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yankan gishiri fistula with a report on 78 patients

yankan gishiri fistula with a report on 78 patients. amir imam yola laure fistula center murtala muhammad specialist hospital. ISOFS DAKAR 2010. yankan gishiri (literally: salt cut). longitudinal cutting into anterior/posterior vagina wall using sharp instrument: knife or razor blade

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yankan gishiri fistula with a report on 78 patients

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  1. yankan gishiri fistulawith a report on 78 patients amir imam yola laure fistula center murtala muhammad specialist hospital ISOFS DAKAR 2010

  2. yankan gishiri(literally: salt cut) • longitudinal cutting into anterior/posterior vagina wall using sharp instrument: knife or razor blade • with patient in lying, sitting or squatting position • 3 types • superficial cut scarification • deep cut -tomy • excision of tissue -ectomy • incidence/prevalence not known since only patients with complication of fistula do report

  3. cultural practice the yankan gishiri is a cultural practice exclusively found in the hausa/fulani population of northern nigeria and southern niger republic it is mostly restricted to the rural dwellers and virtually absent among those living in towns and cities it is referred to by different names because of difference in dialect and for the different reasons why it is per-formed

  4. yankan gishiri is general termthough many synonyms • yankan belu • yankan beli • yankan dankali • yankan (an)guriya • yankan jini • yankan kakanda • yankan kare • yankan koko • yankan tsatsefa • yankan tsigai • yankan zir-zir • yankan zul-zul

  5. meaning of yankan gishiri yanka = cutting gishiri = salt linguistically in hausa some things which are related to sexuality are given names which symbolize function or images salt is necessary in making food more palatable, and as such sexual organs of both sexes are referred to as gishiri there is a popular saying in hausa, i.e. „gishiri zaman duniya“

  6. reasons for yankan gishiri gynecologic • ba hanya (no road) • dyspareunia • infertility • prolapse • boil • itching • urine retention obstetric • prolonged labor • attempt at episiotomy other • ritual scratch of hymen • pain: headache, heart ache, abdominal pain

  7. study design retrospective review of operation records in laure, danbatta and wudil vvf centers during a 3-yr period june 2007 to may 2010 out of the 1,372 vvf patients operated on by the author during this period 78 (5.7%) were due to yankan gishiri

  8. practice of yankan gishiriin 78 patients in northern nigeria (kano state) • by local barber (wanzami) using knife 46 • lying position • by TBA (ungozoma) using razor blade 32 • sitting position during labor

  9. Feature of yankan gishiri

  10. Healed scar of yankan gishiri

  11. comments yankan gishiri constitutes up to 5.7% of the causes of vvf as based on this review as compared to 3.7% in the literature (kees 2008) this shows that the practice of yankan gishiri in hausa land needs some attention especially from the advocates of woman rights on female genital cutting though this practice cannot be classically termed so

  12. Thank you Isofs DAKAR 2010

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