Labial Hypertrophy Surgery: Options and Considerations

Labial hypertrophy surgery concerns?

Hello, Doctor: I have been experiencing itching in my intimate area for a long time.
Recently, I visited a gynecology clinic for the first time, and the doctor performed an internal examination.
I was informed that I have labial hypertrophy (on both sides), which is more severe than what is typically seen in women (the doctor even showed me pictures).
She suggested that I undergo surgery to remove the excess tissue, as the labial hypertrophy is causing difficulties in maintaining hygiene, leading to infections, and discomfort while riding in vehicles, among other issues.

I inquired about the outpatient surgery at their clinic, which is entirely self-funded and starts at $25,000, with no need for hospitalization.
I also asked about the possibility of having the procedure done at a major hospital, where it might be covered by insurance, potentially costing around $5,000 (with additional co-pays).
However, the surgery at the hospital would require at least a three-day hospitalization.
My main concern is that if any unexpected issues arise, the clinic may not have the necessary facilities.
Additionally, I cannot afford the full self-pay amount at the clinic.
I am considering having the surgery at the major hospital (where I happen to work).
However, I found conflicting information online; some people say that surgery at the hospital does not require hospitalization, while others claim it does.
The doctor at the clinic also mentioned that hospitalization is necessary for the hospital procedure.
There is limited information available online regarding labiaplasty, so I am reaching out for clarification.
I plan to schedule an appointment with the gynecology department at the major hospital in a few days to have the doctor evaluate my situation and to inquire whether my insurance covers this type of surgery.
I am not in a rush to have the surgery, but I feel that the sooner it is done, the better, as the itching is becoming unbearable.
Thank you, Doctor!

LING, 20~29 year old female. Ask Date: 2024/04/13

Dr. Cao Guotao reply Obstetrics and Gynecology

You are consulting at a major hospital.
Wishing you good health.

Reply Date: 2024/04/13

More Info

Labial hypertrophy, or the enlargement of the labia minora, can lead to various discomforts, including itching, difficulty in maintaining hygiene, and discomfort during activities such as cycling or sitting. If you have been advised by a gynecologist to consider surgery to remove the excess tissue, it is important to weigh your options carefully.

Surgical Options
1. Outpatient Surgery at a Clinic:
- Pros: Typically less expensive (around $25,000 in your case), and the procedure can often be done under local anesthesia. This means you can go home the same day without the need for an overnight stay.

- Cons: There may be limited facilities for managing complications if they arise during the procedure. Additionally, the surgeon's experience and the clinic's accreditation should be considered.

2. Surgery at a Hospital:
- Pros: Hospitals usually have more comprehensive facilities and staff to manage any complications that may arise. If you have health insurance, the procedure may be partially covered, reducing your out-of-pocket expenses significantly (around $5,000 as you mentioned).

- Cons: The requirement for hospitalization (at least three days in your case) can be inconvenient and may involve additional costs for room and board, even if the surgery itself is covered.

Considerations Before Surgery
- Medical Evaluation: Before proceeding with any surgery, a thorough evaluation by a qualified gynecologist is essential. They will assess the severity of your condition, discuss the potential risks and benefits of surgery, and determine the best surgical approach for you.

- Risks of Surgery: As with any surgical procedure, there are risks involved, including infection, bleeding, scarring, and complications related to anesthesia. Discuss these risks with your surgeon to understand how they apply to your specific situation.

- Postoperative Care: Recovery from labial surgery typically involves some discomfort and swelling. You will need to follow specific care instructions to promote healing and prevent infection. This may include avoiding certain activities for a period of time.

- Timing: If you are not in immediate discomfort and can manage your symptoms, you may choose to wait until you feel more ready for the procedure. However, if the itching and discomfort are significantly impacting your quality of life, it may be worth considering sooner rather than later.

Conclusion
Ultimately, the decision on where to have the surgery should be based on a combination of factors including your comfort level with the facility, the surgeon's expertise, financial considerations, and your personal health needs. It is commendable that you are seeking further evaluation and considering your options carefully. Make sure to ask your gynecologist any questions you have during your upcoming appointment, and don’t hesitate to express your concerns about costs and the need for hospitalization. Your health and comfort should always come first.

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