Cetin Cihan, Soysal Cenk, Khatib Ghanim, Urunsak Ibrahim Ferhat, Cetin Turan
Department of Obstetrics and Gynecology, Cukurova University School of Medicine, Adana, Turkey.
J Obstet Gynaecol Res. 2016 Aug;42(8):1013-5. doi: 10.1111/jog.13010. Epub 2016 Apr 20.
Imperforate hymen is the most common obstructive anomaly of the female genital tract. Conventional surgical treatment for this condition is the cruciate incision made on the hymen. The aim of this study was to evaluate a novel technique that preserves virginity after hymenotomy using electrocautery.
Patients diagnosed with imperforate hymen and treated with annular hymenotomy between 2009 and 2013 were included in this retrospective cohort study. Annular incision was done using electrocautery on the hymen whilst sparing the intact hymenal tissue circumferentially at least 5 mm from the base.
Fifteen patients were included in the study. Mean age of patients was 14.2 ± 2.2 years. The median operation time was 5 min (3-9 min). No complications occurred. During the follow-up examinations, none of the patients had hymenal closure and all had regular menstrual bleeding.
This novel technique showed complete success without any observed complication. This technique might be a good alternative for patients seeking to preserve virginity after surgery.
处女膜闭锁是女性生殖道最常见的梗阻性异常。针对这种情况的传统手术治疗是在处女膜上做十字切口。本研究的目的是评估一种在处女膜切开术后使用电灼术保留处女膜完整性的新技术。
本回顾性队列研究纳入了2009年至2013年间被诊断为处女膜闭锁并接受环形处女膜切开术治疗的患者。使用电灼术在处女膜上做环形切口，同时在距处女膜基部至少5毫米的圆周方向保留完整的处女膜组织。
15名患者纳入研究。患者的平均年龄为14.2±2.2岁。中位手术时间为5分钟（3 - 9分钟）。未发生并发症。在随访检查中，没有患者出现处女膜闭合，所有患者月经出血规律。
这项新技术取得了完全成功，未观察到任何并发症。对于寻求术后保留处女膜完整性的患者来说，这项技术可能是一个很好的选择。
