Journal Basic Info
- Impact Factor: 1.995**
- H-Index: 8
- ISSN: 2474-1647
- DOI: 10.25107/2474-1647
Major Scope
- Obstetrics Surgery
- General Surgery
- Orthopaedic Surgery
- Neurological Surgery
- Colon and Rectal Surgery
- Vascular Surgery
- Otolaryngology - Head and Neck Surgery
- Plastic Surgery
Abstract
Citation: Clin Surg. 2017;2(1):1483.Research Article | Open Access
Outcome of External Genital Reconstruction after Female Genital Mutilation (FGM): A Pilot in Selected Patients in the Netherlands
Karim RB and Dekker JJML
Department of Plastic Surgery, Kliniek Amstelveen, Amstelveen, Netherlands
Department of Gynecology and Obstetrics, VU Medical Centre, Amsterdam, Netherlands
PDF Full Text DOI: 10.25107/2474-1647.1483
Abstract
Background: The demand for reconstruction of external genitalia after Female Genital Mutilation (FGM) is increasing as a result of the empowerment of migrated and naturalized women from Africa and the Middle East. We present our procedures and the outcome of our selection and surgery.Patients and
Methods: From 2010 to 2015, 41 women presented with FGM. All underwent wellspecified patient selection before operation. Clitoroplasty according to Foldes was performed in selected patients. These patients were followed-up for 13.4 months and post-operatively assessed.Results: Sixteen of the 41 women (39%) were not operated because they had unrealistic expectation about the outcome of surgery (n=11) or had comorbidities that had to be dealt first (n=5). One woman chooses to have only her Bartholin cyst corrected after pre-opeartive consultation. Clitoroplasty was performed in the remaining 24 women. Post-operatively, we observed no major and only 3 minor post-operative complications. Nineteen of these 24 women were satisfied with the surgery and had a better self-esteem after surgery. Three of the remaining five women were lost for follow-up and two were disappointed with the surgical outcome.Conclusion: External genital reconstruction after well-specified preoperative selection leads too predictable results with minor surgical complications. A better self-esteem achieved by minor surgery should not be a contra-indication for reconstructing these women.
Keywords
Reconstruction; Female genital mutilation; Clitoroplasty
Cite the article
Karim RB, Dekker JJML. Outcome of External Genital Reconstruction after Female Genital Mutilation (FGM): A Pilot in Selected Patients in the Netherlands. Clin Surg. 2017; 2: 1483.
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