title: [Hypertrophy of labia minora--pathomorphology and surgical treatment].
abstract: BACKGROUND
  Hypertrophy of labia minora is a variant of normal anatomy. The enlargement can be unilateral or bilateral and is sometimes asymmetric. Hypertrophy of the labia minora may be attributed to mechanical irritation and endocrine diseases. Labia minora longer than 5 cm is a functional and aesthetic problem for many women. Surgical treatment is performed at the request of the patient and based on surgical reduction of labia minora.
  
  
  OBJECTIVE
  The goal of this paper is to present our own experiences in labia minora reduction.
  
  
  METHODS
  Twenty-one patients with labia minora hypertrophy aged from 18 to 35, were operated. Hypertrophy was bilateral in all cases but asymmetrical in 5. We have observed that labia majora were smaller than normally and even after labioplasty did not contact in the midline. We performed elliptical resection of the protuberant segment of the hypertrophic labium.
  
  
  RESULTS
  We obtained good aesthetic and functional results. All patients were fully satisfied with the outcome.
  
  
  CONCLUSIONS
  Hypertrophy of labia minora is not a pathologic condition but rather a variant of normal anatomy. Indication of the operation is psychical and functional discomfort. Elliptical resection of the protuberant tissue is a safe method of treatment.
authors.affiliation: Klinika Chirurgii Plastycznej, Rekonstrukcyjnej i Estetycznej UM w Łodzi.
authors.forename: Julia
authors.initials: J
authors.lastname: Kruk-Jeromin
authors.forename: Tomasz
authors.initials: T
authors.lastname: Zieliński
mesh_terms: D000328:Adult; D004954:Esthetics; D005260:Female; D006801:Humans; D006984:Hypertrophy / Q000473:pathology / Q000601:surgery; D011044:Poland; D019651:Plastic Surgery Procedures / Q000379:methods; D013524:Surgical Flaps; D016896:Treatment Outcome; D014844:Vulva / Q000473:pathology* / Q000601:surgery*; D055815:Young Adult