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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.


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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Vaginal calculus following severe form of female genital mutilation: a case report.

Ethiop Med J. 2008 Apr;46(2):185-8.

Vaginal calculus following severe form of female genital mutilation: a case report.

Yusuf L, Negash S.

Department of Gynecology, Medical Faculty, Addis Ababa University, Ethiopia.


We present a case of vaginal calculus formation following an initial insult of female genital mutilation (FGM) and crocodile bite to the external genital. A literature review made with regards to acute and late complication of female genital mutilation. Female genital cutting existed as early as the 5th century B.C. This ritualistic practice has affected the physical, mental, and social well being of women and undermined the basic reproductive and sexual health rights of the female population. Worldwide, 85-114 million girls and young women are subjected to this dreadful practice. It is mostly practiced in Africa and Middle East. Various authors classify female genital cutting differently. The World Health Organization classifies FGM in to FOUR types. Female genital mutilation is associated with immediate, intermediate and long-term complications (1-4). The complications are strongly related to the variant of the mutilation, especially of the third and the fourth types where introcision or vaginal scraping is performed. Vaginal calculus formation is a rare phenomenon. Our patient had a total obliteration of the introitus, vaginal calculus formation and urethra-vaginal fistula, which were surgically managed and corrected.

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