A novel technique for the reconstructive formation of an annular hymen in cases of postpubertal imperforate Hymen
Other Title(s)
تقنية جديدة لترميم غشاء البكارة الحلقي لحالات غشاء البكارة الرتقاء بعد البلوغ
Author
Source
Sultan Qaboos University Medical Journal
Issue
Vol. 21, Issue 1 (28 Feb. 2021), pp.110-115, 6 p.
Publisher
Sultan Qaboos University College of Medicine and Health Sciences
Publication Date
2021-02-28
Country of Publication
Oman
No. of Pages
6
Main Subjects
Economics & Business Administration
Abstract EN
Objectives: Imperforate hymen (IH) is a common genital tract anomaly in women which usually presents after puberty.
However, surgical treatment is often considered controversial in religious or conservative communities for sociocultural reasons.
This study therefore aimed to assess the efficacy of a novel reconstructive technique involving the preservation of the annular hymen.
Methods: This prospective interventional study was performed between July 2013 and October 2019 at the minimally invasive surgery unit of a tertiary university hospital in Egypt.
A total of 36 women presenting with primary amenorrhoea and haematocolpus were diagnosed with postpubertal IH.
A circular hymenotomy was performed on each patient using a 10 mm laparoscopy trocar tip and sleeve to form a new annular hymen under general anaesthesia while preserving the annular hymen.
The primary outcome measure was the persistence of hymenal patency and integrity at follow-up.
The secondary outcome measure included post-operative patient satisfaction and pain relief.
Results: The reported technique was feasible in all cases without intraoperative complications.
Patency of the reconstructed annular hymen was confirmed at follow-up in all cases; moreover, no intraoperative complications were reported.
There was a significant post-operative improvement in pain scores (P <0.001).
Both the patients and their parents/guardians reported a high level of satisfaction with the technique.
Conclusion: This novel technique for the correction of IH involving the reconstruction of an annular hymen was found to be a safe, minimally invasive and effective procedure.
This technique should be considered a feasible alternative to a conventional hymenotomy as it allows for the resumption of normal hymenal anatomy without overtreatment.
American Psychological Association (APA)
Darwish, Atif Muhammad. 2021. A novel technique for the reconstructive formation of an annular hymen in cases of postpubertal imperforate Hymen. Sultan Qaboos University Medical Journal،Vol. 21, no. 1, pp.110-115.
https://search.emarefa.net/detail/BIM-1349719
Modern Language Association (MLA)
Darwish, Atif Muhammad. A novel technique for the reconstructive formation of an annular hymen in cases of postpubertal imperforate Hymen. Sultan Qaboos University Medical Journal Vol. 21, no. 1 (Feb. 2021), pp.110-115.
https://search.emarefa.net/detail/BIM-1349719
American Medical Association (AMA)
Darwish, Atif Muhammad. A novel technique for the reconstructive formation of an annular hymen in cases of postpubertal imperforate Hymen. Sultan Qaboos University Medical Journal. 2021. Vol. 21, no. 1, pp.110-115.
https://search.emarefa.net/detail/BIM-1349719
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 114-115
Record ID
BIM-1349719