Female genital plastic surgery has become an increasingly sought-after option for women seeking improvement in genital appearance, relief from discomfort, and increased sexual pleasure. These surgeries are a combination of gynecologic, plastic, and cosmetic procedures. Every year sees a higher demand for physicians properly trained and able to perform them.
This unique text from the acknowledged experts in the field covers;
the anatomy of the areathe specific surgical procedures and all their variationspatients rationales for surgerytraining guidelines and ethical issuesoutcome statisticssexual issuespatient selectionpotential risks and complications.
Examining the issues from individual patients perspectives, it is written in an academic but easy-to-read style with understandable and unambiguous drawings and photographs. It contains a step-by-step surgical approach, how to best select the right surgical candidates, how to treat this select group of patients, the sexual issues involved, how to individualize techniques for each specific patient, how to deal with criticism from colleagues or journalists, psychosexual issues, and patient protection.
List of contributors, vi
Preface, vii
Acknowledgments, viii
1 Introduction, 1
Michael P. Goodman
2 Genital plastics: the history of development, 3
Michael P. Goodman
3 Anatomic considerations, 9
Orawee Chinthakanan, Robert D. Moore, and John R. Miklos
4 Definitions, 25
Michael P. Goodman
5 Philosophy, rationale, and patient selection, 31
Michael P. Goodman
6 Ethical considerations of female genital plastic cosmetic surgery, 39
Andrew T. Goldstein and Sarah L. Jutrzonka
7 Patient protection and preoperative assessment, 45
Michael P. Goodman
8 Surgical procedures I: vulva and mons pubis, 51
Michael P. Goodman, with contributions from David Matlock, Alex Simopoulos, Bernard H. Stern, and Otto J. Placik
9 Surgical procedures II: perineoplasty, vaginoplasty, colpoperineoplasty (vaginal rejuvenation), 88
Robert D. Moore, John R. Miklos, and Orawee Chinthakanan
10 The biomechanics and physiology of clitoral and vaginally activated orgasm: impact of vaginal tightening operations, 102
Michael P. Goodman
11 The Gspot, 108
Dudley Robinson and Linda Cardozo
12 Postoperative care, 112
Michael P. Goodman
13 Aesthetic maletofemale transsexual surgery, 120
Marci Bowers
14 Anesthetic choices and officebased surgery, 131
Michael P. Goodman
15 Nonsurgical cosmetic vulvovaginal procedures, 138
Gustavo Leibaschoff and Pablo Gonzalez Isaza
16 Surgical risks and untoward outcomes, 154
Otto J. Placik
17 Revisions and reoperations, 186
Michael P. Goodman
18 Psychosexual issues, 200
Michael P. Goodman
19 Outcomes, 206
Michael P. Goodman
20 Pearls for practice, 212
Michael P. Goodman
21 Standards of care, 215
Michael P. Goodman
Index, 222
