Surgical interventions to reconstruct the vulva together with psychosexual care have been proposed as a multidisciplinary care concept for women who have undergone female genital mutilation/cutting (FGM/C). This cross-sectional study is to assess the experiences of multidisciplinary care of women who request CR at Geneva University Hospital (HUG) in order to analyze the expectations and motivations for clitoral reconstruction, to study the reasons for deciding against or in favor of CR and to study the outcome of the care received (CR+ psychosexual care versus psychosexual care alone) in sexual response, eventual dyspareunia, genital self-image and overall satisfaction through questionnaires.
Study Type
OBSERVATIONAL
Enrollment
20
Questionnaires to evaluate the satisfaction with treatment, the motivations and expectations for the treatment, the general well-being, the sexual function and the genital selfimage
University Hospital of Geneva (HUG), Department of Obstetrics and Gynecology
Geneva, Switzerland
General satisfaction with multidisciplinary care
General satisfaction with multidisciplinary care rated on a scale from 0 to 10 (0=totally unsatisfied, 10: totally satisfied)
Time frame: one time assessment at baseline
General satisfaction with subdomain CR and psychosexual care
General satisfaction with subdomain CR and psychosexual care rated on a scale from 0 to 10 (0=totally unsatisfied, 10: totally satisfied)
Time frame: one time assessment at baseline
General satisfaction with subdomain CR alone
General satisfaction with subdomain CR alone rated on a scale from 0 to 10 (0=totally unsatisfied, 10: totally satisfied)
Time frame: one time assessment at baseline
General satisfaction with subdomain psychosexual care
General satisfaction with subdomain psychosexual care rated on a scale from 0 to 10 (0=totally unsatisfied, 10: totally satisfied)
Time frame: one time assessment at baseline
General satisfaction after CR with sexual response
General satisfaction after CR with sexual rated on a scale from 0 to 10 (0=totally unsatisfied, 10: totally satisfied)
Time frame: one time assessment at baseline
General satisfaction after CR with genital image
General satisfaction after CR with genital rated on a scale from 0 to 10 (0=totally unsatisfied, 10: totally satisfied)
Time frame: one time assessment at baseline
General satisfaction after CR with pain
General satisfaction after CR with pain rated on a scale from 0 to 10 (0=totally unsatisfied, 10: totally satisfied)
Time frame: one time assessment at baseline
General satisfaction after CR with female identity
General satisfaction after CR with female identity rated on a scale from 0 to 10 (0=totally unsatisfied, 10: totally satisfied)
Time frame: one time assessment at baseline
Female Genital Self Image Scale (FGSIS)
The FGSIS is a measurement instrument consisting of seven items to assess female genital self-image. The questions relate to women's feelings and beliefs about their own genitals. A total score is calculated using a four-point response scale (strongly agree, agree, disagree, and strongly disagree).
Time frame: one time assessment at baseline
World Health Organization (WHO)-Five Well-Being Index
The WHO-Five Well-Being Index is a questionnaire consisting of five questions to assess wellbeing. For each question, scores from 0 to 5 can be given. By adding up the values for the answers, a total value is obtained, whereby a low total value corresponds to low well-being
Time frame: one time assessment at baseline
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