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Intermittent self-catheterisation for urolgical problems caused by FGM
1Senior Nurse Lecturer, Buckinghamshire New University.
Summary
Female genital mutilation (FGM) can cause severe urinary complications, particularly type 3. Surgical treatment may not fully restore bladder function, but intermittent self-catheterisation (ISC) offers a solution for managing bladder control.
Area of Science:
- Urology
- Public Health
- Women's Health
Background:
- Female Genital Mutilation (FGM) encompasses procedures damaging female genitalia for non-medical reasons, classified into four types by the WHO.
- Type 3 FGM is frequently associated with long-term urological complications.
Purpose of the Study:
- To detail the urinary complications arising from Female Genital Mutilation (FGM).
- To discuss treatment options for urological dysfunction post-FGM, focusing on Type 3.
Main Methods:
- Literature review focusing on FGM complications and treatments.
- Analysis of urological sequelae, including neurogenic bladder and urethral stricture disease.
Main Results:
- Surgical defibulation, a primary treatment for Type 3 FGM, has variable success rates.
- Persistent neurogenic bladder dysfunction and urethral stricture disease are common long-term issues.
Conclusions:
- Intermittent self-catheterisation (ISC) provides a viable method for women with FGM-related bladder dysfunction to regain control.
- Effective management strategies are crucial for addressing the long-term health impacts of FGM.