Female Genital Mutilation/Cutting Repair: Clitoral Reconstructive Surgery & De-infibulation
Female circumcision (genital cutting) has been practiced for centuries in Africa and other parts of the world. It is estimated that 250 million women have been circumcised world wide, and an additional 3 million girls are at risk from this form of violence every year.
FGM/C involves cutting part of the clitoris, the clitoral hood, the labia minor and sometimes the labia majora. Since most of the clitoris remains, the clitoral stump can be exposed, released from adhesions, a neo-glans reconstructed, and repositioned at the normal clitoral anatomical site.
Clitoral Reconstructive Surgery: is reported to improve sexual desire, arousal, lubrication, orgasm capacity, and reduces pain by removing peri-clitoral fibrosis, thus making the clitoris more accessible to stimulation.
This highly specialized cosmetic & reconstructive genital surgery (CRS) has been noted to help FGM victims, regain their self esteem, confidence, female body image identity, with improvement in quality of life and partner relationship due to psychological enhancement.
De-fibulation: Infibulation is cultural tradition in some FGM practicing communities, of narrowing of the vaginal orifice with a covering skin seal, by cutting and suturing the labia minora and labia majora together on both sides.
De-fibulation (cutting the skin seal) is required before delivery or vaginal surgery, and sometimes before marriage. Women with Pharaonic circumcision (type III) describe cosmetic and functional improvements afterwards.
We have good results with Clitoral Reconstructive Surgery & De-fibulation, mainly sexual function improvement with regards to desire, arousal, and orgasm intensity; and a well noted psychological improvement in self-esteem, quality of life, and family relationships.
Platelet Rich Plasma (PRP): Injection of PRP in the citoral body can re-vitalize a partially amputated clitoris, by increasing growth factors, blood supply , stimulating regional stem cells and; thus improving sensitivity, healing, and enhancing sexual function after surgery.
Genital Reconstructive Surgery is also performed in cases of:
2-Violence Against Women (Rape)
3-Revision surgery for surgical scars
4-Mullerian Agensis (congenital absence of vagina)
Labia & Clitoral hood reconstruction after FGM:
The therapeutic goal is to improve the aesthetic refinement of the vulva and enhance sexual function and sensation of the woman by reconstruction and adjustment the labia minora, labia majora, and prepuce skin around the clitoris. This adds to the psychological benefits of the CRS procedure which far exceeds the physical benefits.
We can now reconstruct a small labia minora even after complete labial amputation from the vulva, this is a new technique developed exclusively for labial amputation victims of FGM/C.