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[布基纳法索女性生殖器切割后阴蒂重建整形手术的实践。94例报告]

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

作者信息

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

机构信息

Unité de formation et de recherche en science de la santé, université de Ouagadougou, Ouagadougou 04, Burkina Faso.

出版信息

Ann Chir Plast Esthet. 2013 Jun;58(3):208-15. doi: 10.1016/j.anplas.2012.04.004. Epub 2012 May 11.

DOI:10.1016/j.anplas.2012.04.004
PMID:22579014
Abstract

PURPOSE OF THE STUDY

To describe and evaluate the results of reconstructive plastic surgery of the clitoris in order to promote reproductive health.

PATIENTS AND METHOD

We conducted a retrospective study from 2007 to 2010. Ninety-four women were included in our study.

RESULTS

The mean age was 32.3 years. The evaluation of the experience of sexuality before reconstruction showed that 41.5 % of patients had never had a sexual desire before surgery, more than half did not have a clitoral orgasm and dyspareunia was experienced by about a third of them. The main reason for consultation in our series was related to sexual dysfunction in more than half of our study population. All patients were operated using the technique of Dr Pierre Foldès. Evaluation with a decline of at least 6 months after surgery showed us a massive restoration of the clitoris at 89.7 %. There was a significant difference between sexual desire before and after surgery. A significant improvement in sexuality was observed in 83.6 % of patients. However, there was no significant difference between orgasm before and after surgery. This showed us that getting an orgasm is multifactorial and it is not enough to have a clitoris to have an orgasm, you have to use it.

CONCLUSION

Regardless of the anatomical and functional results, all women were satisfied with respect to body found.

摘要

研究目的

描述并评估阴蒂重建整形手术的结果,以促进生殖健康。

患者与方法

我们进行了一项2007年至2010年的回顾性研究。94名女性纳入我们的研究。

结果

平均年龄为32.3岁。重建手术前对性体验的评估显示,41.5%的患者术前从未有过性欲,超过半数没有阴蒂性高潮,约三分之一的患者有性交困难。在我们的研究系列中,超过半数患者咨询的主要原因与性功能障碍有关。所有患者均采用皮埃尔·福尔代斯医生的技术进行手术。术后至少6个月的评估显示,89.7%的阴蒂得到了大量恢复。手术前后性欲有显著差异。83.6%的患者性功能有显著改善。然而,手术前后性高潮并无显著差异。这表明达到性高潮是多因素的,仅有阴蒂并不足以达到性高潮,还必须加以运用。

结论

无论解剖和功能结果如何,所有女性对身体外观均感到满意。

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