Transcript longitudinal cutting into anterior/posterior vagina wall using sharp

amir imam yola
laure fistula center
murtala muhammad specialist hospital
ISOFS DAKAR 2010
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longitudinal cutting into anterior/posterior vagina
wall using sharp instrument: knife or razor blade
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with patient in lying, sitting or squatting position
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3 types
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◦ superficial cut
◦ deep cut
◦ excision of tissue
scarification
-tomy
-ectomy
incidence/prevalence not known since only
patients with complication of fistula do report
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
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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
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“
gynecologic
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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
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
in northern nigeria (kano
state)
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by local barber (wanzami) using knife
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◦ lying position
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by TBA (ungozoma) using razor blade
◦ sitting position during labor
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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
Thank you
Isofs DAKAR 2010