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女性割礼/切割:对女性泌尿生殖健康的影响

Female genital circumcision/mutilation: implications for female urogynaecological health.

作者信息

Teufel Katharina, Dörfler Daniela Marianne

机构信息

Hospital of St. Poelten, St. Poelten, Austria,

出版信息

Int Urogynecol J. 2013 Dec;24(12):2021-7. doi: 10.1007/s00192-013-2160-5. Epub 2013 Jul 16.

DOI:10.1007/s00192-013-2160-5
PMID:23857065
Abstract

"Female genital circumcision" or "female genital mutilation", as it is called more often, is an operation that is primarily carried out in Africa. Owing to migration, physicians are increasingly confronted with this issue in Western countries as well. A range of negative effects may result from this operation and this article aims to address consequences for female pelvic health. Special emphasis is placed on urogynaecological health consequences; in particular, on "voiding difficulties", "recurrent urinary tract infections" and "vesicovaginal fistula". All of these occur mostly in infibulated women, i.e. in women whose genitalia are sealed by the most severe form of circumcision. Some of the problems that may emerge as a result of the operation can be resolved by defibulation (i.e. surgical reopening of the sealed vulva). Female genital circumcision is a sensitive topic even in the area of research and reliable data are therefore scarce.

摘要

“女性割礼”,或者更常被称为“女性生殖器切割”,是一种主要在非洲实施的手术。由于移民因素,西方国家的医生也越来越多地面临这个问题。这种手术可能会导致一系列负面影响,本文旨在探讨其对女性盆腔健康的影响。特别强调了泌尿妇科健康方面的后果,尤其是“排尿困难”“复发性尿路感染”和“膀胱阴道瘘”。所有这些情况大多发生在闭锁型女性身上,即那些生殖器通过最严重形式的割礼被封闭的女性。手术可能导致的一些问题可以通过解除闭锁(即外科手术重新打开封闭的外阴)来解决。即使在研究领域,女性割礼也是一个敏感话题,因此可靠的数据很稀缺。

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Female genital circumcision/mutilation: implications for female urogynaecological health.女性割礼/切割:对女性泌尿生殖健康的影响
Int Urogynecol J. 2013 Dec;24(12):2021-7. doi: 10.1007/s00192-013-2160-5. Epub 2013 Jul 16.
2
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Genital mutilation: a continued abuse.女性生殖器切割:持续的虐待行为。
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Obstetric care of women with female genital mutilation attending a specialized clinic in a tertiary center.在三级医疗中心的一家专科诊所接受治疗的女性生殖器切割女性的产科护理。
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Defibulation can recall the trauma of female genital mutilation/cutting: a case report.会阴切开术可使女性生殖器切割创伤重现:病例报告。
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引用本文的文献

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Reconstructive surgery after Female Genital Mutilation: a multidisciplinary approach.女性外阴残割术后的重建手术:多学科方法。
Acta Biomed. 2022 Jun 29;93(S1):e2022118. doi: 10.23750/abm.v93iS1.11765.
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A cross-sectional study on pelvic floor symptoms in women living with Female Genital Mutilation/Cutting.一项关于遭受女性生殖器切割的女性盆底症状的横断面研究。
Reprod Health. 2021 Feb 12;18(1):39. doi: 10.1186/s12978-021-01097-9.
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Painful gynecologic and obstetric complications of female genital mutilation/cutting: A systematic review and meta-analysis.

本文引用的文献

1
Defibulation during vaginal delivery for women with type III female genital mutilation.对行 III 度女性生殖器官切割的女性在阴道分娩时行切开术。
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The relationship between female genital cutting and obstetric fistulae.女性割礼与产科瘘管病之间的关系。
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Female genital mutilation: the role of medical professional organizations.女性生殖器切割:医学专业组织的作用
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BMJ Case Rep. 2013 Oct 4;2013:bcr2012008155. doi: 10.1136/bcr-2012-008155.
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Defibulation to treat female genital cutting: effect on symptoms and sexual function.解除女性生殖器切割术治疗:对症状和性功能的影响。
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Female genital mutilation and obstetric outcome: WHO collaborative prospective study in six African countries.女性生殖器切割与产科结局:世界卫生组织在六个非洲国家开展的协作性前瞻性研究
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Urinary calculus associated with female genital cutting.与女性外阴切割相关的尿路结石
Obstet Gynecol. 2006 Feb;107(2 Pt 2):521-3. doi: 10.1097/00006250-200602001-00034.
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No association between female circumcision and prolonged labour: a case control study of immigrant women giving birth in Sweden.女性割礼与产程延长之间无关联:一项针对在瑞典分娩的移民女性的病例对照研究。
Eur J Obstet Gynecol Reprod Biol. 2005 Aug 1;121(2):182-5. doi: 10.1016/j.ejogrb.2004.12.010.
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Incomplete bladder emptying due to labial fusion in a pubertal girl: a delayed consequence of female circumcision.青春期女孩阴唇融合导致膀胱排空不全:女性割礼的延迟后果。
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