Evidence map›Paper›PMID 40473787›Full record

SynthesisAesthetic plastic surgery2026

Female Sexual Function After Labiaplasty: A Systematic Review and Meta-analysis.

Fatemeh Nahidi, Michael P Goodman, Fatemeh Alavi-Arjas, Masoumeh Simbar, Hamid Alavi Majd, Fereshteh Rastegar

Abstract readSystematic ReviewMeta-AnalysisReview
PubMed Publisher
In one paragraph

Synthesis in Aesthetic plastic surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Fatemeh NahidiDepartment of Midwifery and Reproductive Health, Midwifery and Reproductive Health Research Center, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Michael P GoodmanDepartment of Obstetrics and Gynecology, California Northstate University College of Medicine, Elk Grove, CA, USA.
Fatemeh Alavi-ArjasDepartment of Midwifery, Sirjan School of Medical Sciences, Sirjan, Iran. f.alaviarjas@gmail.com.ORCID 0000-0001-9706-9052
Masoumeh SimbarDepartment of Midwifery and Reproductive Health, Midwifery and Reproductive Health Research Center, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Hamid Alavi MajdDepartment of Biostatistics, School of Allied Medical Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Fereshteh RastegarSaveh Faculty of Medical Sciences, Modarres, 17th Shahrivar Hospital Complex, Saveh, Iran.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLabiaplasty often motivated by aesthetic and/or sexual and/or functional concerns, but with contradictory outcomes. The documentation regarding the safety and efficacy of these elective procedures is limited, primarily consisting of clinical case reports and retrospective studies.

objectivesThis systematic review aimed to investigate the effect of labiaplasty on sexual function.

methodsAn electronic search in PubMed, Web of Science, Scopus, PsycINFO, Embase, the Cochrane Library, and ClinicalTrials.gov from 2000 to 2024 was performed. Articles that focused on labia minora surgeries performed for cosmetic, and/or sexual, and/or psychological, and/or functional reasons (excluding medical indications like reversing female genital cutting, straddle injuries, or other genital injuries) were considered. Additionally, selected articles were required to evaluate post-operative sexual function using a quantitative tool. A meta-analysis using a random-effects model was used to derive weighted pooled estimates of sexual function after labiaplasty.

resultsThe authors identified a total of 11 articles (with 671 participants) that evaluated sexual function after labiaplasty. Based on the Effective Public Health Practice Project's Quality Assessment Tool for Quantitative Studies (EPHPP), out of the 11 articles reviewed, 7 were categorized as weak, 4 as moderate, and none as strong. Of the studies reviewed, 6 studies used Female Sexual Function Index (FSFI). A meta-analysis of these six studies (with eight groups) revealed that labiaplasty was associated with an 18.8% improvement in the FSFI score, P < 0.001.

conclusionLabiaplasty appears to have a positive impact on women's sexual function, at least in the short term. However, inconsistencies in procedures, study design, and scales have limited this conclusion. In pre-surgery counseling, patients must be informed about the limited knowledge on labiaplasty's impact on sexual function. LEVEL OF EVIDENCE III: Evidence obtained from well-designed analytic studies. This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

Indexed as

Plastic Surgery ProceduresPostoperative ComplicationsSexual BehaviorSexual Dysfunction, PhysiologicalVulvaFemaleHumansTreatment OutcomeCosmetic gynecologyGenital cosmetic surgeryLabial reductionLabia minora reductionLabiaplastySexual dysfunction

Identifiers

PMID40473787

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.