Female Genital Mutilation EAUN in Munich

Total Page:16

File Type:pdf, Size:1020Kb

Female Genital Mutilation EAUN in Munich Female genital mutilation Challenges for professionals 12-14 March 2016, Munich, Germany Dr. Comfort Momoh, religious obligation. This is not true, FGM is not in the 4. Empower frontline professionals; MBE Bible or in the Koran; it has nothing to do with 5. Identify girls at risk and refer them as part of FGM/Public Health religion. child safeguarding obligation; Specialist 6. Report cases of FGM; Guy's and St Thomas Most communities that practise FGM believe they are 7. Hold frontline professionals accountable; Foundation Trust doing the best for their daughters and they 8. Empower and support affected girls ang young London (UK) sometimes do not see FGM as a form of abuse. This women (both those at risk and survivors; and can be challenging to professionals and it is our legal 9. Implement awareness campaign. Comfort.Momoh@ duty to provide information to these communities and gstt.nhs.uk help to safeguard girls that might be at risk of FGM. FGM and the law "Female Genital Mutilation" was published by Radcliffe FGM is a crime in the UK and has been a specific Who performs FGM? Medical Press (2005) criminal offence since the Prohibition of Female Female Genital Mutilation (FGM) is recognised FGM is commonly performed by traditional birth Circumcision Act 1985 came into force on 16 worldwide as a fundamental violation of the human attendants, local women or men, or female family September 1985. The 1985 Act was replaced by the rights of girls and women. It reflects deep-rooted members. Such individuals do not have formal problems urinating, and later cysts, infections, Female Genital Mutilation Act 2003. It’s also illegal to inequality between the sexes and constitutes an medical training and usually perform FGM without as well as complications in childbirth and take abroad a British national or permanent resident extreme form of discrimination against women. anaesthesia or sterilisation. increased risk of newborn deaths. for FGM, or to help someone trying to do this. There is • More than 200 million girls and women alive up to 14 years in prison for carrying out FGM or FGM involves violation of rights of the children and It is not uncommon for those who perform FGM to cut today have been cut in 30 countries in Africa, the helping it to take place. violation of a person's right to health, security, and or damage more of the genital area than they intend. Middle East and Asia where FGM is concentrated1. physical integrity, the right to be free from torture and For example, an unskilled person may intend to • FGM is mostly carried out on young girls between The FGM protection orders and the Serious Crime Act cruel, inhuman, or degrading treatment, and the right perform Type 1 FGM, but do more damage to adjacent infancy and age 15. 2015 allows judges to remand people in custody, to life when the procedure results in death. organs resulting in Type 3 FGM. • FGM is a violation of the human rights of girls and order mandatory medical checks and instruct girls Furthermore, girls usually undergo the practice women (UN 2016). believed to be at risk of the practice to live at a without their informed consent, depriving them of the Dangers particular address so that authorities can check opportunity to make independent decision about their FGM can be potentially very dangerous for women's Role of professionals whether they have been subjected to it. Victims are bodies (Okeke 2012). health and psychological well-being. It can lead to Professionals have a pivotal role to play in identifying, also given lifelong anonymity. severe health problems, and in some cases, to death. sharing information and reporting cases of FGM. World Health Classification of FGM FGM causes gynaecological, urological, and obstetric Professionals must assess risk of FGM and treat it as a Key facts There are four main types of FGM. These are: problems in women. Indeed, FGM doubles the risk of child abuse-safeguarding and make referrals of under • FGM includes procedures that intentionally alter the mother's death in childbirth and increases the risk 18 years of age to the police-101. This is a legal or cause injury to the female genital organs for • Type 1, also known as "clitoridectomy," is the of the child being born dead by three to four times. requirement and responsibility. non-medical reasons. excision of the clitoral prepuce (or "hood") and • The procedure has no health benefits for girls and may also involve excision of all or part of the During and immediately after the FGM procedure, Risk assessment women. clitoris; women can experience significant pain and may Indicators that FGM may already have occurred • Procedures can cause severe bleeding and • Type 2 is the excision of the clitoris and may also suffer haemorrhage, shock, infection, urine retention, included absence from school or other activities with problems urinating, and later cysts, infections, as involve excision of all or part of the labia minora and injury to adjacent tissue, and ulceration of the noticeable behaviour change on return. Physical well as complications in childbirth and increased (the smaller, inner vaginal lips); genital region. In extreme cases, women may die indications include recurrent urinary tract infection, risk of newborn deaths. • Type 3, also known as "infibulation," involves from severe haemorrhaging. pain or frequenting toilet. • More than 200 million girls and women alive excision of part or all of the external genitalia and today have been cut in 30 countries in Africa, the the stitching or narrowing of the vaginal opening, Key facts If concern or worried that a girl might be at risk of Middle East and Asia where FGM is concentrated. and • FGM includes procedures that intentionally alter FGM, please call your local helpline. • FGM is mostly carried out on young girls between • Type 4 refers to all other genital procedures (WHO or cause injury to the female genital organs for infancy and age 15. 2014). non-medical reasons. Intercollegiate recommendations (2013) • FGM is a violation of the human rights of girls and • The procedure has no health benefits for girls 1. Treat FGM as a child abuse; women. FGM has no medical or health benefit and the and women. 2. Document and collect information; procedures are irreversible and their effects last a • Procedures can cause severe bleeding and 3. Share that information systematically; Convention and Charter lifetime, although the health impacts of FGM may be • Convention against Torture and other cruel, reduced in some cases. Inhuman or Degrading Treatment or Punishment. • The African Charter on the Rights and Welfare of Reasons behind FGM the Child, 1981 Communities that practise FGM put forward many • African Charter on Human and Peoples’ Right (the reasons and beliefs for the practice. Some of the most Banjul Charter) and it’s Protocol on the Rights of common beliefs about FGM are that it promotes Women in Africa. chastity, prevents promiscuity, promotes cleanliness • The convention on Elimination of All forms of and helps to secure a good marriage for one's Discrimination Against women 1979 – The Vienna daughter. Some people also believe that FGM is a Declaration and Programme of Action 1993 • The Beijing Declaration on Women’s Right 1995 and the United Nation Convention on the Right of European Association of Urology Nurses the Child 1989. EAUN in Munich: My experience Poster Sessions reflect the dynamic work of urology nurses 12-14 March 2016, Munich, Germany Mrs. Vitra Khati the presenters. I believe the idea of the poster session sheer enthusiasm the poster sessions generated King's College is to encourage urological nurses to become showed the scope of hard work and determination Hospital autonomous practitioners, build on our existing by the dedicated participants and organisers alike, Dept. of Urology service provision, challenge the need for change and of course without the interested audience the success London (UK) our existing thinking. To be inspired by our fellow of the session would not be possible. This simple colleagues both on a national and international level realisation I believe is a powerful tool in gaining in order to challenge practices and at the same time momentum for expansion in service provision and work towards consistency amongst urology nurse roles of urology nurse practitioners in our arena. practitioners and encourage forward thinking. vitra.khati@nhs.net It was particularly impressive to observe the social networking these sessions provoked. Direct links were forged with speakers and audience participants, The 17th EAUN meeting was particularly interesting As an audience we appreciated the novice to expert exchanging of service provision and ideas were for me as it highlighted a range of interesting topics speakers, this in itself sums up the nature and genuinely given and received, contact links were EAUN Board and features that were applicable to my field of objective of this session. The variation in topics of made to ensure ideas were followed through and urological nursing and which enabled me to apply interest by participants highlighted the wide spectrum services could be forged in a similar fashion. The Chair Stefano Terzoni (IT) current practices. For the purpose of this article the in the roles of Nurse practitioners in different parts of Past Chair Lawrence Drudge- one session I felt had a significant impact on my the world - from the different approaches to Coates (UK) practice and thought process was the poster sessions. evaluating areas of practices, setting up and Board member Paula Allchorne (UK) The variation in topics showcased that as delivering new services, bringing forward new Board member Simon Borg (MT) autonomous practitioners in the field of urology we agendas and stimulating new ideas for the future in Board member Linda Söderkvist (SE) feel the need to explore these areas further.
Recommended publications
  • Clitoridectomy, Excision, Infibulation- Female Circumcision Ritual and Its Consequences for Women's Health
    Rogala Dorota, Kornowska Joanna, Ziółkowska Mirosława. Clitoridectomy, excision, infibulation- female circumcision ritual and its consequences for women's health. Journal of Education, Health and Sport. 2018;8(11):583-593. eISNN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.2533136 http://ojs.ukw.edu.pl/index.php/johs/article/view/6451 https://pbn.nauka.gov.pl/sedno-webapp/works/896357 The journal has had 7 points in Ministry of Science and Higher Education parametric evaluation. Part B item 1223 (26/01/2017). 1223 Journal of Education, Health and Sport eISSN 2391-8306 7 © The Authors 2018; This article is published with open access at Licensee Open Journal Systems of Kazimierz Wielki University in Bydgoszcz, Poland Open Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author (s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non commercial license Share alike. (http://creativecommons.org/licenses/by-nc-sa/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. The authors declare that there is no conflict of interests regarding the publication of this paper. Received: 26.11.2018. Revised: 30.11.2018. Accepted: 30.11.2018. Clitoridectomy, excision, infibulation- female circumcision ritual and its consequences for women's health Dorota Rogala ¹, Joanna Kornowska 2, Mirosława Ziółkowska3 1 Department of Oncology, Radiotherapy and Gynecologic Oncology, Faculty of Health Sciences, Collegium Medicum, Nicolaus Copernicus University, Toruń, Poland.
    [Show full text]
  • FGM in Canada
    Compiled by Patricia Huston MD, MPH Scientific Communications International, Inc for the Federal Interdepartmental Working Group on FGM. Copies of this report are available from: Women's Health Bureau Health Canada women_femmes@hc-sc.gc.ca The Canadian Women's Health Network 203-419 Graham Avenue Winnipeg, Manitoba R3C 0M3 fax: (204)989-2355 The opinions expressed in this report are not necessarily those of the Government of Canada or any of the other organizations represented. Dedication This report is dedicated to all the women in the world who have undergone FGM and to all the people who are helping them live with and reverse this procedure. This report is part of the ongoing commitment of Canadians and the Government of Canada to stop this practice in Canada and to improve the health and well-being of affected women and their communities. Executive Summary Female genital mutilation (FGM), or the ritual excision of part or all of the external female genitalia, is an ancient cultural practice that occurs around the world today, especially in Africa. With recent immigration to Canada of peoples from Somalia, Ethiopia and Eritrea, Sudan and Nigeria, women who have undergone this practice are now increasingly living in Canada. It is firmly believed by the people who practise it, that FGM improves feminine hygiene, that it will help eliminate disease and it is thought to be the only way to preserve family honour, a girl's virginity and her marriageability. FGM has a number of important adverse health effects including risks of infection and excessive bleeding (often performed when a girl is pre-pubertal).
    [Show full text]
  • Medicalisation of Female Genital Mutilation/Cutting in Sudan: Shifts in Types and Providers
    MEDICALISATION OF FEMALE GENITAL MUTILATION/CUTTING IN SUDAN: SHIFTS IN TYPES AND PROVIDERS October 2018 MEDICALISATION OF FEMALE GENITAL MUTILATION/CUTTING IN SUDAN: SHIFTS IN TYPES AND PROVIDERS NAFISA BEDRI HUDA SHERFI GHADA RODWAN SARA ELHADI WAFA ELAMIN GENDER AND REPRODUCTIVE HEALTH AND RIGHTS RESOURCE AND ADVOCACY CENTER AHFAD UNIVERSITY FOR WOMEN OCTOBER 2018 The Evidence to End FGM/C: Research to Help Girls and Women Thrive generates evidence to inform and influence investments, policies, and programmes for ending female genital mutilation/cutting in different contexts. Evidence to End FGM/C is led by the Population Council, Nairobi in partnership with the Africa Coordinating Centre for the Abandonment of Female Genital Mutilation/Cutting (ACCAF), Kenya; the Gender and Reproductive Health and Rights Resource and Advocacy Center (GRACE), Sudan; the Global Research and Advocacy Group (GRAG), Senegal; Population Council, Nigeria; Population Council, Egypt; Population Council, Ethiopia; MannionDaniels, Ltd. (MD); Population Reference Bureau (PRB); University of California, San Diego (Dr. Gerry Mackie); and University of Washington, Seattle (Prof. Bettina Shell-Duncan). The Population Council confronts critical health and development issues—from stopping the spread of HIV to improving reproductive health and ensuring that young people lead full and productive lives. Through biomedical, social science, and public health research in 50 countries, we work with our partners to deliver solutions that lead to more effective policies, programmes,
    [Show full text]
  • Female Genital Mutilation De-Infibulation
    ETHICS/EDUCATION with the most significant morbidity and mortality. Type 3 FGM is Female genital mutilation experienced by about 10% of all affected women. fi de-in bulation: antenatal Type 4: This includes all other harmful procedures to the female genitalia for non-medical purposes. E.g. Pricking, piercing, or intrapartum? scratching etc. There are no health benefits with FGM. There are immediate Sushama Gupta and lifelong health effects including, obstetric, sexual, psycho- Pallavi Latthe social, and economic impacts associated with FGM. Obstetric complications are: Difficulty in vaginal examination and catheterisation Abstract Prolonged and Obstructed labour Perineal tears Women who have had female genital mutilation (FGM) often experi- A high cesarean section rate due to difficulty in fetal ence adverse short and long term health effects. Owing to increasing monitoring and lack of adequately trained obstetric staff international migration FGM has become a global concern. Health pro- Increased incidence of PPH fessionals involved in the care of these women need to be aware of the Increased still birth and early neonatal death rates complications that it may present during labour as well as the sensi- Increased neonatal morbidity from hypoxia and brain tivity of the matter. This review summarises the studies available look- damage ing into the ideal time for deinfibulation. Keywords deinfibulation; female genital mutilation; FGM Deinfibulation Deinfibulation refers to the practice of surgically opening the Introduction sealed vaginal opening in a woman who has been infibulated. It has been shown to improve health and well-being as well as FGM is defined as all procedures that intentionally alter or obstetric outcomes.
    [Show full text]
  • New Insights Into Feminizing Genitoplasty ______
    SURGICAL TECHNIQUE Vol. 47 (4): 861-867, July - August, 2021 doi: 10.1590/S1677-5538.IBJU.2020.0839 Complete corporeal preservation clitoroplasty: new insights into feminizing genitoplasty _______________________________________________ Nicolas Fernandez 1, 2, 3, Julián Chavarriaga 1, Jaime Pérez 1, 2 1 Division of Urology, Hospital Universitario San Ignacio, Pontificia Universidad Javeriana, Bogota, Colombia; 2 Department of Urology, Fundacion Santa Fe de Bogota, Bogota, Colombia; 3 Division of Urology, Seattle Children’s Hospital, University of Washington, Seattle, WA, United States ABSTRACT ARTICLE INFO Introduction: 46,XX Congenital adrenal hyperplasia (CAH) remains the first cause Julián Chavarriaga of genital virilization and current surgical techniques aim to restore female aspect http://orcid.org/0000-0003-0158-504X of genitalia while preserving dorsal neurovascular bundle but not at the expense of not preserving erectile tissue. We aim to report our experience with a new surgical Keywords: technique for clitoroplasty, completely preserving corporeal bodies, neurovascular Surgical Procedures, Operative; bundles without dismembering the clitoris, in four patients with over a year follow up. Adrenal Hyperplasia, Congenital; Materials and Methods: After IRB approval four patients with 46,XX CAH and Prader 5 Clitoris and 3 external genitalia, underwent feminizing genitoplasty. Complete preservation of Int Braz J Urol. 2021; 47: 861-7 erectile tissue was accomplished without a need to dissect dorsal neurovascular bundle. _____________________ Glans size allowed no need for glanular reduction and there was no need to dismember Submitted for publication: the corporeal bodies. September 18, 2020 Results: Four patients 12 to 24-months-old underwent complete corporeal preservation _____________________ clitoroplasty (CCPC), mean age was 18.5 months, mean follow up was 10.25 months.
    [Show full text]
  • Clitoral Cyst Complicating Neonatal Female Circumcision in a 6 Years Old Child: a Management Plan to Delay Surgical Excision Until Puberty
    American Journal of www.biomedgrid.com Biomedical Science & Research ISSN: 2642-1747 --------------------------------------------------------------------------------------------------------------------------------- Case Report Copyright@ Anthony Jude Edeh Clitoral Cyst Complicating Neonatal Female Circumcision in a 6 Years Old Child: A Management Plan to Delay Surgical Excision Until Puberty Anthony Jude Edeh1*, Chijioke Chinedu Anekpo2, Balantine Ugochukwu Eze3 and Kevin Emeka Chukwubuike4 1Department of Surgery College of Medicine, Enugu State University of Technology Teaching Hospital, Nigeria 2Consultant ENT Surgeon, Nigeria 3Consultant Urology Surgeon, Nigeria 4Consultant Paediatric Surgeon, Nigeria *Corresponding author: Anthony Jude Edeh, Department of Surgery College of Medicine, Enugu State University of Technology Teaching Hospital, Enugu, Nigeria. To Cite This Article: Anthony Jude Edeh. Clitoral Cyst Complicating Neonatal Female Circumcision in a 6 Years Old Child: A Management Plan to Delay Surgical Excision Until Puberty. Am J Biomed Sci & Res. 2019 - 4(4). AJBSR.MS.ID.000811. DOI: 10.34297/AJBSR.2019.04.000811 Received: July 24, 2019 | Published: August 06, 2019 Abstract Among many traditional African societies, including the Ibos of south eastern Nigeria, ritual circumcision has a strong irrational bias and many parents continue to believe in old myths or conjure up new ones to justify this practice. Despite the implementation of laws prohibiting female genital mutilation/cutting (FGM/C), this practice is still performed on nearly 2-3 million women annually [1,2]. We report a case of an unfortunate 6-year-old child who had neonatal ritual circumcision in Enugu, Nigeria. This was complicated by a small clitoral cyst which is asymptomatic but worries the parents. To prevent further physical and psychological trauma to this child we advised delay of excision surgery until puberty unless the cyst becomes complicated.
    [Show full text]
  • The Medicalization of Female Genital Mutilation/Cutting: What Do the Data Reveal?
    THE MEDICALIZATION OF FEMALE GENITAL MUTILATION/CUTTING: WHAT DO THE DATA REVEAL? February 2017 THE MEDICALIZATION OF FEMALE GENITAL MUTILATION/CUTTING: WHAT DO THE DATA REVEAL? BETTINA SHELL-DUNCAN UNIVERSITY OF WASHINGTON ZHUZHI MOORE CONSULTANT, POPULATION COUNCIL CAROLYNE NJUE POPULATION COUNCIL FEBRUARY 2017 The Evidence to End FGM/C: Research to Help Girls and Women Thrive generates evidence to inform and influence investments, policies, and programs for ending female genital mutilation/cutting in different contexts. Evidence to End FGM/C is led by the Population Council, Nairobi in partnership with the Africa Coordinating Centre for the Abandonment of Female Genital Mutilation/Cutting (ACCAF), Kenya; the Gender and Reproductive Health & Rights Resource Center (GRACE), Sudan; the Global Research and Advocacy Group (GRAG), Senegal; Population Council, Nigeria; Population Council, Egypt; Population Council, Ethiopia; MannionDaniels, Ltd. (MD); Population Reference Bureau (PRB); University of California, San Diego (Dr. Gerry Mackie); and University of Washington, Seattle (Prof. Bettina Shell-Duncan). The Population Council confronts critical health and development issues—from stopping the spread of HIV to improving reproductive health and ensuring that young people lead full and productive lives. Through biomedical, social science, and public health research in 50 countries, we work with our partners to deliver solutions that lead to more effective policies, programs, and technologies that improve lives around the world. Established in 1952 and headquartered in New York, the Council is a nongovernmental, nonprofit organization governed by an international board of trustees. www.popcouncil.org The University of Washington is one of the world’s preeminent public universities. Our impact on individuals, our region, and the world is profound— whether we are launching young people into a boundless future or confronting the grand challenges of our time through undaunted research and scholarship.
    [Show full text]
  • HYSTERECTOMY: Working Towards an Improved Understanding of the Predictors and Long-Term Health Consequences of a Common Surgical Procedure
    REFERENCE ONLY UNIVERSITY OF LONDON THESIS Degree b Year ^ J O O (o Name of Author 0 ^ 0 f COPYRIGHT This is a thesis accepted for a Higher Degree of the University of London. It is an unpublished typescript and the copyright is held by the author. All persons consulting the thesis must read and abide by the Copyright Declaration below. COPYRIGHT DECLARATION I recognise that the copyright of the above-described thesis rests with the author and that no quotation from it or information derived from it may be published without the prior written consent of the author. LOAN Theses may not be lent to individuals, but the University Library may lend a copy to approved libraries within the United Kingdom, for consultation solely on the premises of those libraries. Application should be made to: The Theses Section, University of London Library, Senate House, Malet Street, London WC1E 7HU. REPRODUCTION University of London theses may not be reproduced without explicit written permission from the University of London Library. Enquiries should be addressed to the Theses Section of the Library. Regulations concerning reproduction vary according to the date of acceptance of the thesis and are listed below as guidelines. A. Before 1962. Permission granted only upon the prior written consent of the author. (The University Library will provide addresses where possible). B. 1962- 1974. In many cases the author has agreed to permit copying upon completion of a Copyright Declaration. C. 1975 - 1988. Most theses may be copied upon completion of a Copyright Declaration. D. 1989 onwards. Most theses may be copied.
    [Show full text]
  • Intersex Genital Mutilations Human Rights Violations of Children with Variations of Sex Anatomy
    v 2.0 Intersex Genital Mutilations Human Rights Violations Of Children With Variations Of Sex Anatomy NGO Report to the 2nd, 3rd and 4th Periodic Report of Switzerland on the Convention on the Rights of the Child (CRC) + Supplement “Background Information on IGMs” Compiled by: Zwischengeschlecht.org (Human Rights NGO) Markus Bauer Daniela Truffer Zwischengeschlecht.org P.O.Box 2122 8031 Zurich info_at_zwischengeschlecht.org http://Zwischengeschlecht.org/ http://StopIGM.org/ Intersex.ch (Peer Support Group) Daniela Truffer kontakt_at_intersex.ch http://intersex.ch/ Verein SI Selbsthilfe Intersexualität (Parents Peer Support Group) Karin Plattner Selbsthilfe Intersexualität P.O.Box 4066 4002 Basel info_at_si-global.ch http://si-global.ch/ March 2014 v2.0: Internal links added, some errors and typos corrected. This NGO Report online: http://intersex.shadowreport.org/public/2014-CRC-Swiss-NGO-Zwischengeschlecht-Intersex-IGM_v2.pdf Front Cover Photo: UPR #14, 20.10.2012 Back Cover Photo: CEDAW #43, 25.01.2009 2 Executive Summary Intersex children are born with variations of sex anatomy, including atypical genetic make- up, atypical sex hormone producing organs, atypical response to sex hormones, atypical geni- tals, atypical secondary sex markers. While intersex children may face several problems, in the “developed world” the most pressing are the ongoing Intersex Genital Mutilations, which present a distinct and unique issue constituting significant human rights violations (A). IGMs include non-consensual, medically unnecessary, irreversible, cosmetic genital sur- geries, and/or other harmful medical treatments that would not be considered for “normal” children, without evidence of benefit for the children concerned, but justified by societal and cultural norms and beliefs.
    [Show full text]
  • Paul Broca's Clitoridectomy As a Cure for “Nymphomania”
    110 LETTER TO THE EDITOR of the therapeutic void, the 19th century Paul Broca’s neurological physicians sometimes practiced treatments supposedly inherited from ancient clitoridectomy as Hippocratic and / or Galenic theories (Mota a cure for Gomes & Engelhardt, 2014). This was the case for a small patient of Paul Broca (a “nymphomania”: 5-year-old girl), whom he deemed/diagnosed to be suffered from a severe form of (what A pseudo-medical was then suffering) nymphomania. In his communication, Broca (1864) reports that mutilation he had no choice but infibulation (almost complete suture of the vulva), given the Philippe Charlier*,** importance of this “vicious habit” resistant Saudamini Deo** to the surveillance of her mother, and despite the prolonged wearing of a chastity belt. The neurologist rejects the possibility of a surgical Keywords: History of torture, psychiatry, section of the clitoral nerves, at the risk of a sexual mutilation recurrence of symptoms. He also (initially) recuses a clitoridectomy because “amputation Dear Editor, of the clitoris meant irreparable destruction of Paul Broca (1824-1880) is considered the organ of voluptuousness and an excessive one of the founding fathers of modern measure in a girl who can recover.” Broca neurology, mainly because of his major (1864) reports that while he performed contribution to the anatomo-clinical method infibulation, “the child addressed words of (Figure 1) (Sagan, 1979). He has also tenderness and compassion to her genital distinguished himself by his fascination organs” which he interprets as evidence of her with cranial measurements at the origin mental illness and sexual monomania. of modern physical anthropology and, It is likely that it was because of his unfortunately, racial theories based on knowledge of anthropology (social and cranial indices (facial angle and brain physical) that the neurologist Broca was volume, mainly) (Gould, 1981).
    [Show full text]
  • Management of Health Complications from Female Genital Mutilation I
    WHO guidelines on the management of health complications from female genital mutilation i WHO guidelines on the management of health complications from female genital mutilation WHO guidelines on the management of health complications from female genital mutilation WHO Library Cataloguing-in-Publication Data WHO guidelines on the management of health complications from female genital mutilation. I. World Health Organization. ISBN 978 92 4 154964 6 Subject headings are available from WHO institutional repository © World Health Organization 2016 All rights reserved. Publications of the World Health Organization are available on the WHO website (http:// www.who.int) or can be purchased from WHO Press, World Health Organization, 20 Avenue Appia, 1211 Geneva 27, Switzerland (tel.: +41 22 791 3264; fax: +41 22 791 4857; email: bookorders@who.int). Requests for permission to reproduce or translate WHO publications – whether for sale or for non- commercial distribution – should be addressed to WHO Press through the WHO website (http://www.who. int/about/licensing/copyright_form/index.html). The designations employed and the presentation of the material in this publication do not imply the expression of any opinion whatsoever on the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted and dashed lines on maps represent approximate border lines for which there may not yet be full agreement. The mention of specific companies or of certain manufacturers’ products does not imply that they are endorsed or recommended by the World Health Organization in preference to others of a similar nature that are not mentioned.
    [Show full text]
  • Endometriosis of the Canal of Nuck: a Systematic Review of the Literature
    diagnostics Review Endometriosis of the Canal of Nuck: A Systematic Review of the Literature Anastasia Prodromidou * , Anastasios Pandraklakis , Alexandros Rodolakis and Nikolaos Thomakos 1st Department of Obstetrics and Gynecology, Alexandra Hospital, National and Kapodistrian University of Athens, 11528 Athens, Greece; tasospandraklakis@hotmail.com (A.P.); rodolaki@hol.gr (A.R.); thomakir@hotmail.com (N.T.) * Correspondence: a.prodromidou@hotmail.com Abstract: Endometriosis is a common benign gynecological condition defined as the presence of endometrial tissue in tissues outside the uterine cavity. Apart from the common sites of endometriosis, rare sites other have also been reported including the liver, the thoracic cavity, the muscles, nerves, and more rarely in a patent Nuck canal. We aim to evaluate the clinical presentation, diagnostic features, and management of the Nuck endometriosis. A meticulous search of three electronic databases was performed until May 2020 for articles reporting cases of Nuck endometriosis. A total of 36 patients from 20 studies were analyzed. Median age of patients was 36 years with 33 women being of reproductive age. A right-sided lesion was identified in 30 cases (83.3%), while all patients suffer from a groin mass with cyclic pain in a proportion of 22%. All the patients finally underwent surgery for investigation of the lesion and fixation of the defect. Five cases of malignancy were detected at final pathology. All of them were alive with a median reported overall survival of 37 months. Nuck endometriosis should be included in the differential diagnosis of female patients with groin swelling. An evaluation by a gynecologist is important when endometriosis is suspected.
    [Show full text]