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Epidermal clitoral inclusion cyst after type I female genital mutilation
1Department of Obstetrics and Gynecology, King Abdulaziz University, Jeddah, Kingdom of Saudi Arabia.
Objective:
To document the occurrence of long-term sequelae after type I female genital mutilation (FGM) and describe the surgical treatment of epidermal clitoral inclusion cyst.
Study Design:
Twenty-one women presented with epidermal clitoral inclusion cyst after type I FGM at the Department of Obstetrics and Gynecology at King Fahad Armed Forces Hospital, Jeddah, Saudi Arabia. The duration (mean +/- SD, range) of symptoms was 10.3 +/- 5.4, 2 to 20 years. They were treated by excision of the cyst with particular attention to preserve the remaining part of the clitoris. The technique involves making a vertical incision in the skin, dissecting and excising the cyst, removing the excessive skin, and reapproximating the skin edges.
Results:
The procedure was done on all patients without intraoperative complications. All except one were discharged home on the second postoperative day. Follow-up showed no recurrence of symptoms.
Conclusion:
Long-term sequelae can occur after type I FGM. The surgical treatment of clitoral inclusion cyst is simple and effective.