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consequences remain unfamiliar to many health care professionals in this country. As such, it is important that health professionals develop an increasing awareness of its long-term complications as well as recognise the unique problems that these women face so that satisfactory and comprehensive treatment can be offered. Learning points(1) Clitoral epidermal cyst is a relatively common long-term complication of type I female genital mutilation (FGM) and is treated by excision of the epidermal cyst followed by approximation of the skin.(2) Despite the fact that over 10 000 women currently living in the United Kingdom have had FGM, its consequences remain unfamiliar to many health-care professionals.(3) It is important that health professionals develop an increasing awareness of the complications of FGM, as well as recognise the unique problems that these women face, so that satisfactory and comprehensive treatment can be offered. ReferencesKroll G. L. and Miller L. (2000) Vulval epithelial inclusion cyst as a late complication of childhood female traditional genital surgery. Gynaecology case reports 99 J Obstet Gynaecol Downloaded from informahealthcare.com by The University of Manchester on 12/08/14 For personal use only. Gynaecology case reports 101 J Obstet Gynaecol Downloaded from informahealthcare.com by The University of Manchester on 12/08/14For personal use only.

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This study was designed to assess the analgesic efficacy of EMLA, a local anaesthetic cream consisting of a mixture of 2.5 per cent lignocaine and 2.5 per cent prilocaine. EMLA and placebo cream were compared in a double-blind, random allocation study of 70 women receiving laser treatment to the cervix for cervical intraepithelial neoplasia, with application 10 minutes before treatment. The pain experienced by the patients was assessed immediately after the laser treatment with McGill's pain questionnaire and with a visual analogue scale. The study revealed that the most intense pain experienced by those receiving EMLA was less ( P < 0.05) than in the placebo group, hut no difference in analgesic effect was demonstrated using a visual analogue scale.

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