title: Type I female genital mutilation: a cause of completely closed vagina.
abstract: BACKGROUND
  Female genital mutilation (FGM) ranges in severity from a nick of the clitoris to partial or total removal of the external genitalia. Sexual complications after FGM include sexual dysfunction, difficult intercourse, and dyspareunia.
  
  
  OBJECTIVE
  We report a case of Type I FGM presenting as complete vaginal closure and urinary retention.
  
  
  METHODS
  A 16-year-old adolescent was referred for obliterated vagina and urinary retention. She had recurrent urinary tract infections, difficulty in voiding, and cyclic hematuria. At the age of 1 year she had been taken by her mother to a pediatric surgeon to have a Type I FGM procedure. On examination, the urethral meatus and vaginal orifices were completely closed by the FGM scar. She underwent uneventful surgical opening of the vagina.
  
  
  RESULTS
  A normal vaginal orifice was created and normal flow of urine and menses occurred.
  
  
  CONCLUSIONS
  Type I FGM can present as complete vaginal closure and urinary retention. Proper diagnosis and treatment are of paramount importance.
authors.affiliation: Department of Obstetrics and Gynecology, King Abdulaziz University, Jeddah, Saudi Arabia.
authors.forename: Abdulrahim A
authors.initials: AA
authors.lastname: Rouzi
authors.forename: Nora
authors.initials: N
authors.lastname: Sahly
authors.forename: Estabraq
authors.initials: E
authors.lastname: Alhachim
authors.forename: Hassan
authors.initials: H
authors.lastname: Abduljabbar
mesh_terms: D000293:Adolescent; D002648:Child; D019093:Circumcision, Female / Q000009:adverse effects*; D005260:Female; D006801:Humans; D016055:Urinary Retention / Q000209:etiology; D014621:Vagina / Q000503:physiopathology* / Q000601:surgery*
keywords: Complications; Female Circumcision; Female Genital Mutilation; Vaginal Closure