Overactive bladder after female genital mutilation/cutting (FGM/C) type III (2013)
This study is a Exploratory research regarding III FGM/C with the following characteristics:
Author(s): Jasmine Abdulcadir,Patrick Dällenbach
FGM/C Type(s): III
Health area of focus: Sexual,gynaecological,dysmenorrhoea and superficial dyspareunia,Overactive bladder.
Objective: To be surgically opened to start having complete sexual intercourse
Study Population: A 27-year-old nulligravida Somali woman
Findings: The postoperative immediate follow-up was uneventful. At day 7 postoperation,the patient referred no more voiding efforts but persistent urgencies and urinary incontinence. A conservative management consisting in counselling and biofeedback was proposed. Follow-up was scheduled after completion of biofeedback. Further tests would be scheduled according to response to the treatment. The patient was compliant to biofeedback,started to have sexual intercourse and became pregnant 2 months after surgery. Biofeedback re-educative therapy consisting of nine weekly sessions was well tolerated and continued until the end of the first trimester of pregnancy. At the end of the biofeedback she had good proprioception of her perineum,more capacity to retain urine and did not experience urgency or urge incontinence any more. Her micturitions went from 10 to 6 during the day and 5 to 3 during the night. These values might have been lower had the patient not been pregnant.6 She was satisfied with the care offered and the results achieved and reported a strong improvement of her quality of life.
Geographical coverage
Region(s):Eastern Africa
Country(ies):Somalia