Anatomical Reconstruction following Female Genital Mutilation/Cutting
- Conditions
- Z91.70
- Registration Number
- DRKS00031017
- Lead Sponsor
- uisenhospital
- Brief Summary
A total of 119 women (mean age of 31·0 ± 10·4) were included. We performed the OD flap (85%), the NMCS procedure (82%) and the aOAP flap (36%) and had a 1-year follow-up period which was attended by 94·1% of patients. Patients significantly reported post-operative reduction of dysmenorrhea, dysuria, and dyspareunia as well as significant improvement of clitoral sensation and ability to achieve orgasm (p<0·001). There was one major complication (loss of flap) to report. Secondary ambulatory interventions were performed in 10 patients (8·4%).
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Complete
- Sex
- Female
- Target Recruitment
- 119
All 119 patients who had presented to our department and had subsequently undergone reconstructive surgery between 2014 and 2021 for the treatment of symptomatic genital deformities following FGM/C were retrospectively included.
A clinically plausible correlation between physical findings and reported symptoms must be established to provide eligibility for surgical therapy. In cases of suspected psychopathological confounding, surgery was withheld and referral to psychological and/or sexuological counseling was advised.
Study & Design
- Study Type
- observational
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Improvement of symptoms, specifically with regard to dysmenorrhea, dysuria and dyspareunia (pain during menstruation, urination and sexual intercourse):<br>In consideration of possible linguistic and socio-cultural barriers, symptom improvement was determined by a comprehensible, binary questionnaire (yes or no) asking if they suffer from the respective symptoms (dysmenorrhea, dysuria and dyspareunia). Data was collected at baseline (preoperative assessment), at 3-month and 12-months follow-up.
- Secondary Outcome Measures
Name Time Method Improvement of clitoral sensitivity and ability to reach orgasm:<br>We used a single-item questionnaire based on a Visual Analogue Scale (VAS) to measure the subjective perception of clitoral sensation of our patient population. Clitoral sensation was assessed by local manual stimulation by the examining surgeon, and reported through a numeric scale, ranging from 0 (complete absence of clitoral sensation) to 10 (high sensation and excitability). Patients also reported on their ability to achieve an orgasm during sexual intercourse or masturbation. Data was collected at baseline (preoperative assessment), at 3-month and 12-months follow-up.