Aesthetic and Functional Labiaplasty by Stefan Gress
Author:Stefan Gress
Language: eng
Format: epub
Publisher: Springer International Publishing, Cham
Close the wound margins with interrupted sutures using a 4–0 or 5–0 multifilament thread. Place the middle suture first, preferably a mattress suture to provide the greatest possible stability. This central suture must be placed precisely in the midline, i.e. exactly beneath the middle of the glans clitoris and in line with the middle of the external urethral orifice; otherwise the clitoris may lie in an oblique position and cause the urine stream to deviate.
The skin resection should not reach closer than 1 cm above the external urethral orifice, as tension on the sutures could then affect the morphology and dynamics of the urinary meatus, likewise having irreversible effects on the direction of the urine stream.
As the closure of this segment is done under slight tension, it is advisable to place the sutures close together, to prevent postoperative wound dehiscence (Fig. 24).
Fig. 24Closure of the infra-clitoral segment
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