[Complex vulvar reconstruction following female genital mutilation/cutting]

Area of Science:

• Reconstructive surgery
• Gynecology
• Women's health

Background:

• Female genital mutilation/cutting (FGM/C) is a global health issue affecting millions.
• Women undergoing FGM/C experience severe physical and psychological distress.
• Anatomic reconstruction is a vital option for improving quality of life.

Purpose of the Study:

• To provide an overview of novel surgical techniques for vulvar reconstruction after FGM/C.
• To highlight functional and aesthetic improvements achievable through these methods.
• To focus on specialized procedures developed by the author.

Main Methods:

• Description of the anterior obturator artery perforator (aOAP) flap.
• Introduction of the omega domed (OD) flap for clitoral prepuce reconstruction.
• Explanation of the neurotizing and molding of the clitoral stump (NMCS) procedure.

Main Results:

• The aOAP flap yielded natural, reliable, and durable results for vulvar reconstruction.
• The OD flap successfully reconstructed the clitoral prepuce.
• The NMCS procedure effectively restored the clitoral tip, normalizing external genitalia anatomy.

Conclusions:

• The presented reconstructive techniques help re-establish normal anatomy post-FGM/C.
• These surgical options significantly support women's health and alleviate suffering.
• Reconstruction offers a path to improved well-being for survivors of FGM/C.