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[Psychological factors of genital automutilation and medico-ethical interest in emergency vulvoplasty]

Gynecol Obstet Fertil. 2006 Feb;34(2):134-6. Epub 2006 Feb 21.

[Psychological factors of genital automutilation and medico-ethical interest in emergency vulvoplasty]. [Article in French]

Fayad S, Srom V, Delotte J, Bafghi A, Sorci K, Bongain A.

Service de Gynécologie-Obstétrique, Reproduction et Médecine Foetale, Hôpital Archet-II, CHU de Nice-Sophia-Antipolis, BP 3079, 151, route de Saint-Antoine-de-Ginestière, 06202 Nice cedex 03, France.

ABSTRACT

The genital self-mutilation is not rare in women. Risk factors found in these cases are: mood disorders, food behavior anomalies and antecedents of sexual aggression. However, surgical repair is not done in emergency: we find no similar report to our clinical case describing an added up bilateral reduction nymphoplasty carried out in emergency after hemorrhagic genital self-mutilation. We discuss psychological risk factors, psychiatric diagnosis and optimal treatment, studied from medico-ethical point of view, for this surgical emergency.

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