied. Results The study found that a majority of the reconstructive procedures resulted in a significant increase in sexual function11. Improvement in sexual dysfunction was high across elective procedures: Minora Labioplasty(94%-96%) and Majora Labioplasty (96%-98%), and Clitoral Prepuciectomy (100%). In recurrent/chronic Bartholin cases, improvement was 86%13. Following reconstructive vulvo-vaginal obliterostomy opening, 50% of patients, who were asexual for 25–35 years prior to surgery, reported experiencing their first orgasm through the use of vaginal dilators during pelvic physical therapy14. Major complications included suture dehiscence (8%) and surgical site infection (11%). Conclusions Most of the urogenital cosmetic (elective or emergency) surgeries can result in a significant increase in social and sexual satisfaction. The patients’ lives improve genitally, systemically, structurally, functionally, physically, and emotionally as a result of the intervention. Disclosure No