Dr. O`Dey received his PhD in medicine in 2011. His research focuses on composite anatomic vascular territories. Until 2013, he worked in the Department of Plastic Surgery, Hand Surgery, Burn Center at Aachen University Hospital. Since 2014 he is head of the Department of Plastic, Reconstructive and Aesthetic Surgery, Hand Surgery, Center of Reconstructive Surgery of female gender characteristics at Aachen Luisenhospital, Teaching Hospital of the Aachen University of Technology (RWTH). Dr. O¿Dey is an international speaker, the author of many scientific articles, fellow of EBOPRRAS, and member of DGPRÄC and ISAPS.

Offers a concise description of outer female genital reconstruction

Written by an experienced surgeon and lecturer

Includes videos explaining clitoral recovery, the OD-flap technique and the aOAP-island flap procedure

Chapter 1. Introduction

1. A general view

2. Female Genital Mutilation/Cutting (FGM/C)

3. Personal trip to Tanzania

5. The Ritual of FGM/C and its Side effects

5.1 Physical and psychological damage

5.2 Psychological damage without physical correlate

6. Other acquired Deformities

6.1 Non-neoplastic disorders

6.2 Neoplastic disorders

6.3 Inflammatory diseases

6.4 Functional disorders

7 Justifying indication for Reconstruction in FGM/C patients

7.1 Importance of Reconstructive Surgery

7.2 Importance of Defibulation by means of a vulvar opening versus vulvar reconstruction in FGM/C Type III patients

Chapter 2: Basic Consideration

1. Clinical Setting

2. Patient Management

3. Clinical Management

4.1 Region of the clitoris

4.2 Region of the minor and major labias

4.3 Region of the genito-femoral sulcus

Chapter 3: Procedures

1. General perspective

1.1 Surgical instruments

1.2 Planning

1.3 Anesthesia and Preparation

1.4 Positioning

1.5 Perforator dissection

2. Clitoral reconstruction

2.2 Reconstruction of the prepuce using the Omega-Domed flap (OD-flap)

2.2.1 Importance of the clitoral prepuce and the OD-flap

2.2.2 Operative procedure of the OD-flap

2.3 Reconstruction of the clitoral glans: The Neurotizing and Molding of the Clitoral Stump- (NMCS-) Procedure (Video 1)

3.2 Vulvar reconstruction with the anterior Obturator Artery Perforator flap (aOAP-flap)

3.2.2 The aOAP-flap procedure (Video 2)

3.2.3 Advanced vulvar reconstruction with the aOAP-flap: The split-aOAP-flap technique

3.2.4 Full vulvar reconstruction after vulvectomy (Video 3)

3.2.5 Reconstruction in FGM Type IV

3.2.6 Algorithm for complex vulvar reconstruction

4. Adjunctives

5. Postoperative Care

5.1 Clitoral and Prepuce reconstruction

5.2 Complex Vulvar Reconstruction

6. Management of Complications

6.1 General perspective

6.2.1 Pain

6.2.2 Swelling

6.2.3 Hematoma

6.2.4 Infection

6.2.5 Vascular insufficiency and tissue loss

6.2.6 Psychological distress

6.3 Secondary Complications

6.3.1 Scarring

6.3.3 Folliculitis of the vestibule or vaginal introitus

7. Personal perspective