Harry Gordon: Abstract.
About 2 million women and children suffer genital mutation each year, mainly in Africa. There is a wide range of practice, both in terms of age and the extent of damage to the vulval area, making classification difficult. However, the broad classification used by the W.H.O. has the merit of simplicity, especially when considering mortality and morbidity.
UK experience is almost entirely related to F.G.M.3 - this being the main form of mutilation practiced in the horn of Africa.
The first clinic devoted to the needs of circumcised women started at Northwick Park Hospital in 1993, and the main clinic transferred to the Central Middlesex Hospital in 1996. We are now in a position to document our experience and advise on best practice.
There are a number of UK issues which prevent direct comparison with the African experience and these will be discussed.
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