Epidermal clitoral inclusion cyst after type I female genital mutilation

• Published in: American journal of obstetrics and gynecology 2001-09, Vol.185 (3), p.569-571
• Main Authors: Rouzi, Abdulrahim A., Sindi, Othman, Radhan, Bandar, Ba’aqeel, Hassan
• Format: Article
• Language: English
• Subjects: Adolescent; Adult; Biological and medical sciences; Child; Child, Preschool; Circumcision, Female - adverse effects; clitoris; Clitoris - surgery; cyst; Epidermal Cyst - etiology; Epidermal Cyst - surgery; Female; Female genital diseases; Female genital mutilation; Gynecology. Andrology. Obstetrics; Humans; Medical sciences; Tropical medicine; Tumors; Vulvar Diseases - etiology; Vulvar Diseases - surgery
• ISSN: 0002-9378; 1097-6868
• DOI: 10.1067/mob.[phone]

Objective: To document the occurrence of long-term sequelae after type I female genital mutilation (FGM) and describe the surgical treatment of epidermal clitoral inclusion cyst. Study Design: Twenty-one women presented with epidermal clitoral inclusion cyst after type I FGM at the Department of Obstetrics and Gynecology at King Fahad Armed Forces Hospital, Jeddah, Saudi Arabia. The duration (mean ± SD, range) of symptoms was 10.3 ± 5.4, 2 to 20 years. They were treated by excision of the cyst with particular attention to preserve the remaining part of the clitoris. The technique involves making a vertical incision in the skin, dissecting and excising the cyst, removing the excessive skin, and reapproximating the skin edges. Results: The procedure was done on all patients without intraoperative complications. All except one were discharged home on the second postoperative day. Follow-up showed no recurrence of symptoms. Conclusion: Long-term sequelae can occur after type I FGM. The surgical treatment of clitoral inclusion cyst is simple and effective. (Am J Obstet Gynecol 2001;185:569-71.)