Posttraumatic Stress Disorder Relapse and Clitoral Reconstruction After Female Genital Mutilation

作者：Abdulcadir Jasmine^*; Demicheli Francesco Bianchi; Willame Alexia; Recordon Nathalie; Petignat Patrick

来源：Obstetrics and Gynecology, 2017, 129(2): 371-376.

DOI：10.1097/AOG.0000000000001835

BACKGROUND: Evidence on clitoral reconstruction after female genital mutilation is lacking.
CASE: A woman with female genital mutilation experiencing clitoral pain during sex consulted to undergo clitoral reconstruction. The surgery was complicated by a wound infection responsible for severe postoperative pain. Such genital pain made our patient recall the traumatic experience of genital mutilation and experience a relapse of posttraumatic stress disorder symptoms. She reported anxiety; spontaneous, intrusive recurrent memories of the cutting; hypervigilance; and depressed mood. We successfully treated the infection and posttraumatic stress disorder. At 6 months postsurgery, she reported no clitoral pain and improved sexual function.
CONCLUSION: Genital pain after clitoral reconstruction may cause recall of memories of the genital mutilation. We recommend multidisciplinary comprehensive psychosexual care and adequate analgesia.

• 出版日期2017-2