Clitoroplasty, aesthetic and functional restoration: A case report.

Background: Female genital mutilation (FGM), a harmful practice prevalent in some communities in Kenya has significant psychological, physical and reproductive health consequences for survivors. Prevalence of FGM in Kenya is on a downward trend, reportedly from 21% in 2014 to 15% in 2022(1). FGM can result in complications, including sexual dysfunction, chronic pain and complications during childbirth(2). The psychological impact for survivors may manifest as low self-esteem, anxiety, depression and difficulties in sexual relationships due to impaired genital function(3). One common effect of FGM is the loss of sexual sensation with the inability to achieve sexual satisfaction and orgasm, due to partial or complete removal of the clitoris. Clitoroplasty aims to restore the aesthetics and functionality of the clitoris for women who have undergone FGM(4). The procedure aims to restore nerve function and sensitivity of the clitoris, thereby improving sexual well-being of the patient. By reconstructing genital anatomy, the surgery helps to mitigate risks during childbirth, improving both reproductive health outcomes and overall quality of life for survivors.