Survey on Aesthetic Vulvovaginal Procedures: What do Portuguese Doctors and Medical Students Think?

Vieira‐Baptista, Pedro; Lima-Silva, Joana; Fonseca-Moutinho, José; Monteiro, Virgínia; Águas, Fernanda

doi:10.1055/s-0037-1603967

Cited by 6 publications

(7 citation statements)

References 23 publications

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“…12 Although medical students, young doctors, and gynecologists have more knowledge about VVAPs, all health professionals must know recent trends in VVA. 13,14 Regarding the ethical aspects of VVAPs, our results are consistent with the Royal College of Obstetrics and Gynecology. 15 This analysis recommends that ethical opinion for patients opting for female genital cosmetic procedures needs to be discussed carefully with microscopic details and should be opted only for indicated patients; for example, if sexual health is compromised physically (atrophy or laxity) and psychologically.…”

Section: Discussionsupporting

confidence: 88%

Awareness about Vulvovaginal Aesthetics Procedures among Medical Students and Health Professionals in Saudi Arabia

Iqbal

Akkour

Bano

et al. 2021

Rev Bras Ginecol Obstet

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Objective The present study aimed to explore the opinion and ethical consideration of vulvovaginal aesthetics procedures (VVAPs) among health professionals and medical students in Saudi Arabia. Methods This is a cross-sectional study performed between January 2020 and April 2020. Data was collected through electronic media, WhatsApp, and emails. The results were analyzed by applying the Students t-test, and correlations were considered significant if they presented a p-value < 0.05. Results There is significant demand to educate doctors, health professionals, medical students, and gynecologists for the VVAPs to have a solid foundation, justified indications, and knowledge about various aesthetic options. Although female doctors, medical students, young doctors, and gynecologists have more knowledge about VVAPs, all health professionals ought to be aware of recent trends in vulvovaginal aesthetics (VVA). The present analysis determined that VVA should be under the domain of gynecologists, rather than under that of plastic surgeons, general surgeons, and cosmetologists. The majority of the participants considered that vaginal rejuvenation, “G-spot” augmentation, clitoral surgery, and hymenoplasty are not justifiable on medical grounds. Conclusion The decision to opt for different techniques for vaginal tightening and revitalization should be taken very carefully, utilizing the shared decision-making approach. Ethical aspects and moral considerations are important key factors before embarking in the VVAPs purely for cosmetic reasons. Further research is required to determine the sexual, psychological, and body image outcomes for women who underwent elective VVAPs. Moreover, medical educators must consider VVAPs as part of the undergraduate and postgraduate medical curriculum.

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Section: Discussionsupporting

confidence: 88%

Awareness about Vulvovaginal Aesthetics Procedures among Medical Students and Health Professionals in Saudi Arabia

Iqbal

Akkour

Bano

et al. 2021

Rev Bras Ginecol Obstet

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“…Of note, even the use of LASER for hair removal has been related to serious urogynecologycal complications, such as labial adhesion with cryptomenorrhea, and acute urinary retention . In one survey, 85.9% of physicians stated that there is no medical indication for the performance of such procedures …”

Section: Other Possible Uses Of Laser (Vulvar Bleaching/whitening/brimentioning

confidence: 99%

“…128 In one survey, 85.9% of physicians stated that there is no medical indication for the performance of such procedures. 129 Labiaplasty is one of the most performed female cosmetic genital procedures worldwide. There are several techniques described, some with the use of LASER.…”

Section: Lichen Sclerosusmentioning

confidence: 99%

The clinical role of LASER for vulvar and vaginal treatments in gynecology and female urology: An ICS/ISSVD best practice consensus document

Preti¹,

Vieira‐Baptista

Digesu³

et al. 2019

Neurourology and Urodynamics

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BACKGROUND The clinical role of LASER for vulvar and vaginal treatments in gynecology and female urology is controversial. AIMS In this best practice document, we propose recommendations for the use of LASER for gynecologic and urologic conditions such as vulvovaginal atrophy, urinary incontinence, vulvodynia, and lichen sclerosus based on a thorough literature review. MATERIALS & METHODS This project was developed between January and September 2018. The development of this document followed the ICS White Paper Standard Operating Procedures. RESULTS Most of the available studies are limited by their design; for example they lack a control group, patients are not randomized, follow up is short term, series are small, LASER is not compared with standard treatments, and studies are industry sponsored. Due to these limitations, the level of evidence for the use of LASER in the treatment of these conditions remains low and does not allow for definitive recommendations for its use in routine clinical practice. Histological evidence is commonly reported as proof of tissue regeneration following LASER treatment. However, the histological changes noted can also be consistent with reparative changes after a thermal injury rather than necessarily representing regeneration or restoration of function. The use of LASER in women with vulvodynia or lichen sclerosus should not be recommended in routine clinical practice. There is no biological plausibility or safety data on its use on this population of women. DISCUSSION The available clinical studies do not present convincing data regarding the efficacy of LASER for the treatment of vaginal atrophy or urinary incontinence. Also, while short‐term complications seem to be uncommon, data concerning long‐term outcomes are lacking. CONCLUSION At this point, LASER is not recommended for routine treatment of the aforementioned conditions unless part of well‐designed clinical trials or with special arrangements for clinical governance, consent, and audit.

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“…65 In a survey among medical doctors and students, 71.0% indicated that there is never or rarely an indication for those procedures (56.0% if only plastic surgeons were considered). 67 The separation between a clitoral and a vaginal (G-spot) orgasm seems to be reminiscence of the Freudian concepts − the pressure is the same: those who can only achieve it through "direct" clitoral stimulation are considered to be in a more immature sexual stage. 68 There is no evidence that vaginal and clitoral orgasms are different; pure vaginal stimulation during coitus probably does not happen.…”

Section: Discussionmentioning

confidence: 99%

G-spot: Fact or Fiction?: A Systematic Review

et al. 2021

Self Cite

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Introduction: The G-spot, a putative erogenous area in the anterior vaginal wall, is a widely accepted concept in the mainstream media, but controversial in medical literature. Aim: Review of the scientific data concerning the existence, location, and size of the G-spot.Methods: Search on Pubmed, Pubmed Central, Cochrane, clinicaltrials.gov and Google Scholar from inception to November 2020 of studies on G-spot's existence, location and nature. Surveys, clinical, physiological, imaging, histological and anatomic studies were included. Main Outcome Measure: Existence, location, and nature of the G-spot.Results: In total, 31 eligible studies were identified: 6 surveys, 5 clinical, 1 neurophysiological, 9 imaging, 8 histological/anatomical, and 2 combined clinical and histological. Most women (62.9%) reported having a G-spot and it was identified in most clinical studies (55.4% of women); in 2 studies it was not identified in any women. Imaging studies had contradictory results in terms of its existence and nature. Some showed a descending of the anterior vaginal wall, that led to the concept of clitourethrovaginal complex. In anatomic studies, one author could systematically identify the G-spot, while another group did not find it. Studies on innervation of the vaginal walls did not systematically identify an area with richer innervation. Conclusion:The different studies did systematically agree on the existence of the G-spot. Among the studies in which it was considered to exist, there was no agreement on its location, size, or nature. The existence of this structure remains unproved.

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Survey on Aesthetic Vulvovaginal Procedures: What do Portuguese Doctors and Medical Students Think?

Cited by 6 publications

References 23 publications

Awareness about Vulvovaginal Aesthetics Procedures among Medical Students and Health Professionals in Saudi Arabia

Awareness about Vulvovaginal Aesthetics Procedures among Medical Students and Health Professionals in Saudi Arabia

The clinical role of LASER for vulvar and vaginal treatments in gynecology and female urology: An ICS/ISSVD best practice consensus document

G-spot: Fact or Fiction?: A Systematic Review

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