[Clitoral reconstruction after female genital mutilation at CHU Yalgado of Ouagadougou, Burkina Faso. About 68 patients operated]

J Gynecol Obstet Biol Reprod (Paris). 2016 Nov;45(9):1099-1106. doi: 10.1016/j.jgyn.2016.08.016. Epub 2016 Oct 5.
[Article in French]

Abstract

Objective: The objective of this survey was to assess the results of a new clitoral transposition technique in the obstetrics and gynecology department of CHUYO.

Materials and method: A cohort of 68 women victims of genital mutilation has received clitoral reconstruction by a new technique of transposition of the clitoris. They were operated and followed for 12 months in CHUYO gynecology ward in Ouagadougou. We evaluated the management of pain, anatomical aspect, functional and occurrence of complications.

Results: Anatomically have no new increase was within a neoclitoris, and a very satisfactory ratio of 100 % of women with clitoral massif visible in the 12th month assessment. Functionally, before clitoral reconstruction half of the women had mild pain or discomfort during sexual intercourse. However, clitoral reconstruction after the 6th month and 12th month this pain or mild discomfort were 3.18 % and 0 % respectively. In addition, we noted a sensitive neoclitoris in all women, after one year. Very few postoperative complications were observed in this series compared to previous series.

Conclusion: These results are of interest in this new clitoral transposition technique in favor of women victims of genital mutilation.

Keywords: Clitoral transposition; Excision; FGM; Mutilations génitales féminines; Transposition clitoridienne.

MeSH terms

  • Adult
  • Burkina Faso
  • Circumcision, Female*
  • Clitoris / injuries
  • Clitoris / surgery*
  • Female
  • Gynecologic Surgical Procedures / methods*
  • Humans
  • Middle Aged
  • Plastic Surgery Procedures / methods*
  • Treatment Outcome
  • Young Adult