Female genital mutulation Female genital cutting Clitoral reconstruction
Conditions
Interventions
The intervention consists of a clitoral reconstruction operation according to the Foldes method. The conservative trajectory consists of psychological, sexological and/or pelvic physiotherapy guidance
Sponsors
Amsterdam UMC
Eligibility
Age
16 Years to 99 Years
Inclusion criteria
Inclusion criteria: 18 year and olderHistory of female genital mutilationWish for clitoral reconstructive surgeryNo physical complaints related female genital mutilation
Exclusion criteria
Exclusion criteria: < 18 yearsPost traumatic stress syndrome (PTSS), requiring treatment before starting surgical or conservative treatment after female genital mutilation
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Primary outcome is to measure the difference in Global Mental Health T-Score before and after clitoral reconstruction and conservative treatment. In addition, the difference in participation, self esteem, sexual functioning, clitoral sensibility and (peri) surgical complications and pain. | — |
Secondary
| Measure | Time frame |
|---|---|
| In order to also gain necessary insight into the care needs of circumcised women, referral and indication, the following sub-questions have been formulated: 1. What is the care/care need of circumcised women in the Netherlands who report with a request for clitoral reconstruction? 2. Referral: a. Through which route do the women end up at the Amsterdam UMC? Which professionals refer? b. What considerations, choices and thresholds have women experienced when seeking help? 3. Indication: a. What considerations did the women make when deciding whether or not to proceed with treatment? b. To what extent does the deductible play a role in this? c. What role did a man/mother play in this (possible threshold)? d. To what extent does cultural background or the community play a role here? 4. How high are social and health care costs before, during and after the procedure, compared to conservative policy? | — |
Countries
Netherlands
Contacts
Public ContactJ.A.F. Huirne
Amsterdam UMC
Outcome results
None listed