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Clitoral Reconstruction Using a Vaginal Graft After Female Genital Mutilation

Mañero, Ivan MD; Labanca, Trinidad MD

doi: 10.1097/AOG.0000000000002511
Contents: Procedures and Instruments

BACKGROUND: Clitoral reconstruction after genital mutilation is a feasible and effective strategy to reduce clitoral pain, improve sexual pleasure, and restore vulvar appearance.

TECHNIQUE: We describe a novel surgical technique for clitorolabial reconstruction using a vaginal graft.

EXPERIENCE: We present a series of 32 consecutive women who underwent this procedure at Iván Mañero Clinic, Barcelona, Spain, and were prospectively followed. The total Female Sexual Function Index changed favorably from 16 before surgery to 29 after surgery (P<.05). Likewise, the Female Self-Image Genital Scale changed favorably from 11 to 23 (P<.05).

CONCLUSION: Clitoral reconstruction after genital mutilation was associated with improved sexual function and genital aesthetic perception.

Clitoral reconstruction using a vaginal graft is associated with improved sexual function and aesthetic appearance of mutilated genitals; gynecologists should be trained in clitoral reconstruction techniques.

Department of Plastic Surgery and Gynecology, Iván Mañero Clinic, Barcelona, Spain.

Corresponding author: Trinidad Labanca, MD, Iván Mañero Clinic, Department of Gynecology, Carrer de Victor Hugo 24, Barcelona 08174, Spain; email:

Financial Disclosure The authors did not report any potential conflicts of interest.

The authors thank doctors Pedro Ramirez and Ezequiel Mauro for providing comments on the manuscript.

Each author has indicated that he or she has met the journal's requirements for authorship.

© 2018 by American College of Obstetricians and Gynecologists. Published by Wolters Kluwer Health, Inc. All rights reserved.