Female genital mutilation/cutting in sudan and subsequent pelvic floor dysfunction (2021)
This study is a Descriptive research regarding I,II,III FGM/C with the following characteristics:
Author(s): Birge,Ö.,Serin,A.N. & Bakır,M.S.
FGM/C Type(s): I,II,III
Health area of focus: Results of FGM/C due to pelvic floor dysfunction..
Objective: The study aimed to evaluate the socio-demographic characteristics of women with female genital mutilation/cutting (FGM/C) and the results of FGM/C due to pelvic floor dysfunction
Study Population: Women who applied to the Sudan Nyala Turkish Hospital Gynecology and Obstetrics outpatient clinic between January 2018 and January 201
Findings: The prevalence of FGM/C was 87.2% in Sudan and Type 3 (50.4%) was the most prevalent,followed by Type 2 (35%) and Type 1 (8.5%). In the multinominal logistic regression analysis performed to show the effect of FGM/C on pelvic organ prolapse (POP),it was observed that FGM/C frequency in POP group 2 was statistically similar when POP group 1 was taken as reference category. In the evaluation for symptomatic POP (POP group 3),risk of developing POP in patients without FGM/C was significantly lower than patients with type 3 FGM/C with a rate of 82.9% (OR(odds ratio): 0.171 (p: 0.002),(Confidence Interval (CI) %95; 0.058–0.511). Risk of developing POP rate in patients with type 1 FGM/C was 75% (OR:0.250 (p: 0.005),CI %95; 0.094–0.666) and in patients with type 2 FGM/C was 78.4% (OR:0.216 (p: 0.0001),CI%95; 0.115–0.406). In the multinominal logistic regression analysis including other variables affecting POP,when group 1 was taken as the reference category,it was found that the possibility of developing mild POP (group 2) decreased in FGM/C type 1 and 2 compared to FGM/C type 3 but it was not statistically significant. However,the evaluation for the symptomatic POP group showed up a significantly lower risk of developing POP in patients with type 2 FGM/C compared to patients with type 3 FGM/C,with a rate of 58.4%. (OR:0.419 (p: 0.016),CI%95; 0.206–0.851) (Table 3). In addition,older age was found to be significant risk factor for increasing symptomatic POP (p: 0.003).Conclusions:Type 2 and 3 FGM/C continues to be an important health problem in terms of complications that may develop in advanced ages as well as many short-term complications as a result of mechanical or physiological deterioration of the female genital anatomy.
Geographical coverage
Region(s):Northern Africa
Country(ies):Sudan