[Management of type III female genital mutilation].
Female genital mutilation (FGM) consists in a non-therapeutic removal of part or all of the external genitalia and /or injury to the external genitalia. This practice in common in a few African countries and in Middle East. Mass immigration of African women to Europe in the past decade has brought the problems of FGM to these countries. There are four types of FGM. Many early (hemorrhage, infectious) and/or late (uro-gynecologic and obstetric) complications can be associated. The dermoid clitoridia cyst is the most frequently complication. Rigorous obstetrical labor monitoring is not possible. Therefore labor is longer and there are many delivery complications. The treatment is based on Gabbar's deinfibulation surgery which can be proposed when there are uro-gynecologic complications, or during pregnancy and labor. This method can lead to spontaneous vaginal delivery without perineal trauma. The aim of this article was to share our experience and inform obstetrician-gynecologists about FGM.
Collinet
P
P
Clinique de Gynécologie, Hôpital Jeanne de Flandre, CHRU de Lille, 2, avenue Oscar-Lambret, 59037 Lille Cedex. p-collinet@chru-lille.fr
Sabban
F
F
Lucot
J-P
JP
Boukerrou
M
M
Stien
L
L
Leroy
J-L
JL
D000293:Adolescent; D000328:Adult; D000349:Africa / Q000208:ethnology; D019093:Circumcision, Female / Q000009:adverse effects* / Q000208:ethnology / Q000534:rehabilitation*; D004641:Emigration and Immigration; D005260:Female; D005602:France / Q000453:epidemiology; D005831:Genital Diseases, Female / Q000209:etiology; D006176:Gynecology; D006801:Humans; D015601:Injury Severity Score; D009774:Obstetrics; D011247:Pregnancy; D011248:Pregnancy Complications / Q000453:epidemiology* / Q000208:ethnology / Q000601:surgery; D015995:Prevalence