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Overactive bladder after female genital mutilation/cutting (FGM/C) type III.
Jasmine Abdulcadir1, Patrick Dällenbach
1Department of Obstetrics and Gynecology, University Hospitals of Geneva, Geneva, Switzerland.
BMJ Case Reports
|October 8, 2013
Summary
Female genital mutilation/cutting (FGM/C) type III can cause overactive bladder and painful intercourse. Defibulation and biofeedback therapy successfully treated these symptoms, leading to improved bladder control and pregnancy.
Area of Science:
- Urology
- Gynecology
- Sexual Health
Background:
- Female genital mutilation/cutting (FGM/C) is a cultural practice with significant health consequences.
- Type III FGM/C involves infibulation, potentially leading to urogenital complications.
- Overactive bladder (OAB) symptoms and sexual dysfunction are reported complications.
Observation:
- A 27-year-old Somali woman with Type III FGM/C presented with slow micturition, voiding difficulties, urgency, and urge incontinence (OAB).
- She also experienced primary dysmenorrhea and superficial dyspareunia, hindering complete sexual intercourse.
- These symptoms significantly impacted her quality of life and reproductive health.
Findings:
- Treatment involved defibulation (reversal of infibulation) and biofeedback re-educative therapy.
- Multidisciplinary counseling was provided to address psychological and social aspects.
- At 5-month follow-up, the patient reported resolution of urgency and urge incontinence.
- She also achieved pregnancy, indicating restoration of reproductive health.
Implications:
- Defibulation and biofeedback therapy are effective in managing urogenital complications of Type III FGM/C.
- Restoration of normal bladder function and sexual health is achievable.
- Successful treatment can improve quality of life and facilitate pregnancy in affected women.
- This case highlights the importance of specialized care for FGM/C survivors.
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