Évaluation d’une prise en charge multidisciplinaire chez 169 patientes excisées demandeuses d’une chirurgie réparatrice

The effectiveness of surgical interventions for women with FGM/C: a systematic review

“…In this communication, in line with recommendations, we primarily present the results from the studies deemed to have the highest internal validity with respect to the question of benefit and harm. These were 13 comparative studies with 4743 participants: four retrospective case series with two or more groups, two prospective cohort studies with two or more groups, one controlled before‐and‐after study, and six uncontrolled before‐and‐after studies . The remaining 49 studies were non‐comparative studies (case reports, case series, cross‐sectional studies; Table S1).…”

“…There were improvements regarding pain during sex (average 43%, range 8–76.9%), clitoral function/pleasure (63%, range 60.7–88.5%), desire (50.8%, range 46.8–55.7%), and frequency of sex (41%). One before‐and‐after study ( n = 61) found that reconstruction resolved bleeding during sex for 15% of the women, vaginismus/dryness for 26% of the women, and the involuntary passing of urine during sex for 5% of the women . Similarly, as assessed by the Kasr El Aini sexual assessment questionnaire, women who received clitorolabial reconstruction ( n = 30) reported improvement at 6 months after the operation (from 65.6 to 80.5) …”

Addressing Female Genital Mutilation/Cutting (FGM/C) in the Era of Clitoral Reconstruction: Plastic Surgery

“…There is an increasing body of evidence available which explores motives and expectations of women seeking clitoral reconstruction. The reports state that women disclose a desire to improve sexual function, wanting to recover one’s identity, and hoping to reduce vulvar pain as the strongest motives for undergoing clitoral reconstruction [ 2 , 3 , 11 , 16 – 18 ]. An unpublished study from Sweden shows that women opting for clitoral reconstruction do so as they want to symbolically reclaim what they perceived as forcefully taken from them during the act of cutting, aesthetically repair the visibly “damaged” genitalia, improve their sexual function, and eliminate physical pain.…”

“…Clitoral function with regard to sensitivity and sexual pleasure was improved in 63% (range 61–89%) of the patients, sexual desire by 51% (range 47–56%) [ 2 – 5 ]. One study reported that coital bleeding resolved for 15% and vaginal pain for 26% of the women [ 11 ]. Psychosexual outcome was found to improve after clitoral reconstruction in a study by Abramowicz et al [ 2 ] where 88–96% ( n = 19) of the women had improved their body image, aesthetic appearance, and psychological well-being 6–12 months postoperatively.…”

In Their Own Words: The Health and Sexuality of Immigrant Women with Infibulation Living in Switzerland

“…Sexuality is rarely taken into account [14]. In some countries, multidisciplinary approaches are being initiated, with healthcare teams including physicians, nurses, psychologists and sexologists [15,16]. In France, this approach is mostly connected to the reconstructive dimension (surgical and psychosexual) [17].…”