Back to Search
Start Over
Female genital mutilation reversal: a general approach
- Source :
- International Urogynecology Journal. 25:985-986
- Publication Year :
- 2014
- Publisher :
- Springer Science and Business Media LLC, 2014.
-
Abstract
- Female genital mutilation (FGM) is a violation of human rights; yet, more than 100 million females are estimated to have undergone the procedure worldwide. There is an increased need for physician education in treating FGM. Female pelvic surgeons have a unique opportunity to treat this population of patients. Here, we depict the classification of FGM and a general approach to FGM reversal. We specifically address the procedure of type III FGM reversal, or defibulation. In this video, we first highlight the importance of the problem of FGM. Next, we present the classification of FGM using an original, simple, schematic diagram highlighting they key anatomic structures involved in the four types of FGM. We then present a simple case of reversal of type III FGM, a procedure also known as defibulation. After depicting the surgical procedure, we discuss clinical results and summarize key principles of the defibulation procedure. Our patient was a 25-year-old woman who had undergone type III FGM as a child in Somalia. She desired restoration of vaginal function. We performed a reversal, and her postoperative course was uncomplicated. By 6 weeks postoperatively, she was able to engage in sexual intercourse without dyspareunia. FGM is a problem at the doorsteps of female pelvic medicine and reconstructive surgery. Our video demonstrates a basic surgical approach that can be applied to simple cases of type III FGM presenting to the female pelvic surgeon.
- Subjects :
- Adult
Female circumcision
medicine.medical_specialty
Reconstructive surgery
education.field_of_study
Surgical approach
business.industry
Urology
General surgery
Population
Obstetrics and Gynecology
Plastic Surgery Procedures
Physician education
Vulva
Surgery
Sexual intercourse
Gynecologic Surgical Procedures
Circumcision, Female
Vagina
Humans
Medicine
Female
business
education
Subjects
Details
- ISSN :
- 14333023 and 09373462
- Volume :
- 25
- Database :
- OpenAIRE
- Journal :
- International Urogynecology Journal
- Accession number :
- edsair.doi.dedup.....387b4f63d6d3dfeb12200f8a4e839fd2