Évaluation d’une prise en charge multidisciplinaire chez 169 patientes excisées demandeuses d’une chirurgie réparatrice

Conclusion La chirurgie réparatrice du clitoris avec prise en charge médicopsychologique et sociale semble améliorer la qualité de vie sexuelle et fonctionnelle des patientes excisées, cependant, elle n’est pas toujours nécessaire. Certaines patientes renoncent à leur projet initial de réparation car, dans un certain nombre de cas, un accompagnement médico-psychosexuel semble suffire. Objective To assess the benefits of a multidisciplinary care among excised women with an initial surgery project and identify the reasons for discarding surgery. Methods Descriptive and retrospective study performed between the 1st of January 2006 and the 31st of December 2011 at the Armand Trousseau Hospital, Paris. All excised patients went through consultations with a mid-wife, a sexologist, a psychologist, a gynaecologist-obstetrician and, for some of them, underwent a clitoral reconstructive surgery. Results One hundred and sixty-nine patients were included: among them, 61 patients (36%) were operated and 108 patients (64%) have given spontaneously to surgery, 32% being reinforced by consultation. Ninety-one on 111 patients (82%) respondents were satisfied with their care pathway. The main motivation was to support identity for 39 patients operated (64%) while improving sex prevailed for 56 non-operated patients (52%). The study evidenced an improvement of the functional and sexual life quality after surgery: 17% experienced an orgasm versus 2% before surgery, 56% ...

Source: Gynecologie Obstetrique and Fertilite - November 5, 2015 Category: OBGYN Source Type: research