{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,20]],"date-time":"2026-09-20T10:01:14Z","timestamp":1789898474553,"version":"4.0.1"},"reference-count":24,"publisher":"SAGE Publications","issue":"9","license":[{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Int Med Res"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Genital aesthetic surgery, within the broader domain of female genital cosmetic surgery, has become increasingly visible in clinical practice. However, descriptive data on patient characteristics and self-reported motivations remain limited. This study describes the demographic profile, psychosocial context, motivations, and procedural patterns among women undergoing genital aesthetic surgery in Turkey.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This descriptive cohort included 927 consecutive women who underwent genital aesthetic surgery between 2017 and 2024. Data were collected during clinical evaluation using a structured questionnaire and medical records, including lifestyle factors, partner-related decision context, psychiatric history markers, motivations, procedure type, and post-treatment status. Analyses were purely descriptive, with continuous variables reported as mean \u00b1 SD and median.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The mean age was 42.0\u2009\u00b1\u200912.4 years, and 62.4% were married. Educational attainment most commonly reflected an associate degree (45.5%). Current smoking was reported by 629 of 927 participants (67.9%), alcohol use by 32.4%, and a history of prior cosmetic surgery by 33.1%. A psychiatric diagnosis was documented in 10.0%, and psychiatric medication use in 11.4%. Partner involvement was frequent: 64.2% presented at their spouse\u2019s request; decisions were self-driven in 53.0%, partner-driven in 32.6%, and joint in 14.5%. The most commonly endorsed motivations were personal aesthetic concern (63.0%) and relationship anxiety\/relationship repair (38.0%). The most frequent procedures were perineoplasty + vaginoplasty (24.3%). Recorded post-treatment status was categorized as successful in 76.9%, with wound-healing problems (9.8%) and unrealistic expectations (6.0%) among the most common nonsuccess categories.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>In this large descriptive cohort, genital aesthetic surgery was commonly pursued in mid-adulthood and often occurred within partner-related decision-making contexts, with motivations frequently spanning aesthetic, relational, and functional domains. These findings support the clinical importance of autonomy-sensitive counseling, expectation management, and structured psychosocial documentation in routine genital aesthetic surgery care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/03000605261487263","type":"journal-article","created":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T03:31:05Z","timestamp":1789702265000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Demographic characteristics and self-reported motivations of women undergoing genital aesthetic surgery: A descriptive cohort of 927 patients in Turkey (2017\u20132024)"],"prefix":"10.1177","volume":"54","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-1154-3382","authenticated-orcid":false,"given":"Ayse","family":"Konac","sequence":"first","affiliation":[{"name":"Gelisim University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,9,17]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41443-022-00580-6"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1093\/asj\/sjae143"},{"key":"e_1_3_2_4_2","article-title":"Representation of female genital cosmetic surgery in the media: a systematic review","author":"Taheri M","year":"2026","unstructured":"Taheri M, Sharp G, Ghorbani Z, et al. Representation of female genital cosmetic surgery in the media: a systematic review. Aesthetic Surg J 2026; 46: 969\u2013978.","journal-title":"Aesthetic Surg J"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.3390\/sexes5040046"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12905-023-02744-y"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jogc.2021.11.001"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.3390\/jcm14082686"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2023.07.002"},{"key":"e_1_3_2_10_2","article-title":"Behind the decision: exploring motivations, and psychological and sexual outcomes of labiaplasty","volume":"13","author":"Aulia I","year":"2025","unstructured":"Aulia I, Irmawati FP, Amani CA, et al. Behind the decision: exploring motivations, and psychological and sexual outcomes of labiaplasty. Plast Reconstr Surg Glob Open 2025; 13: e7051.","journal-title":"Plast Reconstr Surg Glob Open"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1093\/asj\/sjw014"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2026.109511"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1177\/07488068241260771"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(07)61602-X"},{"key":"e_1_3_2_15_2","article-title":"ACOG Committee opinion number 795: elective female genital cosmetic surgery","volume":"135","author":"Schnatz P","year":"2020","unstructured":"Schnatz P, Boardman LA; Practice C on G. ACOG Committee opinion number 795: elective female genital cosmetic surgery. Obstet Gynecol 2020; 135: e36.","journal-title":"Obstet Gynecol"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.1002\/ijgo.70203"},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.bodyim.2025.101929"},{"key":"e_1_3_2_18_2","doi-asserted-by":"publisher","DOI":"10.1093\/jsxmed\/qdae091"},{"key":"e_1_3_2_19_2","doi-asserted-by":"publisher","DOI":"10.1093\/asj\/sjaf187"},{"key":"e_1_3_2_20_2","doi-asserted-by":"publisher","DOI":"10.1093\/asj\/sjad380"},{"key":"e_1_3_2_21_2","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare12131333"},{"key":"e_1_3_2_22_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00266-024-03959-6"},{"key":"e_1_3_2_23_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2023.10.068"},{"key":"e_1_3_2_24_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2025.114894"},{"key":"e_1_3_2_25_2","doi-asserted-by":"publisher","DOI":"10.1177\/22925503221085083"}],"container-title":["Journal of International Medical Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/03000605261487263","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/03000605261487263","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/03000605261487263","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,20]],"date-time":"2026-09-20T09:17:06Z","timestamp":1789895826000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/03000605261487263"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9]]},"references-count":24,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2026,9]]}},"alternative-id":["10.1177\/03000605261487263"],"URL":"https:\/\/doi.org\/10.1177\/03000605261487263","relation":{},"ISSN":["0300-0605","1473-2300"],"issn-type":[{"value":"0300-0605","type":"print"},{"value":"1473-2300","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9]]},"article-number":"03000605261487263"}}