LAUSR

BACKGROUND Standardized photographic recording and anatomic evaluation is crucial to refined and comprehensive preoperative design and enhanced aesthetic effect of female genital cosmetic surgery. OBJECTIVES The authors aim to propose a standard photographic scheme and physical examination form for the anatomical assessment of patients undergoing female genital surgery. METHODS The scheme containing two positions (standing and lithotomy positions) and 11 views (one frontal and two oblique views from standing position, six frontal views with labia minora open and close, pulled to the opposite side, clitoral hood pushed up, posterior fourchette stretched, two oblique views from lithotomy position) (2P11V) is applied to record pre- and postoperative appearance of the vulva. The evaluation form is utilized to record characteristics of different anatomical subunits during photography. RESULTS 245 patients who underwent female genital surgery were enrolled in the research from October 2018 to October 2022. All the patients received preoperative and postoperative 2P11V photography with about 5-minutes' shooting time. Various anatomical variations containing hypertrophy and prolapse of mons pubis, redundant types of labia minora and clitoral hood, incremental exposure of clitoral glans, hypo to hypertrophy of labia majora, disappearance of interlabial groove, hypertrophy of posterior fourchette and relation of subunits were accurately documented. CONCLUSIONS 2P11V photographic scheme displays the isolated features of each organ and proportion relation among different parts of vulva. The standard photographic record and physical examination form offer detailed anatomical structure to surgeons and facilitate surgeons to carry out an accurate surgical design, which deserve to be promoted and applied.