Clinical and Patient-Reported Outcomes of 19 Patients Undergoing Clitoral and Labial Reconstruction After Female Genital Mutilation/Cutting (2021)

This study is a Descriptive research regarding All FGM/C with the following characteristics:

Author(s): Christopher,A.N.,Othman,S.,Morris,M.P. et al
FGM/C Type(s): All
Health area of focus: Assesment of clinical and patient-reported outcomes after FGM/C reconstruction to help guide treatment practices..

Objective: The objectives of this study were to assess clinical and patient-reported outcomes after FGM/C reconstruction to help guide treatment practices.
Study Population: Adult patients undergoing anatomic reconstruction after FGM/C 
Findings: Nineteen patients were identified in our review. Patients presented for reconstruction due to dyspareunia,inability to orgasm,chronic infections,to normalize appearance,and/or to “feel normal.” There were no SSOs and two revision operations for adhesions. 74% of patients completed the FSFI postoperatively. Despite most patients seeking repair for inability to orgasm and/or dyspareunia,the median scores for these domains were 4.6 and 5.2. Patients’ desire to engage in sexual activity scored lowest (3.9),and patients reported concerns over the appearance of their genitalia (50%) that affected self-confidence (85.7%).Conclusion
FGM/C reconstruction is safe and contributes to improvements in physical sexual health. Psychological trauma may contribute to lessened sexual desire and self-confidence even after reconstruction. Multidisciplinary treatment is important to address the long-term psychological effects of this practice.

Geographical coverage
Region(s):North America
Country(ies):United States

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