Female Sexuality and Consent in Public Discourse: James Burt's "Love Surgery"
ABSTRACT Beginning in the mid-1960s, gynecologist and obstetrician James Burt developed what he called "love surgery" on unknowing women after they gave birth. It was, he later told them, a modification of episiotomy repair. In the mid-1970s, Burt began promoting love surgery as an elective sexual enhancement surgery and women came to his clinic in hopes of a surgically-enabled better sex life. But though Burt now offered love surgery, he continued to perform it on patients who did not come to him for it through the late 1980s. Over the course of more than two decades, discourse on love surgery occurred twice nationally. In the late 1970s, feminists and sex therapists attacked love surgery as altering a woman's body for male sexual pleasure. Though Burt never hid his continued use of love surgery on women who had not elected for it, the public discourse at this time focused on love surgery as a reflection of larger cultural ideas about female sexuality. In the late 1980s, when Burt's love surgery again appeared in the national media, the issue of informed consent, largely absent from the discourse about love surgery in the late 1970s, moved to the center. Though significant activity happened within the local medical and legal communities beginning in the mid-1970s regarding Burt and his practice of love surgery, my interest here is on these two periods when the discourse regarding love surgery, female sexuality, and informed consent occurred within a national frame.
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Article: Ethics and clinical research.New England Journal of Medicine 07/1966; 274(24):1354-60. DOI:10.1056/NEJM196606162742405 · 54.42 Impact Factor
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ABSTRACT: During the late nineteenth and early twentieth centuries, there was one kind of female orgasm and it was clitoral; there was also only one kind of healthy sexual instinct for a woman and it was for penetrative sex with her husband. When a woman behaved outside of this normality-by masturbating or by not responding to her husband's affections-her sexual instinct was seen as disordered. If healthy women, then, were believed only to be sexual within the marital embrace, what better way to explain these errant behaviors than by blaming the clitoris, an organ seen as key to female sexual instinct? Doctors corrected a clitoris in an unhealthy state using one of four surgeries-removing smegma or adhesions between the clitoris and its hood, removing the hood (circumcision), or removing the clitoris (clitoridectomy)-in order to correct a woman's sexual instinct in an unhealthy state. Their approach to clitoral surgery, at least as revealed in published medical works, was a cautious one that respected the importance of clitoral stimulation for healthy sexuality while simultaneously recognizing its role as cause and symptom in cases of insanity that were tied to masturbation.Journal of the History of Medicine and Allied Sciences 08/2008; 63(3):323-47. DOI:10.1093/jhmas/jrm044 · 0.69 Impact Factor
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ABSTRACT: This paper offers a report of a vulvo-vaginoplasty, that rotates the vaginal axis away from alignment with the internal genitalia and bladder to treat refractory coitally connected recurrent cystitis and deep internal genital and bladder dyspareunia, by lessening coital trauma to the bladder and the internal genitalia. This rotation also aligns the vagina with the clitoris and the upper inner labia, which increases the mechanical efficiency of indirect coital clitoral manipulation via the inner labia and adds direct coital clitoral manipulation. The intensity of coital sexual response is thereby equated with the intensity of clitoral response. Standard reconstructive surgical procedures are utilized to rotate the axis of the vagina, which shorten the long axis of the vagina, requiring the concomitant construction from the labia majora of an extension of the vagina and a new introitus, both of an appropriate diameter. This extends the vagina to the clitoris and the indications for the operation to treatment of iatrogenic or congenital stricture and shortening of the vagina; and childbirth enlargement. The clitoris is not moved. It is circumcised to increase clitoral response. A preliminary report of results is included herein.Annales chirurgiae et gynaecologiae 02/1983; 72(5):268-73.