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Vulvoplasty in New South Wales, 2001–2013: a population-based record linkage study

Amanda J Ampt, Vijay Roach and Christine L Roberts
Med J Aust 2016; 205 (8): 365-369. || doi: 10.5694/mja16.00512

Summary

Objectives: To compare the characteristics of women who have undergone vulvoplasty with those of other women of reproductive age; to quantify short term adverse events and complications; to determine any association between vulvoplasty and subsequent outcomes for women giving birth.

Design, setting and participants: A population-based record linkage study, analysing New South Wales Admitted Patient Data Collection and NSW Perinatal Data Collection data. The characteristics of all women who had vulvoplasties in NSW hospitals during 2001–2013 were compared with those of all women of reproductive age.

Main outcome measures: Admissions for vulvoplasty and repeat vulvoplasties; serious complications or adverse events after vulvoplasty; birth mode and perineal outcomes for primiparous women with and without vulvoplasty.

Results: 4592 vulvoplasty procedures were performed on 4381 women in NSW hospitals and day-stay centres; the annual rate increased by 64.5% between 2001 and 2013. Compared with the reference population, women who had vulvoplasty were more likely to have been born in Australia (74.6% v 67.6%), to have other cosmetic surgery (10.1% v 1.7%), and to have never been married (43.0% v 33.1%). The serious short term adverse event rate was 7.2%. Of 257 women who had a first birth after their vulvoplasty procedure, 40.0% had caesarean deliveries, compared with 30.3% of other women (P < 0.001). There were no significant differences in the rates of perineal outcomes for women who had vaginal births.

Conclusions: The number of vulvoplasties performed in NSW has increased dramatically since 2001. The procedure is not without serious complications that can necessitate re-admission to hospital. We provide objective information about outcomes for counselling women who are contemplating vulvoplasty.

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  • Amanda J Ampt1
  • Vijay Roach2,3
  • Christine L Roberts1

  • 1 Kolling Institute of Medical Research, Sydney, NSW
  • 2 Royal North Shore Hospital, Sydney, NSW
  • 3 North Shore Private Hospital, Sydney, NSW


Acknowledgements: 

We thank the NSW Ministry of Health for granting access to the population health data, and the NSW Centre for Health Record Linkage for linking the datasets. This investigation was supported by a National Health and Medical Research Council (NHMRC) Centre for Research Excellence grant (1001066). Christine Roberts is supported by an NHMRC Senior Research Fellowship (1021025).

Competing interests:

No relevant disclosures.

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