[Imperforate hymen: Can it be treated without damaging the hymenal structure?]
Dalenda Chelli1, M Kehila, Ezzeddine Sfar
1Service de gynécologie-obstétrique A, Centre de maternité et de néonatalogie de Tunis 1007 La Rabta, Tunisie. dalendac@yahoo.fr
Sante (Montrouge, France)
|February 4, 2009
Summary
Imperforate hymen, a rare congenital anomaly, is treatable with surgery. Techniques exist to preserve the hymen, addressing both medical needs and cultural considerations for young patients.
Area of Science:
- Gynecology
- Pediatric Surgery
- Congenital Anomalies
Background:
- Imperforate hymen is a rare congenital anomaly affecting approximately 1 in 2000 female births.
- Diagnosis typically occurs during puberty, often presenting with pelvic pain and primary amenorrhea.
Observation:
- This study reviewed five cases of imperforate hymen treated between 2001 and 2007.
- Patients ranged in age from 11 to 17 years, with a mean age of 14.8 years.
- All patients presented with a dome-shaped, purplish-red hymeneal membrane requiring surgical intervention.
Findings:
- Standard radial incisions effectively treated three patients, enabling drainage of accumulated menstrual blood.
- Two patients underwent hymen-preserving techniques, including central flange excision and a modified Foley catheter method, to maintain the appearance of virginity.
- All surgical interventions resulted in positive patient outcomes.
Implications:
- Imperforate hymen diagnosis is straightforward, and surgical treatment is generally effective.
- Hymen-preserving surgical options are available and successful when cultural considerations are paramount.
- Radial incision remains a simple and effective traditional approach for imperforate hymen treatment.
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