National Consensus Statement on Aesthetic Vaginoplasty A Modified Delphi Study by the Pelvic Floor and Cosmetic Gynecology Association (PETKOZ) of Turkey

Year: 2026

Type: article

Abstract: Purpose: Aesthetic vaginoplasty, defined as surgical vaginal tightening performed for cosmetic, sexual, and/or functional reasons without a primary medical indication, has become increasingly common in gynecological practice.Despite growing demand, no validated clinical guidelines exist to govern patient selection, surgical technique, perioperative management, or outcome assessment for these procedures.The Pelvic Floor and Cosmetic Gynecology (PETKOZ) Association of Turkey initiated this project to develop the first, expert-based consensus statement on aesthetic vaginoplasty.Methods: A modified Delphi methodology was used across three successive rounds, with a 100% response rate in each round.Twenty-six nationally recognized experts in gynecology, urogynecology, pelvic floor surgery, and related disciplines participated.A steering committee developed an initial statement pool across 14 clinical domains: contraindications; preoperative assessment; indications; surgical principles and goals; technical selection; intraoperative management; revision surgery; complications; perioperative management; postoperative care; outcomes; guidelines and future directions; advanced technical topics; and ethics and psychosexual evaluation.Consensus was defined as ≥70% agreement.All rounds were conducted anonymously via Google Forms.

Source: Anatolian journal of obstetrics and gynecology research.

DOI: 10.4274/anajog.galenos.2026.30306

Institutions: Acıbadem University, İstanbul Nişantaşı Üniversitesi, Biruni University, İstanbul Başakşehir Çam ve Sakura Şehir Hastanesi

Topic: Pelvic floor disorders treatments

Subfield: Rheumatology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: bronze

OpenAlex ID: W7204995767