کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3919216 1599779 2016 4 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Using the Female Sexual Function Index (FSFI) to evaluate sexual function in women with genital mutilation undergoing surgical reconstruction: a pilot prospective study
ترجمه فارسی عنوان
استفاده از شاخص عملکرد جنسی زنان (FSFI) برای بررسی عملکرد جنسی در زنان مبتلا به زوال تناسلی تحت بازسازی جراحی: یک مطالعه آینده نگر
کلمات کلیدی
قطع/برش عضو تناسلی زن؛ بازسازی جراحی کلینتریک؛ رضایت جنسی؛ شاخص عملکرد جنسی زنان؛ ارگاسم
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی زنان، زایمان و بهداشت زنان
چکیده انگلیسی

ObjectivesFew prospective studies have evaluated sexual function in women with female genital mutilation by cutting (FGM/C) before and after clitoral reconstructive surgery, and none used a validated questionnaire. A validated questionnaire, the Female Sexual Function Index (FSFI) was used for the first time, to assess the impact of reconstructive surgery on sexual function in women with female genital mutilation/cutting (FGM/C) before and after clitoral reconstructive surgery.Study designWomen with FGM/C consulting at the Nantes University Hospital for clitoral reconstruction between 2013 and 2014 were prospectively included. All patients completed a questionnaire at inclusion, describing their social, demographic, and FGM/C characteristics. They were also asked to complete the FSFI as well as a questionnaire about clitoral sensations, symptoms of depression or anxiety, and self-esteem before and 3 and 6 months after the surgery. Paired Wilcoxon and McNemar tests were used to compare data.ResultsOf the 12 women included, 9 (75%) had type II mutilations. Results showed a global sexual dysfunction (median FSFI summary score = 17) before surgery. Clitoral sensations were absent in 8 women (67%). Six months after surgery, all FSFI dimensions except lubrication had improved significantly (median FSFI summary score = 29, P = 0.009). Ten women had clitoral sensations, and 11 (92%) were satisfied with their surgery.ConclusionThis study shows that 6 months after clitoral reconstructive surgery, women reported a multidimensional positive improvement in their sexual function. The FSFI is a promising tool for routine standardized assessment of the sexual function of women with FGM/C for determining appropriate management and assessing it. Larger studies with validated questionnaires assessing self-esteem, depression, and body image are also needed to develop an integrative approach and to provide evidence-based recommendations about management of these women.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: European Journal of Obstetrics & Gynecology and Reproductive Biology - Volume 202, July 2016, Pages 71–74
نویسندگان
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