Birge Özer, Akbaş Murat, Özbey Ertuğrul Gazi, Adıyeke Mehmet
Nyala Sudan Turkey Training and Research Hospital, Clinic of Gynecology and Obstetrics, Nyala, Sudan.
Okmeydanı Training and Research Hospital, Clinic of Obstetrics and Gynecology, İstanbul, Turkey.
Turk J Obstet Gynecol. 2016 Sep;13(3):154-157. doi: 10.4274/tjod.32067. Epub 2016 Sep 15.
We aimed to describe the presentation of long-term complications of female genital mutilation/cutting and the surgical management of clitoral keloids secondary to female genital mutilation/cutting. Twenty-seven women who underwent surgery because of clitoral keloid between May 2014 and September 2015 in Sudan Nyala Turkish Hospital were evaluated in this retrospective descriptive case series study. The prevalence of type 1, type 2, and type 3 female genital mutilation/cutting were 3.7%, 22.2%, and 74.1%, respectively (type 1: 1/27, type 2: 6/27, and type 3: 20/27). All patients had long-term health problems (dysuria, chronic pelvic pain, vaginal discharge, and chronic pruritus) and sexual dysfunction. Keloids were removed by surgical excision. There were no postoperative complications in any patient. Although clitoral keloid lesions can be seen after any type of female genital mutilation/cutting, they usually develop after type 3 female genital mutilation/cutting. Most of these keloids were noticed after menarche. Keloids can be removed by surgical excision and this procedure can alleviate some long-term morbidities of female genital mutilation/cutting.
我们旨在描述女性生殖器切割的长期并发症表现以及女性生殖器切割继发阴蒂瘢痕疙瘩的手术治疗。在这项回顾性描述性病例系列研究中，对2014年5月至2015年9月期间在苏丹尼亚拉土耳其医院因阴蒂瘢痕疙瘩接受手术的27名女性进行了评估。1型、2型和3型女性生殖器切割的发生率分别为3.7%、22.2%和74.1%（1型：1/27，2型：6/27，3型：20/27）。所有患者均有长期健康问题（排尿困难、慢性盆腔疼痛、阴道分泌物增多和慢性瘙痒）以及性功能障碍。通过手术切除瘢痕疙瘩。所有患者均无术后并发症。尽管任何类型的女性生殖器切割后都可能出现阴蒂瘢痕疙瘩病变，但它们通常在3型女性生殖器切割后出现。这些瘢痕疙瘩大多在初潮后被发现。瘢痕疙瘩可通过手术切除，该手术可缓解女性生殖器切割的一些长期发病情况。
