MP92-20 FEMALE GENITAL MUTILATION AT A SAFETY-NET HOSPITAL IN DENVER, CO

Abstract

You have accessJournal of UrologyGeneral & Epidemiological Trends & Socioeconomics: Quality Improvement & Patient Safety II1 Apr 2017MP92-20 FEMALE GENITAL MUTILATION AT A SAFETY-NET HOSPITAL IN DENVER, CO Diedra Gustafson, Leticia Nogueira, Stephanie Gold, Elizabeth Berry, Rodrigo Donalisio da Silva, and Fernando J. Kim Diedra GustafsonDiedra Gustafson More articles by this author , Leticia NogueiraLeticia Nogueira More articles by this author , Stephanie GoldStephanie Gold More articles by this author , Elizabeth BerryElizabeth Berry More articles by this author , Rodrigo Donalisio da SilvaRodrigo Donalisio da Silva More articles by this author , and Fernando J. KimFernando J. Kim More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2017.02.2881AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Female genital mutilation is the alteration of genitalia for cultural, non-medical purposes and may cause numerous medical complications. The purpose of this study was to examine female genital mutilation cases seen at Denver Health Medical Center, a Level 1 Trauma Center and Safety-Net Hospital in Denver, Colorado. Furthermore, we assessed chief complaints that initiated evaluation and possible medical treatment. METHODS A retrospective review of Denver Health Medical Center's database was performed from May 2002 to May 2016. Patients were included in the study when the provider identified female genital mutilation using reference ICD9/10 codes. All patients identified were eligible for this study even if their visit was unrelated to female genital mutilation. RESULTS Ninety-two patients were coded as having some form of female genital mutilation at Denver Health Medical Center and were included in the study (Figure 1). A majority of these patients were from Somalia, had Type 3 mutilation, and were seen for childbirth without prenatal visits (Figure 2). Lacerations (37) were the most prevalent dermal lesions encountered in childbearing female genital mutilation patients (Table 1). Additionally, the mutilation led to frequent Caesarean sections (17) and episiotomies (5) in these patients. Urinary tract infections, dyspareunia, inclusion cysts on incised area, and sexual dysfunction were the most common symptoms in the non-pregnant group. CONCLUSIONS Alteration of female genitalia often causes a variety of medical symptoms. A majority of these patients were from Africa and initially seen due to pregnancy. Further understanding of possible complications due to this practice may prevent urological complications as well as emergent interventions like Caesarean section and episiotomies. © 2017FiguresReferencesRelatedDetails Volume 197Issue 4SApril 2017Page: e1235 Advertisement Copyright & Permissions© 2017MetricsAuthor Information Diedra Gustafson More articles by this author Leticia Nogueira More articles by this author Stephanie Gold More articles by this author Elizabeth Berry More articles by this author Rodrigo Donalisio da Silva More articles by this author Fernando J. Kim More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...