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Anatomical Reconstruction following Female Genital Mutilation/Cutting.
Dan Mon O'Dey1, Masih Kameh Khosh1, Nina Boersch1
1From the Department of Plastic, Reconstructive, and Aesthetic Surgery, Hand Surgery, Center for Reconstructive Surgery of Female Genitalia, Luisenhospital Aachen, Teaching Hospital of the Aachen University of Technology.
Plastic and Reconstructive Surgery
|August 30, 2023
Summary
Novel surgical techniques for female genital reconstruction significantly improved clitoral sensation and reduced pain and sexual dysfunction in women with female genital mutilation/cutting (FGM/C). These FGM/C treatments offer new possibilities for anatomical restoration.
Area of Science:
- Surgical reconstruction
- Female genital mutilation/cutting (FGM/C) treatment
- Urogynecology
Background:
- International migration increases FGM/C prevalence in nonendemic countries.
- Western healthcare providers face rising demand for FGM/C surgical reconstruction.
- Novel surgical techniques for clitoral and vulvovestibular reconstruction are introduced.
Purpose of the Study:
- To introduce novel surgical techniques for FGM/C reconstruction.
- To examine operative outcomes and efficacy of new FGM/C surgical methods.
- To assess improvements in clitoral sensation and reduction of FGM/C-related symptoms.
Main Methods:
- Retrospective cohort study of 119 women (2014-2021).
- Utilized omega domed flap, NMCS procedure, and anterior obturator artery perforator flap.
- Analyzed demographics, clitoral sensation, dysmenorrhea, dysuria, dyspareunia, and anorgasmia.
Main Results:
- Significant postoperative reduction in dysmenorrhea, dysuria, and dyspareunia.
- Significant improvement in clitoral sensation and ability to achieve orgasm (P < 0.001).
- Low complication rate (1 major complication, 8.4% secondary interventions).
Conclusions:
- Novel surgical techniques enable safe and effective anatomic reconstruction for FGM/C.
- These FGM/C treatments represent advancements in reconstructive possibilities.
- Improved patient outcomes and quality of life for women affected by FGM/C.

