The LLR ICB do NOT ROUTINELY FUND these treatment.
- The procedure of labial reduction is technically the same as some types of Female genital mutilation.
- FGM includes all procedures involving the partial or total removal of the external female genitalia or any other injury to female genital organs for nonmedical reasons. It is also sometimes called female circumcision or cutting.
- FGM is illegal in the UK. It is also illegal to arrange (or assist in arranging) for anyone in the UK to be taken abroad for the purpose of FGM. It is recognised as a human rights violation, has no health benefits, and harms girls and women in many ways
- Labiaplasty will not be considered in women under the age of 18y under any circumstances.
However, the treatment will be funded in the following circumstances
| – Post trauma including vaginal delivery – Part of a reconstruction following surgery e.g. for cancer – Unilateral labia minora reduction where there is significant variation to contralateral labia minora – Part of the management of a congenital abnormality – For a condition directly attributable to a previous medical treatment delivered within the NHS. – If exceptional clinical need can be proven via the INDIVIDUAL FUNDING REQUEST application prior referral to secondary care |
| The INDIVIDUAL FUNDING REQUEST process, forms and guidance are available via PRISM, under Individual Funding Request (IFR) The panel will focus on the following Are there any clinical features of the patient’s case which make the patient significantly different to the general population of patients with the condition in question at the same stage of progression of the condition? Would the patient be likely to gain significantly more benefit from the requested intervention than might normally expected for the general population of patients with the same condition at the same stage of the progression of the condition? If funding is approved, referral to secondary care for the consideration of surgery by a gynaecologist may proceed, but the consultant will decide if surgery is justified. A second opinion may be sought by the first gynaecologist if they feel it necessary to do so before proceeding with surgery. |
| ARP 61 Review Date: 2027 |
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