Female genital mutilation/cutting (FGM/C) coding capacities in Swiss university hospitals using the International Classification of Diseases (ICD)

Table 1 Classification of FGM/C according to WHO [3]. When WHO refers to “glans of the clitoris”, part of the body of the clitoris can also be affected

Type I	Partial or total removal of the clitoral glans (the external and visible part of the clitoris, which is a sensitive part of the female genitals, with the function of providing sexual pleasure to the woman), and/or the prepuce/clitoral hood (the fold of skin surrounding the clitoral glans).
Type Ia	Removal of the prepuce/clitoral hood only
Type Ib	Removal of the clitoral glans with the prepuce/clitoral hood
Type II	Partial or total removal of the clitoral glans and the labia minora, with or without removal of the labia majora.
Type IIa	Removal of the labia minora only
Type IIb	Partial or total removal of the glans of the clitoris and the labia minora
Type IIc	Partial or total removal of the glans of the clitoris, the labia minora and the labia majora
Type III (Infibulation)	Narrowing of the vaginal opening with the creation of a covering seal. The seal is formed by cutting and repositioning the labia minora, or labia majora. The covering of the vaginal opening is done with or without removal of the clitoral prepuce/clitoral hood and glans.
Type IIIa	Removal and apposition of the labia minora
Type IIIb	Removal and apposition of the labia majora
Type IV	All other harmful procedures to the female genitalia for non-medical purposes, for example, pricking, piercing, incising, scraping and cauterization.

ISSN: 1471-2458