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女性外阴残割术后的下尿路症状。

Lower urinary tract symptoms following female genital mutilation.

机构信息

Department of Obstetrics and Gynecology, Sohag University, Sohag, Egypt.

出版信息

Int J Gynaecol Obstet. 2013 Oct;123(1):21-3. doi: 10.1016/j.ijgo.2013.06.010. Epub 2013 Jul 27.

DOI:10.1016/j.ijgo.2013.06.010
PMID:23900059
Abstract

OBJECTIVE

To estimate the prevalence of lower urinary tract symptoms (LUTS) following female genital mutilation (FGM).

METHODS

A hospital-based, cross-sectional study was conducted from January 1, 2009, through January 1, 2012, at the urogynecology clinic of Sohag University Hospital. The participants were 251 women who had undergone different forms of FGM.

RESULTS

A total of 251 women agreed to participate. All had the clitoris amputated, 7.1% had some form of mutilation to the labia majora, 33.8% had adhesions of the labia minora, 19.2% had clitoral retention cysts, and 38.8% reported at least 1 LUTS. Nocturia (38.6%) was the most prevalent LUTS, intermittency (23.5%) was the most prevalent voiding LUTS, and incomplete voiding (22.7%) was the most common post-micturition LUTS. All 3 types of LUTS were reported by 11.6% of the women. Those with Type II and Type III FGM had a significantly higher risk of having all 3 LUTS than those with Type I.

CONCLUSION

Women with FGM are significantly more likely to have LUTS than women without FGM, and LUTS seem to be more burdensome in those with more extensive FGM.

摘要

目的

评估女性生殖器切割(FGM)后下尿路症状(LUTS)的流行情况。

方法

这是一项 2009 年 1 月 1 日至 2012 年 1 月 1 日在索哈格大学医院泌尿科诊所进行的基于医院的横断面研究。参与者是 251 名接受过不同形式 FGM 的女性。

结果

共有 251 名妇女同意参与。所有妇女的阴蒂均被切除,7.1%的妇女大阴唇有某种形式的损伤,33.8%的妇女小阴唇粘连,19.2%的妇女有阴蒂保留囊肿,38.8%的妇女报告至少有 1 种 LUTS。夜尿症(38.6%)是最常见的 LUTS,间歇性(23.5%)是最常见的排尿 LUTS,排尿后不完全排空(22.7%)是最常见的后排尿 LUTS。所有 3 种 LUTS均有 11.6%的妇女报告。与 I 型相比,接受 II 型和 III 型 FGM 的女性出现所有 3 种 LUTS 的风险显著更高。

结论

接受 FGM 的女性出现 LUTS 的可能性明显高于未接受 FGM 的女性,而且 FGM 越广泛,LUTS 似乎越严重。

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