Female Mutilation

This book comprises a collection of narratives by people whose lives have been touched by female genital mutilation (FMG), across five continents.

1. Background and history

3 What are the issues?

Excision, or female genital mutilation (FGM), in Africa is no longer the private concern only of women; it is a social and political issue that concerns both men and women and this book reports on an innovative research and action project amongst girls and boys in Burkina Faso, Mali, and Senegal. The project explores whether young people's use of information technology could contribute to the abandonment of FGM. In the age of the internet, beliefs and practices of FGM are shifting, particularly among young people. The results of this project show how, in the era of globalized citizenship, a cross-sectional vision that puts young people and gender at the center of development can produce real change.

Female genital mutilation (FGM) is regarded as either a human rights violation or as female circumcision, a traditional cultural practice in some African and Islamic countries. A UK public health /FGM consultant who works with immigrants and advocates for its eradication introduces a dozen chapters examining religious, legal, ethical, and health aspects. For caseworkers, policy makers, and academics, the reader includes diagrams of types of FGM, data, a glossary, support advice and resources. Published by Radcliffe Medical Press, Ltd. Distributed in the US by BookMasters. Annotation :2006 Book News, Inc., Portland, OR (booknews.com).

This book describes essential operative techniques that can be used to anatomically reconstruct the outer female genital in acquired deformities derived from ritual genital mutilation/cutting, and diseases causing similar deforming defects. Following an introduction with general insights on the topic, the main chapters deal with basic considerations and special anatomical information. With the help of high-quality videos and images, the reader receives detailed instructions on clitoral and vulvar reconstruction with techniques invented by the author, named the NMCS-procedure, the OD-flap and the aOAP-flap procedures. The book is rounded out with chapters describing postoperative care and how to manage complications. The integrity of their outer genitals is important for patients’ physical and psychological wellbeing. As such, the vulva is now receiving increasing attention and will likely continue to grow in importance in plastic surgery. The author, who has developed outstanding procedures for vulvar and clitoral reconstruction over the years, shares his considerable experience and hopes to highlight the importance of these methods to overcome the burden of female genital mutilation/cutting.

2. Prevalence and epidemiology

Bolokoli, khifad, tahara, tahoor, qudiin, irua, bondo, kuruna, negekorsigin, and kene-kene are a few of the terms used in local African languages to denote a set of cultural practices collectively known as female circumcision. Practiced in many countries across Africa and Asia, this ritual is hotly debated. Supporters regard it as a central coming-of-age ritual that ensures chastity and promotes fertility. Human rights groups denounce the procedure as barbaric. It is estimated that between 100 million and 130 million girls and women today have undergone forms of this genital surgery. Female Circumcision gathers together African activists to examine the issue within its various cultural and historical contexts, the debates on circumcision regarding African refugee and immigrant populations in the United States, and the human rights efforts to eradicate the practice. This work brings African women's voices into the discussion, foregrounds indigenous processes of social and cultural change, and demonstrates the manifold linkages between respect for women's bodily integrity, the empowerment of women, and democratic modes of economic development. This volume does not focus narrowly on female circumcision as a set of ritualized surgeries sanctioned by society. Instead, the contributors explore a chain of connecting issues and processes through which the practice is being transformed in local and transnational contexts. The authors document shifts in local views to highlight processes of change and chronicle the efforts of diverse communities as agents in the process of cultural and social transformation.