Using the Female Sexual Function Index (FSFI) to evaluate sexual function in women with genital mutilation undergoing surgical reconstruction: a pilot prospective study

Vital, Mathilde; Visme, Sophie de; Hanf, Matthieu; Philippe, Henri-Jean; Winer, Norbert; Wylomanski, S.

doi:10.1016/j.ejogrb.2016.04.029

Cited by 40 publications

(31 citation statements)

References 16 publications

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“…Vital et al . in France demonstrated a statistically significant improvement in median FSFI summary score of 29 from a preoperative score of 17 (P=0.009), although 75% of their patients had only type 2 mutilations (33). Similarly, Abramowicz et al .…”

Section: Management Of Complicationsmentioning

confidence: 94%

“…Its amputation or wholesome removal during FGM/C has been demonstrated to affect these functions. A validated questionnaire, the Female Sexual Function Index (FSFI) has been used by workers in France to determine the sexual, physical and psychological effects of FGM/C (33). Though the number studied was small, the instrument promises to help in the scientific evaluation of these patients.…”

Section: Complicationsmentioning

confidence: 99%

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Female genital mutilation/cutting in Africa

Odukogbe¹,

Afolabi²,

Bello³

et al. 2017

Transl. Androl. Urol.

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Female genital mutilation/cutting (FGM/C) is a traditional practice in which the external female genitalia is partially or totally incised or excised for a non-therapeutic reason, usually without the consent of the individual. FGM/C is common in Africa with varying prevalence in different countries, though the incidence is reducing because it is considered a human rights issue with tremendous advocacy for its elimination by mainly nongovernmental organizations. It is mainly underreported in many countries in Africa especially where it has been declared illegal. FGM/C is often performed by a nonmedical practitioner with the aim of fulfilling religious or cultural rites and sometimes for economic benefits with the resultant acute, intermediate and late complications. It is sometimes performed by medical practitioners when it is speciously believed that its medicalization reduces the complications associated with the practice. The sensitivity of FGM/C is amplified when compared to male circumcision and voluntary alterations of the female external genitalia like piercing and tattooing as similar practices. The magnitude of the physical and psychosocial consequences of FGM/C outweighs the presumed benefits of the procedures highlighting the need for improvement of the multiple preventive measures by all the stakeholders and in all the sectors.

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Section: Management Of Complicationsmentioning

confidence: 94%

Section: Complicationsmentioning

confidence: 99%

Female genital mutilation/cutting in Africa

Odukogbe¹,

Afolabi²,

Bello³

et al. 2017

Transl. Androl. Urol.

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“…The patients in our series were relatively elderly (mean 75 years) with an advanced stage of the disease—factors that are reflected in the high mortality rate at follow up (nine patients, 30%). This also made it difficult to conduct an analysis of sexual activity and sexual dysfunction (FSD) before and after surgery using the standard tools (Female Sexual Function Index (FSFI), Sexual Quality of Life‐ Female questionnaire (SQoL‐F)) . However, seven patients did report a certain level of sexual activity in the preoperative period, which had been recovered 1 year later, and two patients reported recovery of sexual activity despite having had none before the operation.…”

Section: Discussionmentioning

confidence: 99%

Experience with gluteal V‐Y fasciocutaneous advancement flaps in vulvar reconstruction after oncological resection and a modification to the marking: Playing with tension lines

Fin

Cordaro

Guarneri

et al. 2018

International Wound Journal

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Many post‐vulvectomy vulvar reconstruction solutions, using local fasciocutaneous flaps where possible, have been proposed. We report the use of V‐Y advancement flaps from the gluteal fold in medium to large vulvar reconstructions and a simple modification we made to the technique in order to minimise wound‐related complications. Between 2006 and 2016, 30 vulvar reconstructions were performed via a total of 59 flaps, 24 of which were raised using the proposed modification to the plasty design. Short‐ and long‐term (24 months) follow‐up data were analysed, postoperative flap sensitivity was tested, and any arising complications were recorded. The mean age of patients treated was 75.3 years (51‐92 years). The mean monolateral defect dimensions were 7.5 × 4.7 × 2.8 cm. Minor complications were recorded in 23% of patients (14% of flaps). One case of ostial stenosis occurred. Micturition and ambulation recovery was rapid, and flap sensitivity was fully restored 24 months after reconstruction. Scars were well hidden by natural soft tissue folds. The outcomes in this case series confirm that the gluteal V‐Y advancement fasciocutaneous flap is a useful and simple technique for reconstructing even large vulvar defects. It has a low functional and aesthetic impact and enables rapid return to autonomy. Moreover, the simple modification to the V‐Y flap proposed, designed to reduce tension at the apical part of the wound, appears to reduce the complication rate.

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“…Sexual dysfunction may be due to psychological and physical factors. In cases where the cause of sexual problems is physical, psychological factors may have a secondary role in complicated situations and can cause problems in sexual response and sexual dysfunction (4). Sexual activity is influenced by the person herself, family, community and culture, the complexity of the environment, her sexual history and her husband, past relationships, mental health status, recent medical problems, and hormonal status (5).…”

Section: Investigation Of the Factors Affecting The Sexual Function Imentioning

confidence: 99%

Investigation of the factors affecting the sexual function in women of reproductive age referred to the Women's Clinic of Hakim Neyshabur Hospital in 2015, Iran

Shamsabadi¹,

Kamali²,

Gholami³

et al. 2019

Acta fac medic Naissensis

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The aim of this study was to determine the factors affecting the sexual function of women of reproductive age with reference to the adverse effects of sexual dysfunction in women and its consequences on family life. This research was a cross-sectional study conducted in 2014-2015 and the study population included married women with stable sexual activities (at least for the last four weeks) referred to Women's Clinics of Hakim Neyshabur Hospital, Iran. The criteria for this study were as follows: being at the fertility age, being married and having regular sexual activity during the last four weeks. The study also included the women with a history of vaginal surgery, uterine surgery, vaginal or uterine anomalies, mental illness, any use of psychoactive or narcotic drugs. A standard questionnaire for women's sexual function (FSFI) was used for data collection. Data were analyzed using SPSS16 software, chi-square test, and one-way analysis of variance. The findings showed that the prevalence of sexual dysfunction was significantly related to the level of education, husband's employment status, family income, specific diseases, and husband's education (p < 0.05). Moreover, the highest prevalence was found for orgasmic disorder, lubrication disorder, libido disorder, stimulation disorder, and sexual dysfunction. Sexual abnormalities are highly prevalent in women of reproductive age, and the establishment of counseling and educational centers to identify these women and their needs seem to be necessary.

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Using the Female Sexual Function Index (FSFI) to evaluate sexual function in women with genital mutilation undergoing surgical reconstruction: a pilot prospective study

Cited by 40 publications

References 16 publications

Female genital mutilation/cutting in Africa

Female genital mutilation/cutting in Africa

Experience with gluteal V‐Y fasciocutaneous advancement flaps in vulvar reconstruction after oncological resection and a modification to the marking: Playing with tension lines

Investigation of the factors affecting the sexual function in women of reproductive age referred to the Women's Clinic of Hakim Neyshabur Hospital in 2015, Iran

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