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Female genital mutilation reversal: a general approach
Mallika Anand1, Todd J Stanhope, John A Occhino
1Division of Gynecologic Surgery, Department of Obstetrics and Gynecology, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA, anand.mallika@mayo.edu.
International Urogynecology Journal
|January 23, 2014
Summary
Female genital mutilation (FGM) reversal, specifically type III defibulation, can restore vaginal function. This surgical approach offers a solution for women affected by FGM, improving their quality of life.
Area of Science:
- Female pelvic medicine and reconstructive surgery
- Global public health
- Human rights
Background:
- Female genital mutilation (FGM) affects over 100 million females globally, necessitating increased physician education for treatment.
- Female pelvic surgeons are uniquely positioned to address the medical needs of FGM survivors.
- Understanding FGM classification is crucial for effective surgical intervention.
Observation:
- A classification system for the four types of FGM is presented using a schematic diagram.
- A case of type III FGM reversal (defibulation) is detailed, including the surgical procedure.
- Postoperative outcomes and key principles of defibulation are discussed.
Findings:
- Surgical reversal of type III FGM successfully restored vaginal function in a patient.
- The patient experienced an uncomplicated postoperative course.
- Restored function allowed for sexual intercourse without pain by 6 weeks postoperatively.
Implications:
- This basic surgical approach for type III FGM reversal is applicable to female pelvic surgeons.
- Addressing FGM is a critical issue within female pelvic medicine and reconstructive surgery.
- Surgical intervention can significantly improve the quality of life for FGM survivors.
