{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T19:13:27Z","timestamp":1790104407011,"version":"4.0.1"},"reference-count":34,"publisher":"Oxford University Press (OUP)","issue":"12","license":[{"start":{"date-parts":[[2018,12,10]],"date-time":"2018-12-10T00:00:00Z","timestamp":1544400000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2019,11,13]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Influencing factors involved in the decision to undergo labiaplasty are evolving and show diversity among different settings and countries. Updated underlying motivators may assist in clinical decision-making and assessing outcomes from the patients\u2019 perspective.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Herein, the main motivators of women undergoing labiaplasty and sociodemographic features are discussed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Seventy-one patients who were scheduled for labiaplasty were assessed via an open-ended, well-detailed questionnaire to determine the main motivational factors from the patients\u2019 perspective. Validated questionnaires to measure genital self-image, self-esteem, body appreciation, attitude toward having cosmetic surgery, sexual dysfunction, and body-dysmorphic disorder were performed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Half of the patients reported that they had an idea about the appearance of other women\u2019s genitalia (50.7%) and were influenced through the media (47.9%). The majority of those (71.8%) stated that they did not have normal genitalia and considered labiaplasty more than 6 months ago (88.7%). The pornography consumption rate in the last month was 19.7% and was significantly related with lower genital self-image and self-esteem. The main motivation was improvement in appearance (43.7%) and a better sexual life (26.8%). Patients reported aesthetic (52.1%), sexual (46.5%), and psychological (39.4%) reasons leading to their decision. Patient-reported 8-items of 11-item motivators for having labiaplasty were statistically consistent with validated questionnaires. The self-esteem and body appreciation of the patients were comparable to the literature. Genital self-image and sexual function were found to be impaired.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The women\u2019s main motivator for labiaplasty was improvement in genital appearance integrated with their aesthetic and sexual demands. Eleven-item motivators derived from the statements of women seeking labiaplasty were determined in this study. Sociodemographic features and main motivators can conveniently be used as normative data for this population.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence: 4<\/jats:title>\n                    <jats:p\/>\n                  <\/jats:sec>","DOI":"10.1093\/asj\/sjy321","type":"journal-article","created":{"date-parts":[[2018,12,8]],"date-time":"2018-12-08T02:43:47Z","timestamp":1544237027000},"page":"NP517-NP527","source":"Crossref","is-referenced-by-count":64,"title":["Major Motivators and Sociodemographic Features of Women Undergoing Labiaplasty"],"prefix":"10.1093","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0016-8749","authenticated-orcid":false,"given":"Ozan","family":"Dogan","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynaecology, Sisli Hamidiye Etfal Training and Research Hospital, Health Sciences University , Istanbul, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Murat","family":"Yassa","sequence":"additional","affiliation":[{"name":"Clinic of Obstetrics and Gynaecology, Bartin State Hospital , Bartin, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2018,12,10]]},"reference":[{"issue":"1","key":"2023020107522625700_CIT0001","doi-asserted-by":"crossref","first-page":"20","DOI":"10.1111\/j.1471-0528.2009.02426.x","article-title":"Labial surgery for well women: a review of the literature","volume":"117","author":"Liao","year":"2010","journal-title":"BJOG"},{"key":"2023020107522625700_CIT0002","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1093\/asj\/sjx076","article-title":"Cosmetic Surgery National Data Bank Statistics","volume":"37","year":"2017","journal-title":"Aesthet Surg J"},{"issue":"6","key":"2023020107522625700_CIT0003","doi-asserted-by":"crossref","first-page":"1083","DOI":"10.1097\/AOG.0b013e31825833f5","article-title":"Cosmetic gynecology and the elusive quest for the \u201cperfect\u201d vagina","volume":"119","author":"Iglesia","year":"2012","journal-title":"Obstet Gynecol"},{"issue":"7","key":"2023020107522625700_CIT0004","doi-asserted-by":"crossref","first-page":"1393","DOI":"10.1089\/jwh.2009.1728","article-title":"Female genital cosmetic surgery: a critical review of current knowledge and contemporary debates","volume":"19","author":"Braun","year":"2010","journal-title":"J Womens Health (Larchmt)"},{"issue":"6","key":"2023020107522625700_CIT0005","doi-asserted-by":"crossref","first-page":"761","DOI":"10.1111\/1471-0528.12578","article-title":"What\u2019s normal? 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