Type I Female Genital Mutilation: A Cause of Completely Closed Vagina |
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| Affiliation: | 1. Department of Gynecology and Obstetrics, University Hospitals of Geneva, Geneva, Switzerland;2. Faculty of Medicine, University of Geneva, Geneva, Switzerland;3. Department of Community Medicine and Primary Care, University Hospitals of Geneva, Geneva, Switzerland;2. Utrecht Institute for Pharmaceutical Sciences, Rudolf Magnus Institute of Neuroscience, Utrecht University, Utrecht, The Netherlands;3. Exelion Bio‐Pharmaceutical Consultancy B.V.Waddinxveen, The Netherlands;4. Department of Psychology, University of Amsterdam, Amsterdam, The Netherlands |
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| Abstract: | IntroductionFemale genital mutilation (FGM) ranges in severity from a nick of the clitoris to partial or total removal of the external genitalia. Sexual complications after FGM include sexual dysfunction, difficult intercourse, and dyspareunia.AimWe report a case of Type I FGM presenting as complete vaginal closure and urinary retention.MethodsA 16‐year‐old adolescent was referred for obliterated vagina and urinary retention. She had recurrent urinary tract infections, difficulty in voiding, and cyclic hematuria. At the age of 1 year she had been taken by her mother to a pediatric surgeon to have a Type I FGM procedure. On examination, the urethral meatus and vaginal orifices were completely closed by the FGM scar. She underwent uneventful surgical opening of the vagina.ResultsA normal vaginal orifice was created and normal flow of urine and menses occurred.ConclusionType I FGM can present as complete vaginal closure and urinary retention. Proper diagnosis and treatment are of paramount importance. Rouzi AA, Sahly N, Alhachim E, and Abduljabbar H. Type I female genital mutilation: A cause of completely closed vagina. J Sex Med 2014;11:2351–2353. |
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