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Extreme hypertrophy of the labia minora

Hypertrophic labia minora are occasionally a concern of young adults or adolescent girls. The hypertrophy may cause local irritation and discomfort in walking or sitting, as well as problems of personal hygiene during menstruation. Labial hypertrophy is defined as a maximum distance of the labia from base to edge of 4 cm (1). Although most cases of subjectively reported hypertrophic labia minora require reassurance and no correction is necessary, some cases should be surgically corrected for several reasons. We have recently experienced a case of extreme protuberance of bilateral labia minora in a young Japanese woman without any appreciable causal factors.