Clitoral Reconstruction after Female Genital Mutilation/Cutting

Case Studies

Jasmine Abdulcadir, Maria Rodriguez, Patrick Petignat, Lale Say

Research output: Contribution to journalArticle

18 Citations (Scopus)

Abstract

Introduction: Clitoral reconstruction following female genital mutilation/cutting (FGM/C) is a new surgical technique reported to be a feasible and effective strategy to reduce clitoral pain, improve sexual pleasure, and restore a vulvar appearance similar to uncircumcised women. However, data on safety, care offered, and evaluation of sexual and pain outcomes are still limited. Aims: This study aims to present the care offered and clinical outcomes of two women who received multidisciplinary care, including psychosexual treatment, with clitoral reconstruction. We report their long-term outcomes, and the histology of the removed periclitoral fibrosis. Methods: We report the cases of two women with FGM/C types II and III who requested clitoral reconstruction for different reasons. One woman hoped to improve her chronic vulvar pain, as well as improve her sexual response. The other woman requested surgery due to a desire to reverse a procedure that was performed without her consent, and a wish to have a genital appearance similar to non infibulated women. They both underwent psychosexual evaluation and therapy and surgery. The histology of the periclitoral fibrosis removed during surgery was analyzed. Results: At 1-year postoperatively, the first woman reported complete disappearance of vulvar pain and improved sexual pleasure, including orgasm. Our second patient also described improved sexuality at 1-year follow-up (increased sexual desire, lubrication, vulvar pleasure, and sensitiveness), which she attributed to a better self body image and confidence. Both women reported feeling satisfied, happy, and more beautiful. Conclusion: We show a positive outcome in pain reduction and improved sexual function, self body image, and gender after psychosexual therapy and clitoral reconstruction. More evidence is needed about clitoral reconstruction to develop guidelines on best practices. Until research is conducted that rigorously evaluates clitoral reconstruction for its impact on pain and sexuality, we advise always offering a multidisciplinary care, including sexual therapy before and after the surgery.

Original languageEnglish (US)
Pages (from-to)274-281
Number of pages8
JournalJournal of Sexual Medicine
Volume12
Issue number1
DOIs
StatePublished - Jan 1 2015
Externally publishedYes

Fingerprint

Female Circumcision
Pleasure
Pain
Ego
Body Image
Sexuality
Histology
Fibrosis
Orgasm
Lubrication
Therapeutics
Practice Guidelines
Chronic Pain
Emotions
Guidelines
Safety

Keywords

  • Clitoral Reconstruction
  • Clitoris
  • Female Genital Cutting
  • Female Genital Mutilation
  • Female Genital Mutilation/Cutting
  • FGC
  • FGM
  • FGM/C

ASJC Scopus subject areas

  • Urology
  • Obstetrics and Gynecology
  • Reproductive Medicine
  • Medicine(all)

Cite this

Clitoral Reconstruction after Female Genital Mutilation/Cutting : Case Studies. / Abdulcadir, Jasmine; Rodriguez, Maria; Petignat, Patrick; Say, Lale.

In: Journal of Sexual Medicine, Vol. 12, No. 1, 01.01.2015, p. 274-281.

Research output: Contribution to journalArticle

Abdulcadir, Jasmine ; Rodriguez, Maria ; Petignat, Patrick ; Say, Lale. / Clitoral Reconstruction after Female Genital Mutilation/Cutting : Case Studies. In: Journal of Sexual Medicine. 2015 ; Vol. 12, No. 1. pp. 274-281.
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