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Published on: January 17, 2019
[Benefits of multidisciplinary care for excised women]
E Antonetti Ndiaye1, S Fall1, L Beltran1
1Service de gynécologie-obstétrique, hôpital de Bicêtre, AP-HP, 78, rue du Général-Leclerc, 94275 Le Kremlin-Bicêtre cedex, France.
Aim:
To present the results of multidisciplinary care model for excised women.
Patients And Methods:
Qualitative retrospective study on multidisciplinary care between 2007 and 2012 within Excised Women Care Unit. Patients are seen by three specialists: a gynecologist obstetrician, a psychotrauma therapist and anthropologist, a psycho-sexologist. The Unit welcomes any excised woman, whatever are her demands. Women wishing for a clitoridian surgery meet systematically the three specialists. The study covers a population of 270 women, most of them aged between 18 and 40years.
Results:
The presented results are related to women having asked for clitoridian surgery. Two outstanding results come out from multidisciplinary care: few women finally go for surgery, and a high rate of patients wishing for surgery present a sexual trauma other than female genital mutilation/cutting.
Conclusion:
The importance of the psychotraumatic and interpersonal dimension (marital - familial) in the problems presented by the patients indicates that the "repair" of excision cannot be reached by the sole surgery and requires a medical, psychological and sexological management.
