The primary aim of this study is to gain more insight on the impact of reconstructive surgery on circumcised women (type I, 2 & 3). This study may also used for theorizing about plastic surgery on women who are circumcised.
ID
Source
Brief title
Condition
- Therapeutic and nontherapeutic effects (excl toxicity)
- Vulvovaginal disorders (excl infections and inflammations)
- Obstetric and gynaecological therapeutic procedures
Synonym
Research involving
Sponsors and support
Intervention
Outcome measures
Primary outcome
The difference between scores on the questionnaires during different measuring
moments. The scores will be related and compared, on an individual level, with
the outcome of the three interviews that take place with the help of a topic
list.
Secondary outcome
not applicable
Background summary
Female genital mutilation (FGM) comprises all procedures that involve partial
or total removal of the external female genitalia, or other injury to the
female genital organs for non-medical reasons. The mildest form of female
genital mutilation is an injection/incision in the foreskin of the clitoris and
the most severe form is infibulation (see study protocol p.4).
Due to migration, people originating from countries where FGM is practiced,
live in the Netherland.
FGM poses serious physical and mental health risks for women and young girls. A
study in 2009 shows that FGM may have caused various psychological problems
like depression, anxiety, PTSD and social problems such as anger, shame, guilt,
loneliness and exclusion. The results of that study also show that FGM can have
a significant impact on the relationship with the partner especially when it
comes to sexuality (Vloeberghs et al. 2010).
Experience abroad regarding surgical procedures on women who are circumcised
show that by surgical procedures where the clitoris is recreated, 72-75 % of
these women were back to normal sexuality after 18 months. Recently the OLVG
hospital in the Netherlands offers an opportunity for reconstructive surgery
for women who are circumcised. Depending on what has been cut during
circumcision, the clitoris and/or labia recreated.
The purpose of this study is to examine the effect of reconstructive surgery on
well-being (both physical and mental) and sexual functioning of women who are
circumcised.
We expect that after the reconstructive surgery the quality of life of the
women will improve and that they, in the long run, may have a higher
self-esteem. We also expect that these patients will feel better on the
long-term when having sexual relations.
Study objective
The primary aim of this study is to gain more insight on the impact of
reconstructive surgery on circumcised women (type I, 2 & 3). This study may
also used for theorizing about plastic surgery on women who are circumcised.
Study design
It concerns a follow up study in which respondents will be approached at three
different times to fill in the questionnaires and have an interview: - i.e.
before surgery (baseline) and 3 and 12 months after surgery. The mean scores on
the questionnaires at different moments (T1 to T3) will be compared with each
other. While the outcome of three interviews will be compared with the
quantitative data on an individual level in order to reach saturation
concerning our research objective.
This mixed method study is exploratory since the effect of reconstructive
surgery on the quality of life (QoL) of women who are circumcised have not yet
been studied. Hence we also do not have a control group included in the
research.
Study burden and risks
not applicable
P.O. Box 13318
3507 LH Utrecht
NL
P.O. Box 13318
3507 LH Utrecht
NL
Listed location countries
Age
Inclusion criteria
Migrant women in the Netherlands being genitallly mutilated with a type 1, 2 or 3 circumcision who want to have this reconstructive surgery done in order to feel better.
Exclusion criteria
Genitally mutilated immigrant women in the Netherlands with a congenital genital anomaly or an acquired genital abnormality. Or if they suffer from severe mental health problems due to their mutilation and/or because of other reasons (e.g. conflict and war related psychopathology).
Design
Recruitment
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| CCMO | NL37339.100.11 |