Tag Archives: Clitoris

Undefined MeSH term! http://www.ncbi.nlm.nih.gov/mesh?term=clitoris

Acquired Clitoromegaly: A Gynaecological Problem or an Obstetric Complication?

FREEJ Clin Diagn Res. 2016 Dec;10(12):QD10-QD11. doi: 10.7860/JCDR/2016/23212.9072. Epub 2016 Dec 1.

Acquired Clitoromegaly: A Gynaecological Problem or an Obstetric Complication?

Gupta M, Saini V, Poddar A, Kumari S, Maitra A.

ABSTRACT

Acquired non-hormonal clitoromegaly is a rare condition and is due to benign or malignant tumours and sometimes idiopathic. Few cases of clitoral abscesses have been reported after female circumcision. We hereby report a case of clitoral abscess causing acquired clitoromegaly following an obstetrical surgery.

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On MeSH: Have Female Genitalia Fallen into Oblivion?

J Sex Med. 2013 Oct;10(10):2605-6. doi: 10.1111/jsm.12264.LME

On MeSH: Have Female Genitalia Fallen into Oblivion?

Martinez Pérez G, Shah S

Department of Physiatry and Nursing, Faculty of Health Sciences, University of Zaragoza, Zaragoza, Spain.

EXTRACT

…We could write to the MeSH section staff and propose a defi- nition. However, if we scrutinize each one of the ethnic groups in the world, we will come to different conclusions on what “clitoris” means. One can attempt to name a few. The clitoris is that part of the female genitalia that Rwandese men call rugongo and have to strike with the glans of the erect penis during sexual foreplay [3]. In KwaZulu-Natal, South Africa, the clitoris is that part of the body where women perform cuttings and rub “love medicines” on the scars, aiming to increase desirability [4]. Since Mosotho women in Lesotho are aware of the importance of the clitoris in sexual pleasure, some girls consider the clitoris to be a part of their body they would prefer to elongate—instead of attempting to elongate their labia minora [5]. The clitoris is also what Somali girls have excised because it is thought of as the male part of the female body, which needs to be removed in order to humanize a woman [6]. This belief should not be foreign to Westerners; in 1561, the Italian botanist Gabrielo Fallopio established an analogy between the penis and the clitoris, and it was not until 1987 that somebody—the psychologist Josephine Lowndes Sevely—argued that these organs were not similar at all [2]!…

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Female genital mutilation. Review and aspects of medico-legal interests.

Cuad. med. forense v.16 n.3 Sevilla jul.-sep. 2010 FREE

 

Female genital mutilation. Review and aspects of medico-legal interests. (Article in Spanish)

Gallego MA, López MI

ABSTRACT

The gradual arrival in Spain of people from sub-Saharan Africa, has highlighted the practice of a series of ancient rituals in girls, harmful to their health, and which are encompassed within the concept of Female Genital Mutilation in accordance with the WHO definition. In our country these acts are classified as a crime of injury. Therefore they are likely to raise legal medical evaluations. We consider it particularly important knowledge of these practices on the part of professionals in the forensic medicine.

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A large clitoral epidermoid inclusion cyst first presenting in adulthood following childhood circumcision.

J Obstet Gynaecol. 2007 May;27(4):445-8.

A large clitoral epidermoid inclusion cyst first presenting in adulthood following childhood circumcision.

Rizk DE, Mohammed KH, Joshi SU, Al-Shabani AY, Bossmar TR.

Department of Obstetrics and Gynaecology, Faculty of Medicine and Health Sciences, United Arab Emirates University, United Arab Emirates. rizk.diaa@uaeu.ac.ae PMID: 17654217

There is no ABSTRACT available for this article

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Female genital mutilation among Edo people: the complications and pattern of presentation at a pediatric surgery unit, Benin City.

Afr J Reprod Health. 2009 Mar;13(1):17-25. FREE

Female genital mutilation among Edo people: the complications and pattern of presentation at a pediatric surgery unit, Benin City.

Osifo DO, Evbuomwan I.

Pediatric Surgery Unit, Department of Surgery, University of Benin Teaching Hospital, Benin City, Nigeria. Leadekso@yahoo.com

ABSTRACT

This prospective study on female genital mutilation among Edo people was based on female children and parents who presented on account of it at the University of Benin Teaching Hospital, Benin City, Nigeria, between January 2002 and December 2007. During the period, 51 female children aged 10 days and 18 years presented with complications following genital mutilation. Twenty-nine were brought by their parents for mutilation while 67 parents interviewed believed strongly on female genital mutilation with 47 mothers mutilated. Religio-cultural and superstitious beliefs were the main indications and the type of mutilation ranged from excision of clitoridal tip in 10 (19.6%) children to complete excision of the clitoris, labia minora and inner layer of majora in 7 (13.7%). Complications ranged from clitoridal cyst formation in 21 (41.2%) to life threatening infections with one mortality due to tetanus infection.

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[Practice of reconstructive plastic surgery of the clitoris after genital mutilation in Burkina Faso. About 94 cases]

Annales de Chirurgie Plastique EsthetiqueDisponible en ligne depuis le vendredi 11 mai 2012. Doi : 10.1016/j.anplas.2012.04.004

[Pratique de la chirurgie plastique reconstructrice du clitoris après mutilations génitales au Burkina Faso. À propos de 94 cas]

[Article in French]

C.M.R. Ouédraogo, S. Madzou, B. Touré, A. Ouédraogo, S. Ouédraogo, J. Lankoandé

ABSTRACT

But de l’étude Décrire et évaluer les résultats de la chirurgie plastique reconstructrice du clitoris dans le but de promouvoir la santé de la reproduction.

Patientes et méthode Nous avons réalisé une étude rétrospective de 2007 à 2010. Ce sont 94 femmes qui ont été incluses dans notre étude.

Résultats L’âge moyen était de 32,3ans. L’évaluation du vécu de la sexualité avant la reconstruction montrait que 41,5 % des patientes n’avaient jamais eu un désir sexuel avant l’intervention ; plus de la moitié n’avaient pas d’orgasme clitoridien et la dyspareunie était vécue par environ un tiers d’entre elles. Le principal motif de consultation dans notre série était le dysfonctionnement sexuel qui concernait plus de la moitié de notre population d’étude. Toutes nos patientes ont été opérées, selon la technique du Dr Pierre Foldès. L’évaluation avec un recul d’au moins six mois après l’intervention nous a montré une restauration du massif clitoridien chez 89,7 %. Il existait une différence significative entre le désir sexuel avant et après l’intervention. Une nette amélioration de la sexualité a été observée chez 83,6 % des patientes. Il n’existait, cependant, pas une différence significative entre l’orgasme avant et après l’intervention. Cela nous révélait que l’obtention d’un orgasme est multifactorielle et il ne suffit pas d’avoir un clitoris pour avoir un orgasme, Il faut savoir l’utiliser.

Conclusion Quel que soit le résultat anatomique et fonctionnel, toutes les femmes étaient satisfaites quant à l’intégrité physique retrouvée.

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[Clitoridal reconstruction after female circumcision]

Annales de Chirurgie Plastique Esthetique. Feb 2001 56(1):74-69. Doi : 10.1016/j.anplas.2010.04.001

[Chirurgie réparatrice du clitoris après excision rituelle]

[Article in french]

J. Quilichini, B. Burin Des Roziers, G. Daoud, S. Cartier

ABSTRACT

But de l’étude Décrire et évaluer les résultats de la chirurgie plastique reconstructrice du clitoris dans le but de promouvoir la santé de la reproduction.

Patientes et méthode Nous avons réalisé une étude rétrospective de 2007 à 2010. Ce sont 94 femmes qui ont été incluses dans notre étude.

Résultats L’âge moyen était de 32,3ans. L’évaluation du vécu de la sexualité avant la reconstruction montrait que 41,5 % des patientes n’avaient jamais eu un désir sexuel avant l’intervention ; plus de la moitié n’avaient pas d’orgasme clitoridien et la dyspareunie était vécue par environ un tiers d’entre elles. Le principal motif de consultation dans notre série était le dysfonctionnement sexuel qui concernait plus de la moitié de notre population d’étude. Toutes nos patientes ont été opérées, selon la technique du Dr Pierre Foldès. L’évaluation avec un recul d’au moins six mois après l’intervention nous a montré une restauration du massif clitoridien chez 89,7 %. Il existait une différence significative entre le désir sexuel avant et après l’intervention. Une nette amélioration de la sexualité a été observée chez 83,6 % des patientes. Il n’existait, cependant, pas une différence significative entre l’orgasme avant et après l’intervention. Cela nous révélait que l’obtention d’un orgasme est multifactorielle et il ne suffit pas d’avoir un clitoris pour avoir un orgasme, Il faut savoir l’utiliser.

Conclusion Quel que soit le résultat anatomique et fonctionnel, toutes les femmes étaient satisfaites quant à l’intégrité physique retrouvée.

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Pleasure and orgasm in women with female genital mutilation/cutting (FGM/C).

J Sex Med 2007;4:1666–1678.

Pleasure and orgasm in women with female genital mutilation/cutting (FGM/C). 

Catania L, Abdulcadir O, Puppo V, Baldaro Verde J, Abdulcadir J, and Abdulcadir D.

Introduction.  Female genital mutilation/cutting (FGM/C) violates human rights. FGM/C women’s sexuality is not well known and often it is neglected by gynecologists, urologists, and sexologists. In mutilated/cut women, some fundamental structures for orgasm have not been excised.

Aim.  The aim of this report is to describe and analyze the results of four investigations on sexual functioning in different groups of cut women.

Main Outcome Measure.  Instruments: semistructured interviews and the Female Sexual Function Index (FSFI).

Methods.  Sample: 137 adult women affected by different types of FGM/C; 58 young FGM/C ladies living in the West; 57 infibulated women; 15 infibulated women after the operation of defibulation.

Results.  The group of 137 women, affected by different types of FGM/C, reported orgasm in almost 86%, always 69.23%; 58 mutilated young women reported orgasm in 91.43%, always 8.57%; after defibulation 14 out of 15 infibulated women reported orgasm; the group of 57 infibulated women investigated with the FSFI questionnaire showed significant differences between group of study and an equivalent group of control in desire, arousal, orgasm, and satisfaction with mean scores higher in the group of mutilated women. No significant differences were observed between the two groups in lubrication and pain.

Conclusion.  Embryology, anatomy, and physiology of female erectile organs are neglected in specialist textbooks. In infibulated women, some erectile structures fundamental for orgasm have not been excised. Cultural influence can change the perception of pleasure, as well as social acceptance. Every woman has the right to have sexual health and to feel sexual pleasure for full psychophysical well-being of the person. In accordance with other research, the present study reports that FGM/C women can also have the possibility of reaching an orgasm. Therefore, FGM/C women with sexual dysfunctions can and must be cured; they have the right to have an appropriate sexual therapy.

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Clitoral neuroma after female genital mutilation/cutting: A rare but possible event.

J Sex Med 2012;9:1220–1225.

Clitoral neuroma after female genital mutilation/cutting: A rare but possible event. 

Abdulcadir J, Pusztaszeri M, Vilarino R, Dubuisson JB, and Vlastos A-T.

ABSTRACT

Introduction.  Female genital mutilation/cutting (FGM/C), in particular, type III, also called infibulation, can cause various long-term complications. However, posttraumatic neuroma of the clitoris is extremely rare; only one case was previously reported in the literature.

Aim.  The aim of this study was to describe the case of a patient presenting a clitoral neuroma post-FGM/C in detail and her successful multidisciplinary treatment.

Methods.  We report the case of a 24-year-old woman originating from Somalia presenting a type III a–b FGM/C who attended our outpatient clinic at the Geneva University Hospitals complaining of primary dysmenorrhea and a post-mutilation painful clitoral mass. The mass was clinically diagnosed as a cyst and surgically removed. Histopathological analysis revealed that it was a posttraumatic neuroma and a foreign body granuloma around the ancient surgical thread. Our patient was also offered a multidisciplinary counseling by a specialized gynecologist on FGM/C, a sexologist, and a reproductive and sexual health counselor.

Results.  One month after surgical treatment, the vulvar pain was over.

Conclusions.  This is the second case of clitoral neuroma after FGM/C reported and the first with complete clinical, as well as histopathological documentation and multidisciplinary care. Considering the high frequency of clitoral cysts in case of infibulation, clitoral neuroma should be considered in the differential diagnosis. In this case, if symptomatic, the treatment should be surgery, clinical follow-up, and counseling. If necessary, appropriate sexual therapy should be offered too.

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