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Reconstructive surgery after Female Genital Mutilation: a multidisciplinary approach.
Stefano Restaino1, Giulia Pellecchia2, Lorenza Driul3
1a:1:{s:5:"en_US";s:124:"Department of Maternal and Child Health, University-Hospital of Udine, P.le S. Maria della Misericordia n° 15, 33100, Udine";}. restaino.stefano@gmail.com.
Acta Bio-Medica : Atenei Parmensis
|June 29, 2022
Summary
Female genital mutilation (FGM) can cause severe physical and psychological harm. Reconstructive surgery and deinfibulation offer a feasible solution to restore genital anatomy and improve sexual function in affected women.
Area of Science:
- Obstetrics and Gynecology
- Surgical Reconstruction
- Psychological Health
Background:
- Female Genital Mutilation (FGM) encompasses procedures harmful to women's physical and psychological integrity, often leading to sexual dysfunction.
- This review details a multidisciplinary approach for managing FGM complications, including reconstructive surgery and therapeutic deinfibulation.
- The study was conducted within a regional project supporting immigrant women affected by FGM.
Observation:
- Fifteen women undergoing FGM management were enrolled in a clinical protocol.
- A specific case highlights a 38-year-old woman with FGM type III, presenting with pain and limited sexual intercourse due to a deep scar.
- Pre-operative clinical and psychological evaluations were integral to the patient's care.
Findings:
- Reconstructive surgery successfully addressed the deep groove scar resulting from FGM.
- Therapeutic deinfibulation was performed as part of the surgical intervention.
- The multidisciplinary approach facilitated the removal of the scar and improved the patient's condition.
Implications:
- Reconstructive surgery for FGM complications is a viable medical procedure.
- Restoring natural genital anatomy can significantly improve female sexual health and well-being.
- This approach offers a pathway to mitigate the long-term sexual and emotive consequences of FGM.

