Advertisement

Abstract

An optimal clinical setting for complex vulvar reconstruction should meet the requirements necessary for inpatient treatment. The facility must be specialized and well equipped, with well-qualified and motivated staff members, because therapy of FGM/C patients needs professionalism, accuracy, and passion. The facility should offer a pleasant examination room with a changing area, so that the patient can feel comfortable. Furthermore, a system to perform standardized photography should be available. Photographs, of course, are especially necessary to document the preoperative and postoperative status. The office-photography arrangement should provide two frontal light units for uniform illumination and a simple homogeneous background for increased contrast and reduced distraction to get photographs in the upright position (Fig. 2.1a). An examination chair should also be provided for office photography (Fig. 2.1b). Basic viewpoints include frontal (Fig. 2.1c) and back (Fig. 2.1d) while standing, as well as frontal with the vulva at rest (Fig. 2.1e) as well as the vulva slightly tightened (Fig. 2.1f) in the supine position with angled legs or the lithotomy position, respectively. The patient must be informed of and consent to the purpose of medical use of the photographs as well as electronic archiving of the personal data.

Literature

  1. 1.
    Hafferl A. Lehrbuch der topographischen Anatomie. Berlin: Springer; 1957. p. 1–891.Google Scholar
  2. 2.
    Di Marino V, Lepidi H. Anatomic study of the clitoris and the bulbo-clitoral organ. Heidelberg: Springer; 2014. p. 1–152.Google Scholar
  3. 3.
    O’Connell HE, Sanjeevan KV, Hutson J. Anatomy of the clitoris. J Urol. 2005;174:1189–95.CrossRefGoogle Scholar
  4. 4.
    Puppo V. Anatomy and physiology of the clitoris, vestibular bulbs, and labia minora with a review of the female orgasm and the prevention of female sexual dysfunction. Clin Anat. 2013;26:134–52.CrossRefGoogle Scholar
  5. 5.
    Temesvary N. Die regio clitoridis. Arch Gynakol. 1924;122:102–28.CrossRefGoogle Scholar
  6. 6.
    Rees MA, O’Connel HE, Plenter RJ, Hutson JM. The suspensory ligament of the clitoris: connective tissue supports of the erectile tissue of the female urogenital region. Clin Anat. 2000;13:397–403.CrossRefGoogle Scholar
  7. 7.
    Lax H. Stoeckels Lehrbuch der Gynäkologie. Leipzig: S Herzel Verlag; 1967. p. 1–33.Google Scholar
  8. 8.
    O’Dey DM, Bozkurt A, Pallua N. The anterior Obturator Artery Perforator (aOAP) flap: surgical anatomy and application of a method for vulvar reconstruction. Gynecol Oncol. 2010;119:526–30. Epub 2010 Sep 24.CrossRefPubMedPubMedCentralGoogle Scholar
  9. 9.
    Abdulcadir J, Tille JC, Petignat P. Management of painful clitoral neuroma after female genital mutilation/cutting. Reprod Health. 2017;14:22.  https://doi.org/10.1186/s12978-017-0288-3.CrossRefPubMedPubMedCentralGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Dan mon O’Dey
    • 1
  1. 1.Department of Plastic, Reconstructive and Aesthetic Surgery Hand SurgeryCenter of Reconstructive Surgery of Female Gender Characteristics, Luisenhospital AachenAachenGermany

Personalised recommendations