E Antonetti Ndiaye1, S Fall2, L Beltran2. 1. Service de gynécologie-obstétrique, hôpital de Bicêtre, AP-HP, 78, rue du Général-Leclerc, 94275 Le Kremlin-Bicêtre cedex, France. Electronic address: docteur.emmanuelle.antonetti@gmail.com. 2. Service de gynécologie-obstétrique, hôpital de Bicêtre, AP-HP, 78, rue du Général-Leclerc, 94275 Le Kremlin-Bicêtre cedex, France.
Abstract
AIM: To present the results of multidisciplinary care model for excised women. PATIENTS AND METHODS: Qualitative retrospective study on multidisciplinary care between 2007 and 2012 within Excised Women Care Unit. Patients are seen by three specialists: a gynecologist obstetrician, a psychotrauma therapist and anthropologist, a psycho-sexologist. The Unit welcomes any excised woman, whatever are her demands. Women wishing for a clitoridian surgery meet systematically the three specialists. The study covers a population of 270 women, most of them aged between 18 and 40years. RESULTS: The presented results are related to women having asked for clitoridian surgery. Two outstanding results come out from multidisciplinary care: few women finally go for surgery, and a high rate of patients wishing for surgery present a sexual trauma other than female genital mutilation/cutting. CONCLUSION: The importance of the psychotraumatic and interpersonal dimension (marital - familial) in the problems presented by the patients indicates that the "repair" of excision cannot be reached by the sole surgery and requires a medical, psychological and sexological management.
AIM: To present the results of multidisciplinary care model for excised women. PATIENTS AND METHODS: Qualitative retrospective study on multidisciplinary care between 2007 and 2012 within Excised Women Care Unit. Patients are seen by three specialists: a gynecologist obstetrician, a psychotrauma therapist and anthropologist, a psycho-sexologist. The Unit welcomes any excised woman, whatever are her demands. Women wishing for a clitoridian surgery meet systematically the three specialists. The study covers a population of 270 women, most of them aged between 18 and 40years. RESULTS: The presented results are related to women having asked for clitoridian surgery. Two outstanding results come out from multidisciplinary care: few women finally go for surgery, and a high rate of patients wishing for surgery present a sexual trauma other than female genital mutilation/cutting. CONCLUSION: The importance of the psychotraumatic and interpersonal dimension (marital - familial) in the problems presented by the patients indicates that the "repair" of excision cannot be reached by the sole surgery and requires a medical, psychological and sexological management.
Authors: R Elise B Johansen; Mai Mahgoub Ziyada; Bettina Shell-Duncan; Adriana Marcusàn Kaplan; Els Leye Journal: BMC Health Serv Res Date: 2018-04-04 Impact factor: 2.655