Urological sequelae of female genital mutilation

Female genital mutilation (FGM) is the ritualistic removal of parts of the external female genitalia. The extent of mutilation as well as the age at which it is performed vary depending on ethnicity. We recognise four forms of mutilation based on the extent of tissue resection, ranging from clitride...

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Bibliographic Details
Published inUrologe. Ausgabe A Vol. 57; no. 10; p. 1214
Main Authors Pycha, A, Ladurner, C, Comploj, E, Palermo, S, Danuser, H, Trenti, E
Format Journal Article
LanguageGerman
Published Germany 01.10.2018
Subjects
Circumcision, Female - adverse effects
Clitoris - injuries
Clitoris - surgery
Female
Female Urogenital Diseases - etiology
Germany
Humans
Urinary Retention
Urinary Tract Infections
Germany
Urinary tract infections
Clitoris
Urinary retention
Urethra
Obstruction
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Summary:Female genital mutilation (FGM) is the ritualistic removal of parts of the external female genitalia. The extent of mutilation as well as the age at which it is performed vary depending on ethnicity. We recognise four forms of mutilation based on the extent of tissue resection, ranging from clitridectomy to resection of the entire soft tissue of the external genitalia. The vast majority of the estimated 200 million mutilated women live in Africa and the Middle and Far East. Due to migration an estimated 150,000 mutilated women live in Germany to date. In approximately 30% of cases FGM leads to urologic complications and the chances of urologists facing these complications is rapidly increasing. The focus lies on chronic infections, pain syndromes and obstructed micturition with all associated late complications. This situation is made more complex if any neighbouring organs were damaged during the mutilation.
ISSN:1433-0563
DOI:10.1007/s00120-018-0725-0