Treatment of Microperforate Hymen With Serial Dilation: A Novel Approach - 05/04/15
, Wendy B. Fried, MD 1, Eileen Y. Krim, MD 1, Deep Parikh, BS 2, David L. Rosenfeld, MD 1Abstract |
Background |
Microperforate and imperforate hymens are one of the most common causes of vaginal outflow obstruction in the adolescent population. To date, these hymen anomalies are traditionally treated by hymenectomy with a cruciate excision.
Cases(s) |
We report 2 cases of adolescent women with a microperforate hymen who were successfully and minimally invasively treated with progressive dilation with Hegar cervical dilators until a number 23 dilator was reached under anesthesia in the OR.
Summary and Conclusion |
Minimally invasive treatment of microperforate hymen with the use of progressive cervical dilators may be an alternative technique to the traditional excisional hymenectomy. Our patients reported satisfaction and minimal postoperative pain or scarring at 2 weeks and 6 months after the procedure. This technique can be an additional option for all women, especially those with cultural beliefs in virginity.
Le texte complet de cet article est disponible en PDF.Key Words : Hymenotomy, Hymenectomy, Surgical correction, Imperforate hymen, Microperforate hymen
Plan
Vol 28 - N° 2
P. e21-e22 - avril 2015 Retour au numéro
Article précédent
- Creation of a Neovagina in a Patient with Mayer-Rokitansky-Küster-Hauser (MRKH) Syndrome and Previously Corrected Rectovestibular Fistula Concomitant with Imperforate Anus
- Karina Kapczuk, Zbigniew Friebe, Kinga Iwaniec, Witold K?dzia
- Hysteroscopic Management of Congenital External Cervical Os Stenosis Using a “No-Touch” Technique in an Adolescent
- Xiaogang Zhu, Dabao Xu, Gloria Allornuvor, Feng Gao, Min Xue
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