Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents for evaluation of labia minora hypertrophy. Reports chronic physical discomfort, including chafing during ambulation, irritation with tight-fitting clothing, and difficulty with hygiene. Patient also notes significant psychological distress and self-consciousness regarding genital aesthetics. Denies history of trauma, recurrent infections, or systemic connective tissue disorders.
Clinical Examination Findings
Physical examination reveals bilateral/unilateral labia minora hypertrophy extending [X] cm beyond the labia majora. Tissue appears hyperpigmented, redundant, and lax with no evidence of ulceration, suspicious lesions, or discharge. Symmetry is noted as [symmetrical/asymmetrical]. No inguinal lymphadenopathy detected. Pelvic floor tone is within normal limits.
Treatment Protocol
Discussed surgical options including labiaplasty via [trim technique / wedge resection]. Risks, benefits, and alternatives were reviewed, including potential for scarring, sensory changes, wound dehiscence, and dissatisfaction with aesthetic outcome. Patient consents to procedure. Pre-operative instructions provided; patient advised to discontinue NSAIDs and smoking 2 weeks prior to surgery.