Cairo Plastic Clinic 

Female Genital Mutilation (Female Circumcision, FGM) is recognized internationally as a human rights violation. It is practised in many countries worldwide throughout Africa, Asia and the Middle East. Regrettably, many immigrants to the Western world take that practice with them to their new homes. On a trip home, they may cut their daughters to preserve their chastity.

Currently, there are over 200 million women and girls who have undergone female genital mutilation alive today, and more than 3 million girls annually are estimated to be at risk for FGM.

Why it's done

It is a WRONG practice bit is mainly considered as a social norm, and a normal path for a girl to prepare her for adulthood. In some cultures, female genital mutilation is considered a religuous ritual and in others it is done to guarantee premarital virginity and fidelity.



Risks

There is a long list of risks associated with that procedure, and these include:

Short-term health risks of FGM

Severe pain.

Excessive bleeding:  can result if the clitoral artery or other blood vessel is cut during the procedure.

Psychological consequences: the pain, shock and the use of physical force by those performing the procedure are mentioned as reasons why many women describe FGM as a traumatic event.

Long-term health risks from Types I, II and III (occurring at any time during life)

Pain: due to tissue damage and scarring that may result in trapped or unprotected nerve endings.

Menstrual problems: result from the obstruction of the vaginal opening. This may lead to painful menstruation (dysmenorrhea), irregular menses and difficulty in passing menstrual blood, particularly among women with Type III FGM.

Female sexual health: removal of, or damage to highly sensitive genital tissue, especially the clitoris, may affect sexual sensitivity and lead to sexual problems, such as decreased sexual desire and pleasure, pain during sex, difficulty during penetration, decreased lubrication during intercourse, reduced frequency or absence of orgasm (anorgasmia). Scar formation, pain and traumatic memories associated with the procedure can also lead to such problems.

Psychological consequences: some studies have shown an increased likelihood of post-traumatic stress disorder (PTSD), anxiety disorders and depression. 

 Can Surgery Help?

Dr Wilson with his research team

in Cairo University, Egypt developed a new surgery that might help the victims of female genital mutilation. The surgery involves liberating what is left of the clitoris, bringing new tissues to compensate for the part that was lost, and putting a sensate cover over it. 

Effect of Surgery

More than 90 % of patients benefitted from the surgery, and they reported improvement of their sex lives. More than half of patients experienced orgasms for the first time of their lives, and resolved their marital problems. But more important, all patients were happy they did the surgery, and all felt that "they took back something that was forcibly taken away from them".

THIS SURGICAL TECHNIQUE DEVISED BY DR WILSON HAS BEEN PUBLISHED IN THE USA IN THE MOST DISTINGUSHED JOURNAL OF PLASTIC SURGERY:(Novel Clitoral Reconstruction and Coverage With Sensate Labial Flaps: Potential Remedy for Female Genital MutilationAesthetic Surgery Journal

DOI: 10.1093/asj/sjab218)

How is the Surgery done?

Under local or general anesthesia, Dr Wilson removes the scar tissue around the mutilated part, and liberates it as much as possible. Then he uses flaps from the Labia Minora to compensate for the lost parts and gives it a sensate cover to restore sensation.

Recovery Period

After the surgery, you go home the same and put a special cream on the genital area. You can resume your normal activities the next day, but refrain from sexual activity for 7-10 days.

Risks of the Surgery

Actually none! It tries to restore something that was intentionally mutilated. Even the small number of patients who did not have improvement of sexual function (only 10%), they were still happy because they felt "complete" and "normal again". 

Repair of the Clitoris and Restoration of sensation in this 24-Year old female: Note the restoration of normal appearance and sensation and this patient experienced orgasms for the first time after the surgery.

Repair of the Clitoris and Restoration of sensation in this 28-Year old female: Note the restoration of normal appearance and sensation and full vaginal tightening (designer vaginoplasty) and labiaplasty were performed to this patient. She experienced orgasms for the first time after the surgery.

Repair of the Clitoris and Restoration of Labia Minora in this 19-Year old female: Note the restoration of sensation and this patient and shape of the vulva.

Repair of the Clitoris and Restoration of sensation in the Vulva and Clitoris in this 28-Year old female: Note the restoration of normal appearance and sensation and this patient got a normal sexual life for the first time after the surgery.

Repair of the Clitoris and Restoration of sensation in this 27-Year old female: Note the restoration of normal appearance of the clitoris and labia minora and  this patient experienced orgasms for the first time after the surgery.

Repair of the Clitoris and Restoration of sensation in this 46-Year old female: Note the restoration of normal appearance of the clitoris and labia minora and  natural appearance of the vulva. This patient regained her self confidence and experienced orgasms for the first time after the surgery.