Nour Nawal M
African Women's Health Center, Department of Maternal Fetal Medicine, Brigham and Women's Hospital, Boston, Massachusetts 02115, USA.
Obstet Gynecol. 2006 Feb;107(2 Pt 2):521-3. doi: 10.1097/00006250-200602001-00034.
Female genital cutting is a cultural practice seen in parts of Africa and Asia. Women who have undergone type III female genital cutting (excising the external genitalia and suturing the remnant tissue to cover the urethra and part of the introitus) can suffer various long-term complications. Defibulation, a procedure that opens the overlying scar can alleviate or resolve symptoms.
A 32-year-old Somali woman presenting with type III female genital cutting complained of infertility, dyspareunia, dysmenorrhea, and exquisite pain upon sitting. She underwent a defibulation procedure to create neolabia majora. Intraoperatively, a 0.8 cm urinary calculus was found beneath the urethra. Postoperatively, all of her symptoms resolved.
Infibulated scars create a favorable environment for stagnant urine to crystallize and become a urinary calculus.
女性生殖器切割是在非洲和亚洲部分地区存在的一种文化习俗。接受过III型女性生殖器切割（切除外生殖器并缝合残余组织以覆盖尿道和部分阴道口）的女性可能会遭受各种长期并发症。外阴切开术，一种打开覆盖疤痕的手术，可以缓解或消除症状。
一名32岁接受III型女性生殖器切割的索马里女性，主诉不孕、性交困难、痛经以及坐下时剧痛。她接受了外阴切开术以形成新的大阴唇。术中，在尿道下方发现了一颗0.8厘米的尿路结石。术后，她所有的症状都消失了。
闭锁性疤痕为尿液潴留结晶形成尿路结石创造了有利环境。
