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Clitoral keloids after female genital mutilation/cutting
Özer Birge1, Murat Akbaş2, Ertuğrul Gazi Özbey3
1Nyala Sudan Turkey Training and Research Hospital, Clinic of Gynecology and Obstetrics, Nyala, Sudan.
Female genital mutilation/cutting (FGM/C) can lead to long-term health issues, including clitoral keloids. Surgical excision of these keloids can effectively manage complications and improve patient well-being.
Area of Science:
- Gynecology
- Surgical Pathology
Background:
- Female genital mutilation/cutting (FGM/C) encompasses procedures with significant long-term health consequences.
- Clitoral keloids are a notable complication, particularly following Type 3 FGM/C.
Observation:
- A retrospective study evaluated 27 women with clitoral keloids secondary to FGM/C in Sudan.
- Prevalence of FGM/C types: Type 1 (3.7%), Type 2 (22.2%), and Type 3 (74.1%).
- All patients experienced long-term morbidities including chronic pain, discharge, pruritus, and sexual dysfunction.
Findings:
- Clitoral keloids were surgically excised with no postoperative complications.
- Keloids were most commonly associated with Type 3 FGM/C and often appeared after menarche.
- Surgical management alleviated some of the long-term morbidities associated with FGM/C.
Implications:
- Surgical excision is a viable treatment for clitoral keloids resulting from FGM/C.
- Addressing FGM/C complications through surgery can improve women's health and quality of life.
- Further research into FGM/C's long-term effects and management strategies is warranted.
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