ArticleInternational journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics2026
Risk factors for not proceeding to reconstructive surgery after female genital mutilation: A cohort study of 220 women in a specialized referral center.
Article in International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThis study identifies factors associated with not proceeding to clitoral reconstructive surgery among women with female genital mutilation (FGM) enrolled in a specialized surgical pathway.
methodsA retrospective cohort study was conducted at a multidisciplinary referral center in Montreuil, France, between January 2021 and December 2023. The study included 220 women who expressed a wish for reconstructive surgery during their initial assessment. Factors associated with non-progression to surgery were identified using univariable and multivariable logistic regression, supplemented by Bayesian analysis.
resultsOf the 220 women, 35% did not proceed to surgery. In the multivariable model, lack of support within the care pathway (odds ratio [OR] 3.28, 95% confidence interval [CI] 1.46-7.55; P = 0.004) and financial vulnerability, specifically reliance on state welfare (OR 3.43, 95% CI 1.28-9.80; P = 0.017) or financial support from relatives/community (OR 6.18, 95% CI 1.40-28.9; P = 0.017), were independently associated with non-progression. Model discrimination was good (area under the curve 0.75). Bayesian analysis confirmed these findings (P[direction] >99%) and suggested that memory of the FGM event also played a role (OR 1.87, 95% credible interval 0.88-4.09; P[direction] 94.9%).
conclusionAccess to clitoral reconstruction is primarily determined by socioeconomic stability and social support rather than clinical factors alone. These findings highlight the need for multidisciplinary pathways that integrate social and psychological accompaniment to ensure equitable access to care for vulnerable women.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.