[Psychological factors of genital automutilation and medico-ethical interest in emergency vulvoplasty].
The genital self-mutilation is not rare in women. Risk factors found in these cases are: mood disorders, food behavior anomalies and antecedents of sexual aggression. However, surgical repair is not done in emergency: we find no similar report to our clinical case describing an added up bilateral reduction nymphoplasty carried out in emergency after hemorrhagic genital self-mutilation. We discuss psychological risk factors, psychiatric diagnosis and optimal treatment, studied from medico-ethical point of view, for this surgical emergency.
Fayad
S
S
Service de Gynécologie-Obstétrique, Reproduction et Médecine Foetale, Hôpital Archet-II, CHU de Nice-Sophia-Antipolis, BP 3079, 151, route de Saint-Antoine-de-Ginestière, 06202 Nice cedex 03, France.
Srom
V
V
Delotte
J
J
Bafghi
A
A
Sorci
K
K
Bongain
A
A
D019093:Circumcision, Female / Q000523:psychology*; D004632:Emergency Medical Services; D005260:Female; D006801:Humans; D011618:Psychotic Disorders / Q000150:complications; D012008:Recurrence; D012307:Risk Factors; D016728:Self-Injurious Behavior / Q000523:psychology*; D014844:Vulva / Q000293:injuries* / Q000601:surgery*