Rejuvenation of external female genitalia Flashcards Preview

Surgical MCQs > Rejuvenation of external female genitalia > Flashcards

Flashcards in Rejuvenation of external female genitalia Deck (30):
1

Ageing of female genitals modified by diet

T
Also;
Genetic influences
Childbirth
Environment
Cultural factors
Exercise
Past illness
Other factors

2

Pubic hair becoems more curly with age

F
less curly and lost pigment

3

Labia minora increase in size with age

T
usually do and lose elasticity
'labial hypertrophy'

4

Labia majora and mons increase in volume with age

F
loss of volume

5

Pigmentation of the skin and mucosa of the vulva is reduced with age

F
increased pigmentation
but loss of mucosal redness

6

Hyaluronic acid-based fillers used as Rx for volume restoration in mons and labia majora

T

7

90% of women with concerns about the appearance of the vulva have symptomatic changes

F
90% cosmetic concerns only

8

Symptoms of labial hypertrophy include include dyspareunia, irritation or problems with clothing or hygeine

T

9

Labial (minora) hypertrophy is assymetrical in 50%

F
usually symmetrical

10

Pts with Labial (minora) hypertrophy are often concerned about perceived masculinisation of the genitalia

T

11

surgery is advisable for women with cosmetic concerns due to labial (minora) hypertrophy

F
If asymptomatic reassurance and hygiene advice measures are sufficient
Consider surgery for those with irritation due to hypertrophy

12

Labium minus being wider than 5cm from base to free margin at its maximum height is a parameter of correction

F
wider than 4cm

13

Should refuse surgery if pt has high psychological vulnerability, BDD or low self esteem

T
refer to counselling
Must screen for BDD and for external pressure being put on the pt

14

pre and post op photos are recommended for labioplasty

T

15

risk of asymmetry is negligible in labioplasty

F
Must advise of this risk
Pts need full careful and slow explanation of procedure risk and side effects

16

5-7mls lignociane with adrenaline is recommended per labium minus

T

17

Amputation is the prefered technique for labioplasty

F
Does not preserve anatomic features of the free edge
Can cause parasethsia
Wedge or-V shape excision is preferred technique

18

S-shaped excision involves removing an ellipse from the centre of the labium

F
this is known as De-epithelialization
S-shaped excision is the same s amputation and is trimming back the free edge with placement of a running subcuticular suture

19

De-epithelialization can leave a redundancy in the free margin a sno tissue is excised from the edge

T

20

S-shaped excision is low risk for paraesthesia

F
high risk as its the same as amputation

21

The advantages of wedge excision include;
Preserves free margin
No free margin redundancy
Minimal nerve damage

T

22

Some over resection is allowable in labioplasty

F
Must never over resect
can cause discomfort and dyspareunia

23

dog ears should be excised immedietely in labioplasty

T

24

labioplasty pts shave pubic area night before surgery

F
1 week before

25

Swelling post labioplasty can last 6-8 wks

F
2-4 wks

26

Haematoma resolves quickly if present post labioplasty

T

27

Need 2-3 injection sites per side for fillers for the mons and lab maj

F
Can do mons and both lab maj with single injection site in midline under LA

28

Labial or mons fillers done with retrograde injections in deep dermis and subcutis

T
Use 7cm 21G cannula

29

Vulval filler injections need antiviral prophylaxis

F
But consider if Hx of genital HSV
No need for dressings or antibiotics

30

5-6mls is usual amount of filler for labia maj and mons

T
Additional 2-5mls may be injected at least 2 months later