Effects of Abdominoplasty on Female Sexuality: A Pilot Study

Effects of Abdominoplasty on Female Sexuality: A Pilot Study

Author Azevedo de Brito, Maria Jose Autor UNIFESP Google Scholar
Nahas, Fabio Xerfan Autor UNIFESP Google Scholar
Bussolaro, Rodolpho Alberto Autor UNIFESP Google Scholar
Shinmyo, Lia Mayumi Autor UNIFESP Google Scholar
Barbosa, Marcus Vinicius Autor UNIFESP Google Scholar
Ferreira, Lydia Masako Autor UNIFESP Google Scholar
Institution Universidade Federal de São Paulo (UNIFESP)
Abstract Introduction. Changes in the pubic region resulting from abdominoplasty may have a psychosexual impact. Thus, it is important to study the influence of physical changes on the sexuality of patients after abdominoplasty. Aim. To evaluate the effects of the elevation of the mons pubis and consequent exposure of the clitoris in the vulvar commissure on the sexual functioning and sexual satisfaction of women who underwent abdominoplasty. Methods. Data were presented as mean +/- standard deviation. Nineteen women with a mean age of 35 +/- 7 years, mean body mass index of 23 +/- 2 kg/m(2) and who expressed a desire to undergo abdominoplasty were selected from consecutive patients attending the abdominal plastic surgery outpatient unit of a university hospital. Main Outcome Measures. Physical change (measured by the distance between the xiphoid process and vulvar commissure [xipho-vc]), sexual functioning, and sexual satisfaction (assessed with the Sexuality Assessment Scale), and body image (measured using the Body Shape Questionnaire [BSQ]) were evaluated preoperatively and 6 months after abdominoplasty. Results. There was a significant reduction (P = 0.0004; z = -3.53) in the xipho-vc distance 6 months after abdominoplasty compared with baseline (mean difference 3.63 +/- 2.79 cm), corresponding to an elevation of the mons pubis and consequent exposure of the clitoris. All patients reported a significant improvement in sexual functioning and sexual satisfaction 6 months after abdominoplasty when compared with baseline (P = 0.0001; z = -3.83). BSQ scores indicated an improvement in the patients' concerns about body shape (P = 0.0003; z = -3.58). Conclusion. Our results suggest that physical change and the new position of the clitoris may have a positive impact on sexuality. de Brito MJA, Nahas FX, Bussolaro RA, Shinmyo LM, Barbosa MVJ, and Ferreira LM. Effects of abdominoplasty on female sexuality: A pilot study. J Sex Med 2012; 9: 918-926.
Keywords Plastic Surgery
Abdomen
Genital Self-Image
Genitalia
Female
Clitoris
Sexuality
Sexual Behavior
Language English
Date 2012-03-01
Published in Journal of Sexual Medicine. Malden: Wiley-Blackwell, v. 9, n. 3, p. 918-926, 2012.
ISSN 1743-6095 (Sherpa/Romeo, impact factor)
Publisher Wiley-Blackwell
Extent 918-926
Origin http://dx.doi.org/10.1111/j.1743-6109.2011.02583.x
Access rights Closed access
Type Article
Web of Science ID WOS:000300831700033
URI http://repositorio.unifesp.br/handle/11600/34697

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