Long-term cosmetic and quality of life outcomes after surgery for genital, anogenital, or urogenital injuries resulting from childhood sexual abuse: A scoping review.
Raha Maroyi, Kenny; Vandenput, Sandrina; Goffin, Frédéricet al.
2025 • In International Journal of Gynecology and Obstetrics
[en] [en] BACKGROUND: Although the physical, psychological, physiological, and sexual consequences of childhood sexual abuse have been extensively studied, there remains a gap in understanding with regard to the long-term impacts of restorative surgery following such trauma.
OBJECTIVES: To identify and analyze studies that investigate the long-term cosmetic and quality of life outcomes resulting from genital, anogenital, or urogenital injuries following childhood sexual assault and reconstructive surgery.
SEARCH STRATEGY: Conforming to PRISMA-ScR guidelines, PubMed, Embase, Scopus, CINAHL, and PsycInfo were searched.
SELECTION CRITERIA: Eligible studies included female victims of childhood sexual violence occurring before the age of 10, who also underwent genital, urogenital, or anogenital reconstructive surgery. In addition, studies needed to report at least 6-month postoperative follow-up outcomes for inclusion in this review.
DATA COLLECTION AND ANALYSIS: Patient demographics and long-term follow-up outcomes were extracted by two independent authors using Covidence.
MAIN RESULTS: The search identified 962 articles, and 12 met the inclusion criteria. Most patients were dissatisfied with the cosmetic appearance of their external genitalia but satisfied with urinary and fecal continence. There was limited information on chronic pain, sexual and psychological impact of it.
CONCLUSION: This scoping review underscored the absence of long-term and standardized follow-up protocols for individuals who undergo reconstructive surgery following childhood sexual abuse. Addressing this gap is crucial to effectively incorporate these data so as to improve personalized care and the assessment of long-term quality of life.
Disciplines :
Reproductive medicine (gynecology, andrology, obstetrics)
Author, co-author :
Raha Maroyi, Kenny ✱; Université de Liège - ULiège > Adaptation, Résilience et CHangement (ARCH) ; Department of Obstetrics and Gynecology, Panzi General Referral Hospital, Bukavu, Democratic Republic of the Congo ; Centre d'Excellence Denis Mukwege, Université Évangélique en Afrique (UEA), Bukavu, Democratic Republic of the Congo
Vandenput, Sandrina ✱; Université de Liège - ULiège > CARE "ULiège Library" > ULiège Library : Santé
Goffin, Frédéric ✱; Université de Liège - ULiège > Département des sciences cliniques > Gynécologie-obstétrique, partim Gynécologie
Blavier, Adelaïde ✱; Université de Liège - ULiège > Département de Psychologie > Psycho-traumatisme
Kathleen Moureau, Madeline ; Department of Obstetrics and Gynecology, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, USA
Rozema, Zoe Ann; Department of Obstetrics and Gynecology, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, USA
Bwama, Julien ; Department of Obstetrics and Gynecology, Panzi General Referral Hospital, Bukavu, Democratic Republic of the Congo
Mukwege, Denis ; Department of Obstetrics and Gynecology, Panzi General Referral Hospital, Bukavu, Democratic Republic of the Congo ; International Center for Advanced Research and Training (ICART), Bukavu, Democratic Republic of the Congo
✱ These authors have contributed equally to this work.
Language :
English
Title :
Long-term cosmetic and quality of life outcomes after surgery for genital, anogenital, or urogenital injuries resulting from childhood sexual abuse: A scoping review.
Alternative titles :
[fr] Résultats à long terme d'esthétique et qualité de vie après une intervention chirurgicale pour des lésions génitales, anogénitales ou urogénitales résultant d'abus sexuels pendant l'enfance : une revue exploratoire.
Publication date :
26 June 2025
Journal title :
International Journal of Gynecology and Obstetrics
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