Opening circumcised vagina. Image 2 of 3. Close-up during surgery to open the vaginal passageway of a circumcised woman, enabling her to reproduce. The opening of the woman's urethra (for urination) is seen at upper centre. Below this part of the sealed vagina has been opened. This closing of the vagina is common in parts of Africa to prevent sexual intercourse. Circumcision may lead to injuries during intercourse, an increased risk of injury in childbirth and psychological problems such as loss of sexual desire. There is no medical purpose for the procedure. See images M850/160 & M850/316 for other stages of procedure.