Lower genital tract lesions requiring surgical intervention in girls: Perspective from a developing country (2009)

This study is a Exploratory research regarding All FGM/C with the following characteristics:

Author(s): Sebastian O Ekenze,Okezie M Mbadiwe,Hyginius U Ezegwui
FGM/C Type(s): All
Health area of focus: Surgical.

Objective: To determine the spectrum,outcome of treatment and the challenges of managing surgical lesions of lower genital tract in girls in a low-resource setting.
Study Population: Girls
Findings:  The median age at presentation was 1 year (range 2 days–13 years). Congenital lesions comprised 67.8% and acquired lesions 32.2%. The lesions included: masculinised external genitalia (24),vestibular fistula from anorectal malformation (23),post-circumcision labial fusion (12),post-circumcision vulval cyst (6),low vaginal malformations (6),labial adhesion (5),cloacal malformation (3),bifid clitoris (3) urethral prolapse (3),and acquired rectovaginal fistula (2). Seventy-eight (89.7%) had operative treatment. Procedure related complications occurred in 19 cases (24.4%) and consisted of surgical wound infection (13 cases),labial adhesion (4 cases) and urinary retention (2 cases). There was no mortality. Overall,14 (16.1%) abandoned treatment at one stage or another.

Geographical coverage
Region(s):Western Africa
Country(ies):Nigeria

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