To help the tissue bond, the girls legs are tied together, often from hip to ankle; the bindings are usually loosened after a week and removed after two to six weeks. If the remaining hole is too large in the view of the girls family, the procedure is repeated.The vagina is opened for sexual intercourse, for the first time either by a midwife with a knife or by the womans husband with his penis. In some areas, including Somaliland, female relatives of the bride and groom might watch the opening of the vagina to check that the girl is a virgin. The woman is opened further for childbirth (defibulation or deinfibulation), and closed again afterwards (reinfibulation). Reinfibulation can involve cutting the vagina again to restore the pinhole size of the first infibulation. This might be performed before marriage, and after childbirth, divorce and widowhood. Hanny Lightfoot-Klein interviewed hundreds of women and men in Sudan in the 1980s about sexual intercourse with Type III:

The penetration of the brides infibulation takes anywhere from 3 or 4 days to several months. Some men are unable to penetrate their wives at all (in my study over 15%), and the task is often accomplished by a midwife under conditions of great secrecy, since this reflects negatively on the mans potency. Some who are unable to penetrate their wives manage to get them pregnant in spite of the infibulation, and the womans vaginal passage is then cut open to allow birth to take place.
Median raphe cysts are a cutaneous condition of the penis due to developmental defects near the glans. : 682

See also
Cutaneous columnar cyst
List of cutaneous conditions


== References ==