被禁止的性行為與性暴力

性暴力: 性器官毀損: 方式: 陰戶切除 1

與用金屬環實施的單純的陰戶扣鎖（infibulation）相比，我們正在此談論一種嚴重得多的手術——整個的陰戶切除（vulvectomy）[有時候也稱為“法老割禮（pharaonic circumcision）”]：在切除之後，即陰蒂頭和小陰唇切除之後，大陰唇也部分或完全被切除。大小陰唇的殘沿然後被縫合在一起，封閉陰道開口。只有一個小孔殘存下來，以排尿和排經血。

陰戶切除是一種非常危險的器官毀損，它遠遠超出了被實施手術的女孩的健康所能夠承載的範圍。首先，這個手術本身是危險的（甚至可能是致命的），而且創口通常需要數周才能癒合。（通常，在創口癒合期間，為了有利於創口的癒合，這個女孩的雙腿在此期間一直被捆綁在一起。考慮到要保留尿液和經血的通道，一個可抽取的木條被插入這個殘留的小開口。）雖然如此，還存在持續的流血和感染的風險。其次，排尿可能如此地疼痛，以至於她們會避免喝足水。另一方面，她們也可能會經歷尿失禁。另外，這些女孩的傷口可能衍生出過多的瘢痕組織，併發膿腫和囊腫。而且，經血不再順暢地流出， 取而代之的是可能儲留在陰道內，並最終導致不孕。最後，如果數名女孩被用同一套未消毒的器械做手術，也存在肝炎和HIV/AIDS感染的危險。無論如何，正如我們將會看到的一樣，這些決不是僅有的症狀。

陰戶切除後的陰戶(Infibulated vulva)

Prohibited Sexual Behavior and Sexual Violence

Sexual Violence: Mutilation of Female Sex Organs: Forms: Infibulation 1

In contrast to the relatively simple infibulation by means of a metal ring, we are here talking about a much more serious operation - a total vulvectomy (sometimes also called “pharaonic circumcision”): After an excision, i.e. the removal of clitoral gland and inner lips (labia minora), the outer lips (labia majora) are also partially or totally removed. The remaining edges of these lips are then sewn together, closing the vaginal opening. Only a small hole is left for passing urine and menstrual blood.
This is a very dangerous mutilation with far-reaching consequences for the girl’s health. First of all, the operation itself is dangerous (it can even be fatal), and the wounds usually take several weeks to heal. (As a rule, the girl’s legs remain tied together during this time in order to facilitate the healing process. A removable sliver of wood is inserted into the remaining small opening to allow for the passage of urine and menstrual blood.). Even so, there is a danger of continued bleeding and infection. Second, urination may so painful that girls avoid drinking enough. On the other hand, they may also experience urinary incontinence. In addition, the girls may develop excessive scar tissue, abscesses and cysts. Moreover, the menstrual blood, instead of flowing out freely, may accumulate inside and eventually lead to infertility. Finally, if several girls are cut with the same unsterilized instruments, there is a danger of hepatitis and HIV/AIDS transmission. However, as we shall see, these are by no means the only problems.