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The benefits and disappointments following clitoral reconstruction after female genital cutting : A qualitative interview study from Sweden

Jordal, Malin, 1973- (author)
Högskolan i Gävle,Med-Vårdvetenskap,Uppsala universitet,Centrum för genusvetenskap,Univ Gävle, Dept Hlth & Caring Sci, Gävle, Sweden.
Sigurjonsson, Hannes (author)
Karolinska institutet,Karolinska Univ Hosp, Dept Plast & Reconstruct Surg, Stockholm, Sweden.;Karolinska Inst, Dept Med, Solna, Sweden.
Griffin, Gabriele, Prof, 1957- (author)
Uppsala universitet,Centrum för genusvetenskap
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Wahlberg, Anna, 1988- (author)
Uppsala universitet,Internationell mödra- och barnhälsovård (IMCH)
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 (creator_code:org_t)
2021-07-21
2021
English.
In: PLOS ONE. - : PLoS. - 1932-6203. ; 16:7
  • Journal article (peer-reviewed)
Abstract Subject headings
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  • Female genital cutting or mutilation refers to the cutting of girls' external genitalia. Due to migration from contexts where female genital cutting is common, it is estimated that around 38 000 cut women and girls live in Sweden. Clitoral reconstruction, a relatively new form of surgical healthcare offered to women with female genital cutting, was established in Sweden in 2014. This surgery aims at restoring clitoral function and anatomy, but there is yet a dearth of evidence demonstrating the effects of the surgery. The aim of this study was to explore how women undergoing clitoral reconstruction in Sweden between 2016 and 2019 experienced the surgical process and its aftereffects from a physical, sexual and psychosocial perspective. Eighteen women who had undergone clitoral reconstruction at a university hospital in Sweden agreed to participate in the study. The women were interviewed using semi-structured interviews, which were recorded, transcribed and analysed using thematic analysis. The results, based on self-categorization and labelling theory, demonstrated both benefits and disappointments following the surgery. Several women reported positive outcomes in terms of sexual, psychosocial and aesthetic terms. They experienced reduced genital pain, improvements in their sex lives, and a sense of feeling more empowered and at ease in their bodies. Yet, some women reported aesthetic, functional and process-related disappointment related to clitoral reconstruction. Nonetheless, the women expressed gratitude for the possibility of undergoing the surgery. In conclusion, the women reported that they experienced physical, sexual and psychosocial benefits of the surgery.

Subject headings

MEDICIN OCH HÄLSOVETENSKAP  -- Hälsovetenskap (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Health Sciences (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Reproduktionsmedicin och gynekologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Obstetrics, Gynaecology and Reproductive Medicine (hsv//eng)

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