Background: How much labial tissue should be left after labiaplasty is a controversial issue. Objectives: The objective was to investigate the effect of residual labial tissue following labiaplasty operations on sexual function. Methods: A total of 150 females who underwent labiaplasty between 2019 and 2021 and their partners were included in the study. In this retrospective study, linear labiaplasty technique was applied according to the patient's request. Patients were either below 1 cm or above 1 cm according to the remaining labial width at follow-up. The remaining labial tissues were classified according to the Motakef classification. Patients with a labial width above 1 cm were included in Group 1, and patients with a labial width below 1 cm were included in Group 2. Sexual function, sexual experience, body image, and erectile function of their partners were compared preoperatively and 2 years postoperatively with appropriate questionnaires. Results: Sexual function, sexual experience, and body image of females improved in all patients. However, the improvement was more apparent with with remaining labial tissue of greater than 1 cm. The increase in the survey results of the partners was found to be similar. Conclusions: The sexual function of the patients was better when the width of the labium was longer than 1 cm. This may be due to better protection of the neurovascular structures. This favorable effect was also seen in the subjective evaluation of the partners. Level of Evidence: 3:

To compare the short-term results of classic single-layer uterine closure and double-layer purse-string uterine closure (Turan technique) techniques in cesarean section in terms of the incidence of ischiocele formation. This was a prospective randomized controlled trial study. Participants undergoing first-time cesarean delivery were randomized into two groups. Fifty-eight participants were included in the double-layered uterine closure group (study group), while 53 participants were randomized into the classical single-layered uterine closure group (control group). For comparison of isthmocele formation, transvaginal ultrasound examination was planned in all patients 6 weeks after surgery. The operation data,the formation of isthmocele, its dimensions and volume were recorded. A total of 111 women were included in the study. The incidence of ischiocele at 6 weeks after birth was not significantly different between the groups (p=0.128). Isthmosel was detected in 20.8% of single-layer closures, and this rate was determined as 10.3% in the purse technique. In the Kerr incision made during surgery, the uterine incision size did not differ in either group, but the uterine incision length after suturing was significantly smaller in the purse technique compared with the other group (p<0.001). The incidence of ischiocele formation after cesarean section and the depth of the ischiocele was independent of the uterotomy closure technique.

To search whether or not the severe acute respiratory syndrome corona virus-2 (SARS-CoV-2) messenger ribonucleic acid (mRNA) vaccine affects the fertility of women at the 6th months by using AMH, which is an ovarian reserve test. Our study, designed as a prospective case-control study, included 104 women who presented to the GOP EAH obstetrics and gynecology outpatient clinic in January and February 2022. The study group included 74 women who presented to the outpatient clinic and planned to be vaccinated and 30 women who refused to be vaccinated as the control group. Anti-COVID-19 antibody levels in all participants were checked before participation in the study, and participants who were positive were excluded from the study. Blood was taken from the participants in both control and study groups to evaluate their AMH levels before the 2 doses of vaccination. After 2 doses of the vaccine, they were called for follow-up, and serological tests were performed to check whether they were positive for anti-COVID-19 antibodies. Participants in both groups were referred for follow-up after 6 months, samples were taken again for AMH, and the data were recorded. The mean age of the study group was 27.6 ± 5.3 years, and the mean age of the control group was 28.65 ± 5.25 years (P = .298). There was no statistically significant difference between the vaccinated and nonvaccinated groups in terms of AMH levels measured at the 6th month (P = .970). When the vaccinated group was compared in terms of AMH values at the first visit before vaccination and at the 6th month after vaccination, no statistically significant difference was found between them (p:0.127) mRNA vaccination to protect against SARS-CoV-2 does not adversely affect ovarian reserve, which is an indirect indicator of fertility. mRNA vaccines continue to be the most important method of protection against epidemics. Carefully and accurately informing women who are hesitant to get vaccinated is of great importance for the success of the fight against the epidemic.

Background: Labiaplasty, which has become increasingly popular in recent years, is chosen by women for both cosmetic and functional reasons. It creates significant changes in female sexuality, resulting in high satisfaction rates, but there are limited data on its effects on male sexual response. Objectives: The aim of this study was to investigate the effects of labiaplasty on partners. Methods: The partners of 49 patients who underwent labiaplasty between January 2020 and May 2023 were included in the study. Male Sexual Health Questionnaire Ejaculatory Dysfunction (MSHQ-EjD), Golombok-Rust Sexual Satisfaction Scale, and New Sexual Satisfaction Scale questionnaires were administered to the partners preoperatively and 6 months postoperatively. Results: There was no significant difference between preoperative and postoperative responses to the MSHQ-EjD questionnaire. The postoperative increase in the New Sexual Satisfaction Scale compared with the preoperative score was statistically significant. Statistically significant positive changes were observed postoperatively in the Golombok-Rust Sexual Satisfaction Scale categories of intercourse frequency, communication, satisfaction, and nature of sexual intercourse. Conclusions: Labiaplasty operation had positive effects on male sexual response but had no effect on ejaculation function and difficulty. Level of Evidence: 3:

Background: Female genital cosmetic procedures, particularly labiaplasty, have become increasingly popular due to rising concerns about both aesthetic dissatisfaction and functional limitations. Enlarged or asymmetric labia may result in physical discomfort, hygiene-related problems, or reduced sexual satisfaction. Although labiaplasty is believed to improve genital self-image, emotional well-being, and sexual functioning, studies employing validated psychometric tools to assess these outcomes remain limited. Objectives: In this study we aimed to evaluate the psychological, functional, and sexual outcomes of labiaplasty in women, focusing on changes in genital self-perception, depression levels, sexual function, and overall quality of sexual life. Methods: A total of 48 women, ages between 21 and 52 years, who underwent labiaplasty were included in the study. Standardized instruments including the Beck Depression Inventory (BDI), Female Genital Self-Image Scale (FGSIS), Female Sexual Function Index (FSFI), Quality of Sexual Experience scale (QSE), and Sexual Quality of Life Questionnaire–Female (SQoL-F) were administered before and after surgery to assess multidimensional outcomes. Results: The leading reasons for seeking labiaplasty were labial asymmetry (47.9%), low self-esteem (41.7%), and negative partner experiences (10.4%). Postoperative scores revealed significant improvements in all assessed domains. BDI scores decreased significantly (P = .037), and FGSIS, FSFI, QSE, and SQoL-F scores increased markedly (P < .001 for each), reflecting enhanced genital self-image, sexual function, and quality of life. Conclusions: Labiaplasty appears to offer meaningful benefits beyond aesthetics, contributing to improved psychological well-being and sexual health. These findings support its value as a functional and psychosocially beneficial intervention in appropriately selected patients. Level of Evidence: 4 (Therapeutic):

Background: Labiaplasty improves women's genital self-image, sexual function, and mental well-being, while enhancing male partners' sexual satisfaction and couples’ overall sexual harmony. Objectives: This study aimed to evaluate women with physical and functional complaints about the labium minus and the effects of labiaplasty on women's genital self-perception, sexual function, and psychological state, and the sexual satisfaction levels of their male partners. Methods: Ninety-seven women who underwent labiaplasty between January 2021 and June 2024 and their partners were included in the study. The Beck Depression Inventory, Female Sexual Function Index, Quality of Sexual Experience Scale, Female Genital Self-Image Scale, and Sexual Quality of Life–Female questionnaires were administered to women before and after labiaplasty. The Male Sexual Health Questionnaire–Ejaculatory Dysfunction, Golombok–Rust Sexual Satisfaction Scale, and New Sexual Satisfaction Scale were administered to male partners. Preoperative and postoperative data were compared for participants who were seen 1 year postoperatively. Results: In female participants, significant improvements were found in genital self-perception, sexual function, sexual pleasure, lubrication, orgasm, and overall quality of sexual life, and a statistically significant decrease in depression scores was observed. In male partners, ejaculatory function remained constant, but positive changes were found in general sexual satisfaction, impotence, premature ejaculation, and satisfaction levels. Conclusions: Labiaplasty provides significant gains in not only aesthetics but also psychological and sexual well-being in women, and indirectly positively affects the quality of sexual life of male partners. It is thought that surgical intervention can increase sexual harmony in couple relationships as well as individual satisfaction. Level of Evidence: : 4 (Therapeutic)