Millet P, Vinchant M, Sharifzadehgan S, Vieillefosse S, Hatem-Gantzer G, Deffieux X
Service de gynécologie-obstétrique et médecine de la reproduction, hôpital Antoine-Béclère, AP-HP, 92141 Clamart, France.
La maison des femmes, 93205 Saint-Denis, France.
Prog Urol. 2019 Mar;29(4):209-215. doi: 10.1016/j.purol.2019.01.001. Epub 2019 Jan 22.
The purpose of this article is to summarise the data available in literature on Lower Urinary Tract Symptoms [lower urinary tract symptoms (LUTS)] after female genital mutilation (MSF).
Our review identified 177 publications, 14 of which were included in the article.
With regard to short-term complications, the prevalence of Acute Urinary Retention (RAU) after MSF is estimated between 3% and 12%. With respect to long-term complications, the data is discordant on repeat urinary tract infections (IUR) after MSF with an estimated prevalence between 9% and 39%. The prevalence of LUTS is significantly increased among women having suffered MSF. For example, mixed urinary incontinence is significantly higher in the MSF group with OR 5.17 CI 95% (2.34-12.97). And the more important the MSF is, the higher the LUTS prevalence is. Medical and surgical treatments are empirical and not evaluated.
Further studies are needed to better characterize and evaluate the prevalence of LUTS after MSF as well as the interest and efficiency of different therapeutics.
本文旨在总结文献中关于女性生殖器切割（FGM）后下尿路症状[下尿路症状（LUTS）]的现有数据。
我们的综述共识别出177篇出版物，其中14篇被纳入本文。
关于短期并发症，女性生殖器切割后急性尿潴留（RAU）的发生率估计在3%至12%之间。关于长期并发症，女性生殖器切割后反复尿路感染（IUR）的数据存在不一致，估计发生率在9%至39%之间。遭受女性生殖器切割的女性中，下尿路症状的发生率显著增加。例如，混合性尿失禁在女性生殖器切割组中显著更高，优势比为5.17，95%置信区间为（2.34 - 12.97）。而且女性生殖器切割越严重，下尿路症状的发生率越高。药物和手术治疗多为经验性的，未经过评估。
需要进一步研究以更好地描述和评估女性生殖器切割后下尿路症状的发生率以及不同治疗方法的益处和有效性。
