Epidermal clitoral inclusion cyst after type I female genital mutilation

Am J Obstet Gynecol. 2001 Sep;185(3):569-71. doi: 10.1067/mob.2001.117660.


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.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Adult
  • Child
  • Child, Preschool
  • Circumcision, Female / adverse effects*
  • Clitoris* / surgery
  • Epidermal Cyst / etiology*
  • Epidermal Cyst / surgery
  • Female
  • Humans
  • Vulvar Diseases / etiology*
  • Vulvar Diseases / surgery