Department of Gynecology and Obstetrics, Nyala Sudan Turkey Training and Research Hospital, West Alezza District Southern, 63311, Nyala, Darfur, Sudan.
Department of Gynecology and Obstetrics, Karamanoglu Mehmet Bey University, Karaman, Turkey.
BMC Womens Health. 2021 Dec 28;21(1):430. doi: 10.1186/s12905-021-01576-y.
We aimed to evaluate the socio-demographic characteristics of women with female genital mutilation/cutting (FGM/C) and the results of FGM/C due to pelvic floor dysfunction.
The prevalence of FGM/C was 87.2% in Sudan and Type 3 (50.4%) was the most prevalent, followed by Type 2 (35%) and Type 1 (8.5%). In the multinominal logistic regression analysis performed to show the effect of FGM/C on pelvic organ prolapse (POP), it was observed that FGM/C frequency in POP group 2 was statistically similar when POP group 1 was taken as reference category. In the evaluation for symptomatic POP (POP group 3), risk of developing POP in patients without FGM/C was significantly lower than patients with type 3 FGM/C with a rate of 82.9% (OR(odds ratio): 0.171 (p: 0.002), (Confidence Interval (CI) %95; 0.058-0.511). Risk of developing POP rate in patients with type 1 FGM/C was 75% (OR:0.250 (p: 0.005), CI %95; 0.094-0.666) and in patients with type 2 FGM/C was 78.4% (OR:0.216 (p: 0.0001), CI%95; 0.115-0.406). In the multinominal logistic regression analysis including other variables affecting POP, when group 1 was taken as the reference category, it was found that the possibility of developing mild POP (group 2) decreased in FGM/C type 1 and 2 compared to FGM/C type 3 but it was not statistically significant. However, the evaluation for the symptomatic POP group showed up a significantly lower risk of developing POP in patients with type 2 FGM/C compared to patients with type 3 FGM/C, with a rate of 58.4%. (OR:0.419 (p: 0.016), CI%95; 0.206-0.851) (Table 3). In addition, older age was found to be significant risk factor for increasing symptomatic POP (p: 0.003).
Type 2 and 3 FGM/C continues to be an important health problem in terms of complications that may develop in advanced ages as well as many short-term complications as a result of mechanical or physiological deterioration of the female genital anatomy.
本研究旨在评估行女性生殖器切割（FGM/C）的女性的社会人口学特征，以及因盆底功能障碍导致的 FGM/C 后果。
在苏丹，FGM/C 的流行率为 87.2%，其中 3 型（50.4%）最为常见，其次是 2 型（35%）和 1 型（8.5%）。在多变量逻辑回归分析中，以 POP 组 1 为参考类别，观察 FGM/C 对盆腔器官脱垂（POP）的影响，结果发现 POP 组 2 的 FGM/C 频率与 POP 组 1 相似。在评估有症状的 POP（POP 组 3）时，无 FGM/C 的患者发生 POP 的风险明显低于 3 型 FGM/C 患者，风险比（OR）为 82.9%（95%置信区间[CI]；0.058-0.511）。1 型 FGM/C 患者发生 POP 的风险率为 75%（OR：0.250（p：0.005），CI%95；0.094-0.666），2 型 FGM/C 患者为 78.4%（OR：0.216（p：0.0001），CI%95；0.115-0.406）。在包括影响 POP 的其他变量的多变量逻辑回归分析中，当以组 1 为参考类别时，与 3 型 FGM/C 相比，1 型和 2 型 FGM/C 发生轻度 POP（组 2）的可能性降低，但无统计学意义。然而，对于有症状的 POP 组的评估显示，2 型 FGM/C 患者发生 POP 的风险明显低于 3 型 FGM/C 患者，风险比为 58.4%（OR：0.419（p：0.016），CI%95；0.206-0.851）（表 3）。此外，年龄较大是发生有症状 POP 的显著危险因素（p：0.003）。
2 型和 3 型 FGM/C 仍然是一个重要的健康问题，因为随着年龄的增长，可能会出现许多短期并发症，以及因女性生殖器解剖结构的机械或生理恶化而导致的并发症。
