Obstetrics and Gynecology, Geneva University Hospitals, Geneva, Switzerland
Obstetrics and Gynecology, Geneva University Hospitals, Geneva, Switzerland.
BMJ Case Rep. 2023 Oct 5;16(10):e251008. doi: 10.1136/bcr-2022-251008.
We present the case of a woman in her late 20s who consulted our gynaecology emergency department due to dyspareunia and vaginal penetration issues. She had undergone a 'virginity reconstruction' procedure 10 days before her wedding in Africa. Clinical examination revealed suture of the inferior part of inner labia (labia minora), narrowing of the vaginal introitus and abnormal vaginal discharge. We performed an inferior defibulation procedure and removed the sutures under general anaesthesia. Postoperative care included systemic metronidazole, counselling, vaginal dilators and topical estrogens for 1 month. There were no complications during the postoperative follow-up, and a month later, the woman confirmed a satisfactory outcome. The aim of this paper is to discuss the practice of so-called 'virginity reconstruction', currently classified among female cosmetic genital surgeries despite being very similar to what is defined as female genital mutilation, and the care that can be provided to women in such cases.
我们报告了一位 20 多岁女性的病例，她因性交困难和阴道插入问题到我们的妇科急诊就诊。她在非洲婚礼前 10 天接受了“处女膜修复”手术。临床检查显示内阴唇（小阴唇）下部缝合，阴道入口变窄和异常阴道分泌物。我们在全身麻醉下进行了下部切开术，并拆除了缝线。术后护理包括全身甲硝唑、咨询、阴道扩张器和局部雌激素治疗 1 个月。术后随访期间无并发症，一个月后，该女性确认结果满意。本文旨在讨论所谓的“处女膜修复”的实践，尽管它与被定义为女性生殖器切割非常相似，但目前被归类为女性生殖器整容手术，以及在这种情况下可以为女性提供的护理。
