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Master Thesis

Mutilations sexuelles et chirurgie de reconstruction clitoridienne

Abstract : Background : Worldwide, 200 million girls and women are subjected to female genital mutilation. To restore the clitoral function and vulvar anatomy, clitoral repair has been performed since the 2000s. Nevertheless, precise and comprehensive data on the clitoral anatomy during surgical repair are lacking. This study aimed to precisely describe the terminal anatomies of the dorsal nerve and artery of the clitoris and the clitoral neurovascular flap advancement for reconstruction in genital mutilation patients. Methods: This study was performed on seven fresh female cadavers. The site of origin, diameter, length, and trajectory of each nerve and artery were recorded. The clitoral neurovascular flap advancement was measured after performing a midline transection of the suspensory ligament and after extensive liberation of the dorsal bundles at their emergence from the pubic rami. Results: At the distal point of the clitoral body, the widths of the dorsal nerve and artery were 1.9±0.3 mm and 0.9±0.2 mm, respectively. The total length of the dorsal bundles was 6.6 cm (±0.4). Sectioning the midpart of the suspensory ligament allowed a mean anteroposterior mobility of 2.7 cm (±0.2). Extensive dissection of the neurovascular bundles up to their point of emergence from the suspensory ligament allowed a mean mobility of 3.4±0.2 cm. Conclusion: We described the anatomical characteristics of the dorsal nerve and artery of the clitoris and used a clitoral neurovascular flap for reconstruction post clitoridectomy to restore the anatomic position of the clitoral glans while preserving and potentially restoring clitoral function in patients with genital mutilation.
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https://dumas.ccsd.cnrs.fr/dumas-03016588
Contributor : Faculté de Médecine Amu <>
Submitted on : Friday, November 20, 2020 - 2:34:37 PM
Last modification on : Friday, April 23, 2021 - 3:24:00 AM

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  • HAL Id : dumas-03016588, version 1

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Citation

Fanny Blayney. Mutilations sexuelles et chirurgie de reconstruction clitoridienne. Sciences du Vivant [q-bio]. 2020. ⟨dumas-03016588⟩

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