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Retention clitoral cyst following female genital cutting; clitoral cyst excision: A case report


A. Rabiu
I.S. Abubakar

Abstract

Female genital cutting involves partial or total removal of the female external genitalia for cultural or other nontherapeutic reasons. It is found to interfere with natural functioning of the body and can result in several complications with associated lasting health consequences. One of the complications of this practice is clitoral inclusion cyst. This occurs due to the invagination of squamous epithelium and sebaceous glands in the line of the scar following female genital cutting which desquamates and produces secretions to form a cystic mass. It is usually following type 1 female genital cutting. We presented a 15‑year‑old sickle cell anemia patient who had female genital cutting during childhood and presented with clitoral cyst. She was the second of a set of twins. She had normal female external genitalia with a solitary, firm, well‑circumscribed mass on the clitoris which was centrally located. The prepuce covering the clitoris and part of the clitoris were amputated. The labia minora, majora, the urethral orifice, the vaginal orifice, and the hymen were all normal. The problems were explained to the parent and the child. She was counseled on her condition and the possible cause. Assent was sought and obtained for surgical removal, and the cyst was removed under spinal anesthesia with light sedation.

Key words: Clitoral inclusion cyst; female genital cutting; Nigeria


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eISSN: 0189-5117