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Master Thesis

L’expérience de la désinfibulation chez les femmes infibulées et leur partenaire après la chirurgie : une étude transversale multicentrique

Abstract : Background: female genital mutilation/cutting (FGM/C) type III or « infibulation », represents about 10-15% of all FGM/C and can cause short (e.g. infection, bleeding, urinary retention) and long term complications such as genito-urinary, obstetric and psycho-sexual complications. Defibulation (opening surgery of the infibulation scar) is the recommended surgery for infibulated women and can significantly improve their health. Currently, there is very limited evidence on motivations and outcomes, especially sexuality, of this surgery among defibulated women and their partner. Materials and method: this prospective multicentric study aims at assessing during 24 months the psychophysical, sociocultural and sexual outcomes after defibulation among infibulated women who underwent defibulation during or outside pregnancy at least 3 months before and their partner. It is conducted at the hospitals of Geneva (Switzerland) and Phoenix (USA). The data analysed are the information collected with two questionnaires (female and male questionnaires) that include questions about socio-demographic data, motivations, symptoms for and after defibulation and satisfaction. Sexual function and body image are investigated through 2 validated questionnaires validated in English and French that have already been used with women with FGM/C (FSFI, FGSIS). This thesis presents the preliminary findings of the study. Results: of 29 defibulated women included in this part of the study, 41% are Eritreans and 34% Somali. 79% are married and 86% are between the age of 25 and 40 years old. First reasons to undergo defibulation are a current pregnancy (55%), the will to improve sexuality (38%) and because of doctors advising it (31%). 41% had symptoms just after surgery (pain) but symptomatic women were estimated at 90% before surgery and only 41% after. They think surgery improved their health for 69% of them and their sexuality for 65%. Their body image is also improved (physical appearence and embarassement of the FGSIS score). 92% of women are satisfied with the surgery. All partners interviewed declare being satisfied with the defibulation, by improving sexuality. Conclusion: defibulation improves genito-urinary, sexual and psychological symptoms but also body image and women’s sexuality according to them and their partner. The women expectations about the surgery are satisfied and they are against refibulation in the future.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-02506420
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Jennifer Elliott. L’expérience de la désinfibulation chez les femmes infibulées et leur partenaire après la chirurgie : une étude transversale multicentrique. Médecine humaine et pathologie. 2019. ⟨dumas-02506420⟩

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