A Complication of Female Circumcision: Vaginal Stenosis and Total Incontinence Due to Urethral Intercourse (2015)
This study is a Descriptive research regarding III FGM/C with the following characteristics:
Author(s): Arslan Deniz,Bozkurt Ozan,Birge Özer,Demir Ömer and Esen Adil
FGM/C Type(s): III
Health area of focus: Gynaecological,urinary,sexual.
Objective: To present a Complication of Female Circumcision: Vaginal Stenosis and Total Incontinence Due to Urethral Intercourse
Study Population: a case of 21-year-old female with total urinary incontinence due to type 3 FGM
Findings: A 21-year-old female,who was married for 3 years and had no child,was admitted with urinary incontinence. She was complaining of pain and discomfort,bleeding and much more urinary incontinence during sexual intercourse. She described a few unsuccessful intercourse experiences since married and her husband married another woman because she could not try more because of great pain during sexual intercourse. She described extreme groin and flank pain during menstrual period. She described a small amount of bleeding during menstrual period. Physical examination revealed that she had undergone type 3 FGM. Vaginal introitus was totally closed. The vagina was totally closed due to the fibrosis and adhesions caused by type 3 FGM. No pathologic finding was detected on abdominal USG examination. For this case,extreme pain during intercourse with concomitant urinary incontinence during and after sexual intercourse was reported. Thereafter,total incontinence developed. A small orifice was seen in the vaginal introitus. Ten Fr urinary catheter could not be placed. It was seen that the urethral orifice was so enlarged that insertion of two fingers was possible. She underwent vaginoplasty and megaurethra plication for reconstruction.
Geographical coverage
Region(s):Northern Africa
Country(ies):Sudan