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Type I Female Genital Mutilation: A Cause of Completely Closed Vagina

J Sex Med. 2014 May 30. doi: 10.1111/jsm.12605. [Epub ahead of print]

Type I Female Genital Mutilation: A Cause of Completely Closed Vagina.

Rouzi AA, Sahly N, Alhachim E, Abduljabbar H.

ABSTRACT

INTRODUCTION: Female 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. AIM: We report a case of Type I FGM presenting as complete vaginal closure and urinary retention.

METHODS: A 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.

RESULTS: A normal vaginal orifice was created and normal flow of urine and menses occurred.

CONCLUSION: Type I FGM can present as complete vaginal closure and urinary retention. Proper diagnosis and treatment are of paramount importance.

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