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Focus on Female Genital Mutilation and Women’s Reproductive Health

A special issue of International Journal of Environmental Research and Public Health (ISSN 1660-4601). This special issue belongs to the section "Women's Health".

Deadline for manuscript submissions: closed (15 August 2023) | Viewed by 3619

Special Issue Editors


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Guest Editor
Department of Plastic and Aesthetic Surgery, Hand Surgery, Helios Hospital Emil von Behring, 14165 Berlin, Germany
Interests: female genital mutilation; breast reconstruction; breast cancer; microsurgery; aesthetic surgery; reconstructive plastic surgery; gender alignment

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Guest Editor
Department of Pediatrics, Obstetrics and Gynecology, Geneva University Hospitals, 30, Bld de la Cluse, 1211 Geneva, Switzerland
Interests: female genital mutilation; vulva; vulvar sexual anatomy; sexual health

Special Issue Information

Dear Colleagues, 

Female genital mutilation, or cutting, is considered to be a human right violation and a crime in several high- and low-prevalence countries. However, according to the WHO and UNICEF, more than 200 million women and girls are estimated to live with it, and an estimated 3 million are at risk annually. Despite many prevention efforts, including legally banning the practice in many countries, the effect is outweighed by the rapidly growing population, leaving an increasing amount of girls subjected to this treatment. A particularly concerning development is the increasing involvement of trained healthcare providers in performing FGM, known as the medicalization of FGM.

Maintaining the practice is grounded in complex socio-cultural roots and a lack of knowledge concerning the physical, psychological and health-related consequences of FGM. Therefore, parents and families deciding against cutting their daughters or women embarking on de-infibulation or reconstructive surgery are facing specific challenges in their peer community, not only in their homeland, but in their countries of immigration as well. Moreover, evidence on the specific needs and appropriate conservative or surgical measures to meet the demand of women and girls is scarce.

To improve care and work towards a change in behavior and attitude, it is vital to inform health providers about the context, experience, and views of different settings and communities. In addition to this background, women and girls after migration and/or flight have often experienced multiple traumas and violent events different from FGM, and face a considerable change in the perception of FGM.

Health systems must be enabled to adapt to this complex situation and tailor their care according to the requirements of women and girls without overburdening them or offering treatments that mirror biased perspectives. 

This Special Issue of International Journal of Environmental Research and Public Health (IJERPH) focuses on the current state of knowledge and practice in both countries of high prevalence and countries of migration. Papers addressing these topics are invited for submission, especially those combining academic standards with a practical view on current approaches. Other manuscripts accepted include epidemiological studies as well as basic research, position papers, and commentaries.

Dr. Uwe Von Fritschen
Dr. Jasmine Abdulcadir
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. International Journal of Environmental Research and Public Health is an international peer-reviewed open access monthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2500 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • FGM
  • female genital mutilation
  • reconstruction
  • sexual counseling
  • epidemiology

Published Papers (1 paper)

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Research

12 pages, 1873 KiB  
Article
Postoperative Course of Reconstructive Procedures in FGM Type III-Proposal for a Modified Classification of Type III Female Genital Mutilation
by Uwe von Fritschen, Cornelia Strunz, Roland Scherer, Marisa von Fritschen and Alba Fricke
Int. J. Environ. Res. Public Health 2023, 20(5), 4439; https://doi.org/10.3390/ijerph20054439 - 2 Mar 2023
Cited by 1 | Viewed by 3312
Abstract
Background: Reconstruction after female genital mutilation (FGM) has developed from being merely a therapy for complications to addressing body perception and sexuality. However, evidence regarding a direct correlation between FGM and sexual dysfunction is scarce. The present WHO classification provides an imprecise grading [...] Read more.
Background: Reconstruction after female genital mutilation (FGM) has developed from being merely a therapy for complications to addressing body perception and sexuality. However, evidence regarding a direct correlation between FGM and sexual dysfunction is scarce. The present WHO classification provides an imprecise grading system, which makes it difficult to compare present studies with treatment outcomes. The aim of this study was to develop a new grading system based on a retrospective study of Type III FGM, evaluating operative time and postoperative results. Methods: The extent of clitoral involvement, operative time of prepuce reconstruction and lack of prepuce reconstruction, and postoperative complications of 85 patients with FGM-Type III were retrospectively analyzed at the Desert Flower Center (Waldfriede Hospital, Berlin). Results: Even though universally graded by the WHO, large differences in the degree of damage were found after deinfibulation. In only 42% of patients, a partly resected clitoral glans was found after deinfibulation. There was no significant difference in operative time when comparing patients who required prepuce reconstruction and patients who did not (p = 0.1693). However, we found significantly longer operative time in patients who presented with a completely or partly resected clitoral glans when compared to patients with an intact clitoral glans underneath the infibulating scar (p < 0.0001). Two of the 34 patients (5.9%) who had a partly resected clitoris required revision surgery, while none of the patients in whom an intact clitoris was discovered under the infibulation required revision. However, these differences in the complication rates between patients with and without a partly resected clitoris were not statistically significant (p = 0.1571). Conclusions: A significantly longer operative time was found in patients who presented with a completely or partly resected clitoral glans when compared with patients with an intact clitoral glans underneath the infibulating scar. Furthermore, we found a higher, though not significantly significant, complication rate in patients with a mutilated clitoral glans. In contrast to Type I and II mutilations, the presence of an intact or mutilated clitoral glans underneath the infibulation scar is not addressed in the present WHO classification. We have developed a more precise classification, which may serve as a useful tool when conducting and comparing research studies. Full article
(This article belongs to the Special Issue Focus on Female Genital Mutilation and Women’s Reproductive Health)
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