A systematic review of the evidence on clitoral reconstruction after female genital mutilation/cutting.
- Abdulcadir J Department of Reproductive Health and Research, World Health Organization, Geneva, Switzerland; Department of Obstetrics and Gynecology, Geneva University Hospitals, Geneva, Switzerland. Electronic address: jasmine.abdulcadir@hcuge.ch.
- Rodriguez MI Department of Reproductive Health and Research, World Health Organization, Geneva, Switzerland.
- Say L Department of Reproductive Health and Research, World Health Organization, Geneva, Switzerland.
- 2015-02-02
Published in:
- International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics. - 2015
Clitoral reconstruction
Clitoris
Female genital cutting
Female genital mutilation
Female genital mutilation/cutting
Circumcision, Female
Clitoris
Female
Gynecologic Surgical Procedures
Humans
English
BACKGROUND
Clitoral reconstruction is a new surgical technique for women who have undergone female genital mutilation/cutting (FGM/C).
OBJECTIVES
To review evidence on the safety and efficacy of clitoral reconstruction.
SEARCH STRATEGY
PubMed and Cochrane databases were searched for articles published in any language from database inception until May 2014. Search terms related to FGM/C and clitoral reconstruction were used in various combinations.
SELECTION CRITERIA
Studies of any design that reported on safety or clinical outcomes (e.g. appearance, pain, sexual response, or patient satisfaction) associated with clitoral reconstruction after FGM/C were included.
DATA COLLECTION AND ANALYSIS
Evidence was summarized and systematically assessed via a standard data abstraction form.
MAIN RESULTS
Four of 269 identified articles were included. They were fair to poor in quality. Summary measures could not be computed owing to heterogeneity. The studies reported on immediate surgical complications, clitoral appearance, dyspareunia or chronic pain, and clitoral function postoperatively via non-standardized scales.
CONCLUSIONS
Women who request clitoral reconstruction should be informed about the scarcity of evidence available. Additional research is needed on the safety and efficacy of the procedure to identify both long-term outcomes and which women might benefit.
Clitoral reconstruction is a new surgical technique for women who have undergone female genital mutilation/cutting (FGM/C).
OBJECTIVES
To review evidence on the safety and efficacy of clitoral reconstruction.
SEARCH STRATEGY
PubMed and Cochrane databases were searched for articles published in any language from database inception until May 2014. Search terms related to FGM/C and clitoral reconstruction were used in various combinations.
SELECTION CRITERIA
Studies of any design that reported on safety or clinical outcomes (e.g. appearance, pain, sexual response, or patient satisfaction) associated with clitoral reconstruction after FGM/C were included.
DATA COLLECTION AND ANALYSIS
Evidence was summarized and systematically assessed via a standard data abstraction form.
MAIN RESULTS
Four of 269 identified articles were included. They were fair to poor in quality. Summary measures could not be computed owing to heterogeneity. The studies reported on immediate surgical complications, clitoral appearance, dyspareunia or chronic pain, and clitoral function postoperatively via non-standardized scales.
CONCLUSIONS
Women who request clitoral reconstruction should be informed about the scarcity of evidence available. Additional research is needed on the safety and efficacy of the procedure to identify both long-term outcomes and which women might benefit.
- Language
-
- English
- Open access status
- hybrid
- Identifiers
-
- DOI 10.1016/j.ijgo.2014.11.008
- PMID 25638712
- Persistent URL
- https://folia.unifr.ch/global/documents/221441
Statistics
Document views: 19
File downloads:
- fulltext.pdf: 0